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Vestibular rehabilitation

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https://www.readbyqxmd.com/read/28049117/rare-cause-of-bilateral-sudden-deafness
#1
F I Vos, P Merkus, E B J van Nieuwkerk, E F Hensen
In this paper, we describe the case of a 62-year-old female with recurring episodes of sudden deafness with vertigo and facial paresis. Within a month's time, this resulted in bilateral deafness and vestibular areflexia. Erroneously, the patient was diagnosed with sudden deafness of unknown origin and subsequently with neuroborreliosis (Lyme disease). The true diagnosis of relapsing polychondritis (RP) was revealed 9 months after initial presentation. The diagnostic delay is in part explained by the fact that, by definition, the disease has to relapse before the diagnosis can be made, but also by its pluriform clinical presentation...
October 8, 2016: BMJ Case Reports
https://www.readbyqxmd.com/read/28007042/the-value-of-close-monitoring-in-vestibular-rehabilitation-therapy
#2
M Itani, Y Koaik, A Sabri
BACKGROUND: Vestibular rehabilitation therapy is a well-established treatment modality for patients with vestibular problems. HYPOTHESIS: Performing vestibular rehabilitation therapy in a closely monitored setting may result in a better outcome than a home exercise programme. METHODS: A retrospective study was conducted of patients undergoing vestibular rehabilitation therapy between June 2005 and November 2012 in a tertiary university hospital...
December 23, 2016: Journal of Laryngology and Otology
https://www.readbyqxmd.com/read/28002135/functional-dizziness-from-phobic-postural-vertigo-and-chronic-subjective-dizziness-to-persistent-postural-perceptual-dizziness
#3
Marianne Dieterich, Jeffrey P Staab
PURPOSE OF REVIEW: Functional dizziness is the new term for somatoform or psychogenic dizziness. The aim of this study is to review arguments for the new nomenclature, clinical features, possible pathomechanisms, and comorbidities of functional dizziness. RECENT FINDINGS: The prevalence of functional dizziness as a primary cause of vestibular symptoms amounts to 10% in neuro-otology centers. Rates of psychiatric comorbidity in patients with structural vestibular syndromes are much higher with nearly 50% and with highest rates in patients with vestibular migraine, vestibular paroxysmia, and Ménière's disease...
December 20, 2016: Current Opinion in Neurology
https://www.readbyqxmd.com/read/28002123/functional-dizziness-from-phobic-postural-vertigo-and-chronic-subjective-dizziness-to-persistent-postural-perceptual-dizziness
#4
Marianne Dieterich, Jeffrey P Staab
PURPOSE OF REVIEW: Functional dizziness is the new term for somatoform or psychogenic dizziness. The aim of this study is to review arguments for the new nomenclature, clinical features, possible pathomechanisms, and comorbidities of functional dizziness. RECENT FINDINGS: The prevalence of functional dizziness as a primary cause of vestibular symptoms amounts to 10% in neuro-otology centers. Rates of psychiatric comorbidity in patients with structural vestibular syndromes are much higher with nearly 50% and with highest rates in patients with vestibular migraine, vestibular paroxysmia, and Ménière's disease...
February 2017: Current Opinion in Neurology
https://www.readbyqxmd.com/read/27987520/-dental-implantation-and-soft-tissue-augmentation-after-ridge-preservation-in-a-molar-site-a-case-report
#5
L P Zhao, Y L Zhan, W J Hu, H J Wang, Y P Wei, M Zhen, T Xu, Y S Liu
For ideal implant rehabilitation, an adequate bone volume, optical implant position, and stable and healthy soft tissue are required. The reduction of alveolar bone and changes in its morphology subsequent to tooth extraction will result in insufficient amount of bone and adversely affect the ability to optimally place dental implants in edentulous sites. Preservation of alveolar bone volume through ridge preservation has been demonstrated to reduce the vertical and horizontal contraction of the alveolar bone crest after tooth extraction and reduce the need for additional bone augmentation procedures during implant placement...
