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Vestibular rehabilitation

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https://www.readbyqxmd.com/read/29760579/the-effect-of-transcutaneous-neuromuscular-electrical-stimulation-on-laryngeal-vestibule-closure-timing-in-swallowing
#1
Christopher R Watts, Matthew J Dumican
Background: The purpose of this study was to investigate the effect of transcutaneous neuromuscular electrical stimulation (NMES) on the timing of laryngeal vestibule closure during the pharyngeal stage of swallowing in healthy adults. The theoretical framework proposed that NMES applied to these muscles would present a perturbation to laryngeal vestibular closure reaction time (the amount of time for the laryngeal vestibule to close once the swallowing reflex has been triggered) by providing an antagonistic force to the direction of vestibule closure...
2018: BMC Ear, Nose, and Throat Disorders
https://www.readbyqxmd.com/read/29755404/cognitive-rehabilitation-in-bilateral-vestibular-patients-a-computational-perspective
#2
Andrew W Ellis, Corina G Schöne, Dominique Vibert, Marco D Caversaccio, Fred W Mast
There is evidence that vestibular sensory processing affects, and is affected by, higher cognitive processes. This is highly relevant from a clinical perspective, where there is evidence for cognitive impairments in patients with peripheral vestibular deficits. The vestibular system performs complex probabilistic computations, and we claim that understanding these is important for investigating interactions between vestibular processing and cognition. Furthermore, this will aid our understanding of patients' self-motion perception and will provide useful information for clinical interventions...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29745627/neurophysiological-and-clinical-effects-of-blinfolded-balance-training-bbt-in-parkinson-s-disease-patients-a-preliminary-study
#3
Sonia Bonnì, Viviana Ponzo, Marco Tramontano, Alex Martino Cinnera, Carlo Caltagirone, Giacomo Koch, Antonella Peppe
BACKGROUND: Recent evidence support the hypothesis that rehabilitative strategies based on sensorimotor stimulation in the neurorehabilitation of Parkinson's Disease (PD) may be useful to improve gait in PD patients. AIM: We supposed that sensorimotor stimulation produce modulation of Anticipatory Postural Adjustments (APAs) arising from the supplementary motor area (SMA). We aimed to investigate the clinical and neurophysiological effects of a blindfolded balance training (BBT)...
May 9, 2018: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/29741128/vestibulotoxicity-strategies-for-clinical-diagnosis-and-rehabilitation
#4
Jaynee A Handelsman
OBJECTIVE: The purpose of this article is to discuss the most commonly prescribed vestibulotoxic medications and their impact on the vestibular system, to describe the clinical features of vestibular ototoxicity including symptoms reported by patients, and to describe assessment tools that may be used in a monitoring programme, including the functional impact of vestibular loss. Recently published data from a cohort of patients exposed to systemic aminoglycosides (AGS) are summarised, which highlight the importance of monitoring...
May 9, 2018: International Journal of Audiology
https://www.readbyqxmd.com/read/29736101/comparative-study-of-two-systems-for-the-assessment-of-static-balance-in-veterans-with-mild-traumatic-brain-injury
#5
Azadeh Leland, Kamran Tavakol, Joel Scholten, Simin Bakhshi, Kaveh Kelarestaghi
Background: Traditionally, the diagnosis of postural instability relies on the clinical examination of static balance. In recent years, computerized technologies have provided a new approach for the accurate detection of positional changes during functional balance. Aim: The aim of this study was to investigate the similarities and differences between two electronic systems, NeuroCom and BioSensics , and their application in the clinical assessment of impaired balance in American veterans...
