Ménière’s Disease

Abstract

Prehab has been proposed for subjects undergoing gentamicin treatment, as in chemical labyrinthectomy. Subjects would perform vestibular exercises for 2 weeks before the fi rst gentamicin installation or surgical operation.Exercises in the gymnasium to be performed with the therapist three times a week 1. Relaxation exercises such as control of breathing with improving consciousness of abdominal or thoracic breathing. A simple exercise consists in deep inhalation followed, after few seconds, by a forced exhalation pronouncing the word "one". This exercise is repeated 8-10 times. 2. From the supine position, the patient shifts to sitting position, fi xating a point straight in front of her/him ( Fig. 10.1 ). 3. In the sitting position, the patient grasps a stick with both hands and takes the stick behind her/his shoulder, positioning the stick at the level of the cervicodorsal junction. In this position, she/he pushes the stick against her/his back, exhaling and inhaling rhythmically and slowly. She/he then repeats the exercise, moving the stick forward on the sternum at the level of the sterno-clavear joint. The patient grasps the stick with both hands frontally positioned. 4. Standing on a foam mattress.(a) The patient fi xates her-/himself in a mirror. The therapist helps her/him to align her/his position correctly. She/he must maintain equilibrium for 1 min with eyes open and then close her/his eyes visualizing her/his correct position while remaining in this position for at least 1 min.