December 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27984359/analysis-of-factors-affecting-the-outcomes-of-in-hospitalized-vestibular-rehabilitation-in-patients-with-intractable-dizziness
#6
Fumiyuki Goto, Kyoko Nomura, Fumiaki Taka, Miki Arai, Nagisa Sugaya
OBJECTIVE: To analyze somatic and psychological factors affecting the outcomes of in-hospital vestibular rehabilitation in patients with intractable dizziness. MATERIALS AND METHODS: The study involved 138 patients with persistent dizziness caused by peripheral vestibular dysfunction. They were hospitalized and taught to conduct a vestibular rehabilitation program for 30 minutes by themselves three times a day over 5 days. They were then instructed to continue performing the program every day after discharge...
December 14, 2016: Otology & Neurotology
https://www.readbyqxmd.com/read/27938621/-chronic-subjective-dizziness
#7
Y Lin, J L Wang, J H Qiu, D J Zha
Chronic subjective dizziness(CSD) was defined as persistent nonvertiginous dizziness or subjective unsteadiness. Patients are hypersensitivity to motion stimuli, such as head movement and motion of objects in the visual surrounding, and have difficulty with precise visual tasks. The concept of CSD was first proposed by Staab and Ruckenstein, which indicates relationships between chronic dizziness and acute vestibular or psychiatric disorders, including neuro-otologic type, psychiatric type or interactive type...
November 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
https://www.readbyqxmd.com/read/27921114/-postoperative-imaging-of-the-internal-auditory-canal-visualization-of-active-auditory-implants-german-version
#8
I Todt, G Rademacher, P Mittmann, S Mutze, A Ernst
BACKGROUND: Assessment of the internal auditory canal (IAC) and the cochlea is of central importance in neurotology. The artefacts and visibility of the different types of active auditory implants in MRI vary, due to their specific ferromagnetic components. Knowledge of the size of MRI artefacts and the options for handling these is important for the auditory rehabilitation of specific diseases (e. g., vestibular schwannoma). METHODS: The current paper is a literature review RESULTS: MRI assessment of the IAC and cochlea after surgical placement of an active auditory implant is feasible only with a percutaneous bone-anchored hearing aid (BAHA, Ponto)...
December 5, 2016: HNO
https://www.readbyqxmd.com/read/27920669/the-neurovestibular-challenges-of-astronauts-and-balance-patients-some-past-countermeasures-and-two-alternative-approaches-to-elicitation-assessment-and-mitigation
#9
REVIEW
Ben D Lawson, Angus H Rupert, Braden J McGrath
Astronauts and vestibular patients face analogous challenges to orientation function due to adaptive exogenous (weightlessness-induced) or endogenous (pathology-induced) alterations in the processing of acceleration stimuli. Given some neurovestibular similarities between these challenges, both affected groups may benefit from shared research approaches and adaptation measurement/improvement strategies. This article reviews various past strategies and introduces two plausible ground-based approaches, the first of which is a method for eliciting and assessing vestibular adaptation-induced imbalance...
2016: Frontiers in Systems Neuroscience
https://www.readbyqxmd.com/read/27915363/outcomes-following-a-vestibular-rehabilitation-and-aerobic-training-program-to-address-persistent-post-concussion-symptoms
#10
Brian M Moore, Joseph T Adams, Edward Barakatt
PURPOSE: To describe changes in adults with persistent symptoms and disability following a concussion after completing a supervised home exercise vestibular rehabilitation (VR) program combined with aerobic training. METHOD: Participants included 14 consecutive individuals referred for VR within the context of a comprehensive concussion center. Outcome measures were administered at initial evaluation, 3 mos, and 6 mos. Outcome measures included: Rivermead Post-Concussion Questionnaire symptom (RPQ-3) and function (RPQ-13) subcategories, Dizziness Handicap Inventory (DHI), Activities-specific Balance Confidence Scale (ABC), functional gait assessment (FGA), return to work/study (RTW), and return to activity (RTA)...