April 2018: Medical Archives
https://www.readbyqxmd.com/read/29697584/clinical-implications-of-the-association-between-temporal-bone-tegmen-defects-and-superior-semicircular-canal-dehiscence
#6
Ophir Handzel, Adi Brenner-Ullman, Oren Cavel, Yahav Oron, Oshri Wasserzug, Dan M Fliss, Omer J Ungar
OBJECTIVE: To discuss the clinical implications of the association between temporal bone tegmen dehiscence (TD) necessitating surgical correction and the adjacent dehiscent superior semicircular canal (SSCD). STUDY DESIGN: Retrospective. SETTING: Tertiary referral center. PATIENTS: Sixteen patients with idiopathic TD, with or without SSCD, requiring surgical correction. INTERVENTIONS: Corrective surgery for TD...
April 24, 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29689764/a-speed-based-approach-to-vestibular-rehabilitation-for-peripheral-vestibular-hypofunction-a-retrospective-chart-review
#7
Robert Alan Roller, Courtney D Hall
BACKGROUND: Current vestibular rehabilitation for peripheral vestibular hypofunction is an exercise-based approach that improves symptoms and function in most, but not all patients, and includes gaze stabilization exercises focused on duration of head movement. One factor that may impact rehabilitation outcomes is the speed of head movement during gaze stability exercises. OBJECTIVE: Examine outcomes of modified VOR X1 exercises that emphasize a speed-based approach for gaze stabilization while omitting substitution and habituation exercises...
April 18, 2018: Journal of Vestibular Research: Equilibrium & Orientation
https://www.readbyqxmd.com/read/29687182/prevalence-and-management-of-post-bppv-residual-symptoms
#8
Cristina Vaduva, Jonathan Estéban-Sánchez, Ricardo Sanz-Fernández, Eduardo Martín-Sanz
OBJECTIVES: To evaluate the prevalence and management of residual symptoms in recovered BPPV patients. METHODS: We performed a retrospective study on BPPV patients of any of the three semicircular canals. Exclusion criteria were multiple-canal BPPV, refractory BPPV, central nervous system pathologies or other vestibular diseases. Patients were treated with repositioning maneuvers until the vertigo disappeared and evaluated for symptoms of instability at 1 month after resolution...
April 23, 2018: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/29673069/short-term-memory-impairment-in-vestibular-patients-can-arise-independently-of-psychiatric-impairment-fatigue-and-sleeplessness
#9
Laura Smith, David Wilkinson, Mayur Bodani, Rowena Bicknell, S S Surenthiran
Vestibular dysfunction is associated with visual short-term memory impairment; however, it remains unclear if this impairment arises as a direct result of the vestibular dysfunction or is a consequence of comorbid changes in mood, affect, fatigue, and/or sleep. To this end, we assessed the concurrence and interdependence of these comorbidities in 101 individuals recruited from a tertiary balance clinic with a neuro-otological diagnosis. Over fifty per cent of the sample showed reduced visuospatial short-term memory, 60% and 37% exceeded cut-off on the Beck Anxiety and Depression Inventories, respectively, 70% exceeded cut-off on the Fatigue Severity Scale, 44% reported daytime sleepiness on the Epworth Sleepiness Scale, and 78% scored above cut-off on the Pittsburgh Sleep Quality Index...
April 19, 2018: Journal of Neuropsychology
https://www.readbyqxmd.com/read/29594074/effect-of-early-vestibular-rehabilitation-on-vertigo-and-unsteadiness-in-patients-with-acute-and-sub-acute-head-trauma
#10
Sadegh Jafarzadeh, Akram Pourbakht, Eshagh Bahrami, Shohreh Jalaie, Arash Bayat
Introduction: Vestibular rehabilitation is a treatment option for the management of vertigo and unsteadiness, which are very common in head trauma patients and more challenging in the early months after trauma. This study evaluated the effectiveness of a vestibular rehabilitation program in the recovery of acute and sub-acute head trauma patients. The goal of this study was evaluation of the effect of early vestibular rehabilitation on patients with acute and sub-acute head trauma. Materials and Methods: This study was performed in 20 head trauma patients with vertigo and unsteadiness...