2016: Journal of Allied Health
https://www.readbyqxmd.com/read/27879230/bilateral-cochleovestibulopathy-due-to-internal-auditory-canal-metastasis-in-a-patient-with-stomach-cancer
#11
Sertaç Yetişer
Bilateral sudden onset hearing loss and vestibular dysfunction due to metastatic carcinoma of the internal auditory canal (IAC) on both sides is an extremely rare occurrence. This is a challenging case in neuro-otology that is difficult to relieve by medical support, and spontaneous compensation by vestibular rehabilitation is minimal. The spread of tumor cells to the cerebrospinal space indicates poor prognosis. We present a patient with stage-III gastric carcinoma who experienced sudden hearing loss and severe imbalance...
November 23, 2016: Journal of International Advanced Otology
https://www.readbyqxmd.com/read/27876733/-a-rare-observation-of-intralaryngeal-aberrant-goiter
#12
G A Gadzhimirzaev, A M Shakhnazarov, R G Gadzhimirzaeva
This paper was designed to report a rare observation of intralaryngeal aberrant goiter associated with goiter of the main thyroid tissue and chronic suppurative otitis media complicated by the polyp that causes occlusion of the auditory passage. The histomorphological investigation of the material harvested intraoperatively following rehabilitation of the purulent focus in the middle ear and the removal of the tumour from the inside of the right vestibular fold confirmed the diagnosis of colloid goiter.
2016: Vestnik Otorinolaringologii
https://www.readbyqxmd.com/read/27857014/-effectiveness-of-self-efficacy-promoting-vestibular-rehabilitation-program-for-patients-with-vestibular-hypofunction
#13
Hyun Jung Lee, Smi Choi-Kwon
PURPOSE: In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise selfefficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction. METHODS: This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention...
October 2016: Journal of Korean Academy of Nursing
https://www.readbyqxmd.com/read/27829834/the-prosthetic-workflow-in-the-digital-era
#14
Lidia Tordiglione, Michele De Franco, Giovanni Bosetti
The purpose of this retrospective study was to clinically evaluate the benefits of adopting a full digital workflow for the implementation of fixed prosthetic restorations on natural teeth. To evaluate the effectiveness of these protocols, treatment plans were drawn up for 15 patients requiring rehabilitation of one or more natural teeth. All the dental impressions were taken using a Planmeca PlanScan® (Planmeca OY, Helsinki, Finland) intraoral scanner, which provided digital casts on which the restorations were digitally designed using Exocad® (Exocad GmbH, Germany, 2010) software and fabricated by CAM processing on 5-axis milling machines...
2016: International Journal of Dentistry
https://www.readbyqxmd.com/read/27813685/physical-activity-and-intermittent-postconcussion-symptoms-after-a-period-of-symptom-limited-physical-and-cognitive-rest
#15
Quinton Sawyer, Brian Vesci, Tamara C Valovich McLeod
: Reference: Schneider KJ, Iverson GL, Emery CA, McCrory P, Herring SA, Meeuwisse WH. The effects of rest and treatment following sport-related concussion: a systematic review of the literature. Br J Sports Med. 2013;47(5):304-307. CLINICAL QUESTION: After concussion and a period of symptom-limited physical and cognitive rest, do athletes who experience intermittent symptoms return to asymptomatic condition more quickly with physical activity than with prolonged physical rest? DATA SOURCES: One investigator performed an individual search for each research question using the following databases: CINAHL, Cochrane Controlled Trials Registers, EMBASE, HealthSTAR, ProQuest, PsychInfo, PubMed, SPORTDiscus, and Web of Science...
September 2016: Journal of Athletic Training
https://www.readbyqxmd.com/read/27812348/an-attempt-of-early-detection-of-poor-outcome-after-whiplash
#16
Sebastien Laporte, Danping Wang, Jennyfer Lecompte, Sophie Blancho, Baptiste Sandoz, Antoine Feydy, Pavel Lindberg, Julien Adrian, Elodie Chiarovano, Catherine de Waele, Pierre-Paul Vidal
The main concern with whiplash is that a large proportion of whiplash patients experience disabling symptoms or whiplash-associated disorders (WAD) for months if not years following the accident. Therefore, identifying early prognostic factors of WAD development is important as WAD have widespread clinical and economic consequences. In order to tackle that question, our study was specifically aimed at combining several methods of investigation in the same WAD patients at the acute stage and 6 months later...
2016: Frontiers in Neurology
https://www.readbyqxmd.com/read/27758126/the-effect-of-vestibular-rehabilitation-on-sleep-disturbance-in-patients-with-chronic-dizziness
#17
Nagisa Sugaya, Miki Arai, Fumiyuki Goto
CONCLUSIONS: Improvement in sleep, emotional distress, and health-related quality-of-life (QoL) accompanied the improvement in dizziness symptoms after vestibular rehabilitation. Persistent sleep disturbance could prevent improvements in self-perceived handicap due to chronic dizziness and anxiety. OBJECTIVE: The present study investigated prospectively the effects of intervention for dizziness (vestibular rehabilitation) on sleep disturbance, and the relationship between improvements in dizziness symptoms and improvements in sleep disturbance after the intervention...
October 19, 2016: Acta Oto-laryngologica
https://www.readbyqxmd.com/read/27755458/cochlear-implantation-in-the-elderly-does-age-matter
#18
Katharina Rohloff, Mario Koopmann, Daniel Wei, Claudia Rudack, Eleftherios Savvas
OBJECTIVE: To compare the outcome of hearing rehabilitation in younger versus older adult cochlear implant recipients. Analysis of surgical and postoperative complications, as well as the number of auditory therapy sessions in the two age groups. STUDY DESIGN: Individual retrospective cohort study. METHODS: A cohort of 145 postlingually deafened adults was evaluated in this study. The patients were divided into two age groups based on the age at implantation: Group I, 18 to 69 years; and Group II, 70 and older...
January 2017: Otology & Neurotology
https://www.readbyqxmd.com/read/27746838/-positive-to-negative-dix-hallpike-test-and-benign-paroxysmal-positional-vertigo-recurrence-in-elderly-undergoing-canalith-repositioning-maneuver-and-vestibular-rehabilitation
#19
Karyna M O B de Figueiredo Ribeiro, Lidiane Maria de Brito Macedo Ferreira, Raysa Vanessa de Medeiros Freitas, Camila Nicácio da Silva, Nandini Deshpande, Ricardo Oliveira Guerra
Introduction Benign Paroxysmal Positional Vertigo is the most common cause of dizziness in elderly people. Recent studies have shown that the elderly present higher Benign Paroxysmal Positional Vertigo recurrence and that vertiginous symptomatology remission varies according to comorbidities and the therapeutic techniques applied. Objective To assess the short-term effectiveness of Vestibular Rehabilitation in addition to Canalith Repositioning Maneuver on positive to negative Dix-Hallpike test, on recurrence and number of maneuvers to achieve a negative test in elderly patients with chronic Benign Paroxysmal Positional Vertigo...
October 2016: International Archives of Otorhinolaryngology
https://www.readbyqxmd.com/read/27745883/-conditional-probability-analysis-between-tinnitus-and-comorbidities-in-patients-attending-the-national-rehabilitation-institute-lgii-in-the-period-2012-2013
#20
Verónica Gómez Toledo, Ileana Gutiérrez Farfán, Antonio Verduzco-Mendoza, Emilio Arch-Tirado
BACKGROUND: Tinnitus is defined as the conscious perception of a sensation of sound that occurs in the absence of an external stimulus. This audiological symptom affects 7% to 19% of the adult population. The aim of this study is to describe the associated comorbidities present in patients with tinnitus usingjoint and conditional probability analysis. PATIENTS: Patients of both genders, diagnosed with unilateral or bilateral tinnitus, aged between 20 and 45 years, and had a full computerised medical record, were selected...
October 13, 2016: Cirugia y Cirujanos
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