March 2018: Iranian Journal of Otorhinolaryngology
https://www.readbyqxmd.com/read/29578887/visual-performance-and-perception-as-a-target-of-saccadic-strategies-in-patients-with-unilateral-vestibular-loss
#11
Gabriel Trinidad-Ruiz, Jorge Rey-Martinez, Angel Batuecas-Caletrio, Eusebi Matiño-Soler, Nicolas Perez-Fernandez
OBJECTIVES: To evaluate the ability of saccadic strategies developed during vestibular compensation to reduce the effect of an impaired vestibulo-ocular reflex (VOR) on a retinal smear and image motion sensation. DESIGN: Twenty patients with unilateral vestibular loss were examined with a video head impulse test before and after vestibular rehabilitation (VR) with the use of gaze stabilization and refixation saccades training. Head and eye velocity functions were processed to infer the retinal eccentricity, and through its correlation with visual acuity (VA), several measurements are proposed to evaluate the influence of VR on saccades behavior and visual performance...
March 23, 2018: Ear and Hearing
https://www.readbyqxmd.com/read/29575711/hearing-aids-in-patients-with-vestibular-schwannoma-interest-of-the-auditory-brainstem-responses
#12
K Reffet, E Lescanne, C Bobillier, C Aussedat, D Bakhos
INTRODUCTION: Hearing loss subsequent to a unilateral vestibular Schwannoma (VS) has an impact on the social life of non-operated patients. We investigated the utility of auditory brainstem responses (ABRs) for predicting the results of auditory rehabilitation in such patients. STUDY DESIGN: Prospective study. SETTING: University tertiary medical center. SUBJECTS AND METHOD: We collected the demographic, audiometric, ABR, and imaging data of non-operated patients with unilateral VS...
March 25, 2018: Clinical Otolaryngology
https://www.readbyqxmd.com/read/29573626/effects-of-combined-oral-contraception-containing-drospirenone-on-premenstrual-exacerbation-of-meniere-s-disease-preliminary-study
#13
Salvatore Caruso, Diletta Mauro, Luigi Maiolino, Caterina Grillo, Agnese Maria Chiara Rapisarda, Stefano Cianci
OBJECTIVES: Meniere's disease is caused by an augmented endolymph pressure in the inner ear; symptoms are vertigo, fluctuating hearing loss and tinnitus. Exacerbations has been noted during premenstrual phase. The study aims to evaluate the effects of a 20 μm Ethinylestradiol (EE) and 3 mg Drospirenone (DRSP) oral contraceptive (20 μmEE/3mgDRSP) in continuous regimen, associated with rehabilitation therapy on Meniere's disease. STUDY DESIGN: This non-randomized controlled study was performed from October 2015 to October 2017...
May 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29573425/cochlear-implantation-and-auditory-brainstem-implantation-in-neurofibromatosis-type-2
#14
Kevin A Peng, Mark B Lorenz, Steven R Otto, Derald E Brackmann, Eric P Wilkinson
OBJECTIVES/HYPOTHESIS: To report a series of patients with neurofibromatosis type 2 (NF2), where each patient underwent both cochlear implantation and auditory brainstem implantation for hearing rehabilitation, and to discuss factors influencing respective implant success. STUDY DESIGN: Retrospective case series. METHODS: Ten NF2 patients with both cochlear implantations and auditory brainstem implantations were retrospectively reviewed. Speech testing for auditory brainstem implants (ABIs) and cochlear implants (CIs) was performed separately...
March 24, 2018: Laryngoscope
https://www.readbyqxmd.com/read/29562556/how-does-strength-training-and-balance-training-affect-gait-and-fatigue-in-patients-with-multiple-sclerosis-a-study-protocol-of-a-randomized-controlled-trial
#15
Jacob Callesen, Davide Cattaneo, John Brincks, Ulrik Dalgas
INTRODUCTION: Multiple sclerosis (MS) is characterized by a demyelination that results in reduced conductivity in the somatosensory nervous system, decreased muscle strength, vestibular alteration, and severe fatigue. Progressive resistance training (PRT) has proven to be a promising intervention showing a positive effect on muscle strength. Another promising intervention frequently used in neuro-rehabilitation is task specific training where also Balance and Motor Control Training (BMCT) are incorporated...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29558843/perceptual-aspects-of-postural-control-does-pure-proprioceptive-training-exist
#16
Edit Nagy, Gabriella Posa, Regina Finta, Levente Szilagyi, Edit Sziver
As proprioceptive training is popular for injury prevention and rehabilitation, we evaluated its effect on balance parameters and assessed the frequency spectra of postural sway linked with the various sensory channels. We recorded the Center of Mass displacement of 30 healthy student research participants (mean age = 21.63; SD = 1.29 years) with a single force plate under eyes open (EO) and eyes closed (EC) positions while standing on either a firm or foam surface, both before and after an 8-week balance training intervention on a foam surface with EC...
June 2018: Perceptual and Motor Skills
https://www.readbyqxmd.com/read/29558230/first-report-of-the-efficacy-of-vestibular-rehabilitation-in-improving-function-in-patients-with-neurofibromatosis-type-2-an-observational-cohort-study-in-a-clinical-setting
#17
Beatrice Emmanouil, Katherine Browne, Dorothy Halliday, Allyson Parry
PURPOSE: Patients with Neurofibromatosis type 2 often experience debilitating neuro-otological problems which affect their mobility and balance. This study examined the efficacy of a personalised program of vestibular rehabilitation for patients with Neurofibromatosis type 2. MATERIALS AND METHODS: An observational cohort study analysing routinely collected data for 21 patients in a highly specialised Neurofibromatosis type 2 service. Vestibular rehabilitation comprised an initial one-hour assessment followed by a patient-specific exercise program reviewed in person and by email consultations...
March 20, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29550655/precision-of-perceived-direction-of-gravity-in-partial-bilateral-vestibulopathy-correlates-with-residual-utricular-function
#18
A Bürgin, C J Bockisch, A A Tarnutzer
OBJECTIVE: Gait imbalance in patients with bilateral-vestibular-deficiency (BVD) was linked to increased variability in perceived direction of gravity while upright. We hypothesized this to be true also when roll-tilted. Moreover, as utricular input is essential for spatial orientation, we predicted the variability of perceived vertical to correlate inversely with utricular function. METHODS: Subjective visual vertical (SVV) and haptic vertical (SHV) were measured in various roll-orientations (0°/±45°/±90°) and postural adjustments along earth-vertical/earth-horizontal were collected in patients with partial BVD (n = 10) and healthy controls (n = 11)...
May 2018: Clinical Neurophysiology: Official Journal of the International Federation of Clinical Neurophysiology
https://www.readbyqxmd.com/read/29550250/clinical-characteristics-and-treatment-choice-in-vestibular-migraine
#19
L Power, W Shute, B McOwan, K Murray, D Szmulewicz
This retrospective review aims to survey the clinical characteristics and management of vestibular migraine (VM) patients seen in a tertiary hospital multi-disciplinary balance disorders clinic, and how this aligns with the evidence base in the literature. A single investigator reviewed the medical records of the patients who presented to a tertiary hospital balance disorders clinic over a four month period and identified 90 cases of VM. The mean age of patients with a diagnosis of VM was 50 years (range of 17-84) and 72 (80%) were female...
June 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29512476/vestibular-rehabilitation-using-video-gaming-in-adults-with-dizziness-a-pilot-study
#20
RANDOMIZED CONTROLLED TRIAL
J S Phillips, J Fitzgerald, D Phillis, A Underwood, I Nunney, A Bath
OBJECTIVE: To determine the effectiveness of vestibular rehabilitation using the Wii Fit balance platform, in adults with dizziness. METHODS: A single-site prospective clinical trial was conducted in a university hospital in the UK. Forty patients with dizziness, who would normally be candidates for vestibular rehabilitation, were identified and considered as potential participants. Participants were randomised into either the treatment group (the Wii Fit group) or the control group (standard customised vestibular rehabilitation protocol)...
March 2018: Journal of Laryngology and Otology
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