keyword
https://read.qxmd.com/read/38425330/balancing-act-a-comprehensive-review-of-vestibular-evaluation-in-cochlear-implants
#21
REVIEW
Andrea Moreno, Melissa Castillo-Bustamante, Jose A Prieto
Cochlear implantation, a transformative intervention for individuals with profound hearing loss, has evolved significantly over the years. However, its impact on the vestibular system, responsible for balance and spatial orientation, remains a subject of ongoing research and clinical consideration. This narrative review highlights key aspects of vestibular evaluation in patients undergoing cochlear implantation. Preoperative vestibular assessment is crucial to establish baseline vestibular function and identify any pre-existing balance issues...
February 2024: Curēus
https://read.qxmd.com/read/38422002/protocol-for-a-multicentre-randomised-controlled-trial-of-steroid-administration-routes-for-idiopathic-sudden-sensorineural-hearing-loss-the-starfish-trial
#22
JOURNAL ARTICLE
Matthew E Smith, Rachel Knappett, Deborah Vickers, David White, Chris J Schramm, Samir Mehta, Yongzhong Sun, Ben Watkins, Marie Chadburn, Hugh Jarrett, Karen James, Elizabeth Brettell, Tracy E Roberts, Manohar L Bance, James R Tysome
Idiopathic sudden sensorineural hearing loss (ISSNHL) is the rapid onset of reduced hearing due to loss of function of the inner ear or hearing nerve of unknown aetiology. Evidence supports improved hearing recovery with early steroid treatment, via oral, intravenous, intratympanic or a combination of routes. The STARFISH trial aims to identify the most clinically and cost-effective route of administration of steroids as first-line treatment for ISSNHL. STARFISH is a pragmatic, multicentre, assessor-blinded, three-arm intervention, superiority randomised controlled trial (1:1:1) with an internal pilot (ISRCTN10535105, IRAS 1004878)...
2024: PloS One
https://read.qxmd.com/read/38414133/vestibular-decompensation-following-covid-19-infection-in-a-person-with-compensated-unilateral-vestibular-loss-a-rehabilitation-case-study
#23
JOURNAL ARTICLE
Angela R Weston, Grayson Doar, Leland E Dibble, Brian J Loyd
BACKGROUND AND PURPOSE: Surgical removal of a vestibular schwannoma (vestibular schwannoma resection; VSR) results in a unilateral vestibular hypofunction with complaints of dizziness and imbalance. Although the anatomic lesion is permanent, recovery of balance and diminution of dizziness occurs through central neurophysiologic compensation. Compensation of the system is maintained through daily activity. Unfortunately, interruption of stimulus, such as decreased activities due to illness, can cause decompensation...
February 28, 2024: Journal of Neurologic Physical Therapy: JNPT
https://read.qxmd.com/read/38400731/benign-paroxysmal-positional-vertigo-without-dizziness-is-common-in-people-presenting-to-falls-clinics
#24
JOURNAL ARTICLE
Susan Hyland, Lyndon J Hawke, Nicholas F Taylor
PURPOSE: To determine the prevalence of benign paroxysmal positional vertigo without dizziness, a treatable falls risk factor in people attending outpatient falls clinics. METHODS: Over 6 years, 618 people at risk of falls attending 2 falls clinics were assessed for benign paroxysmal positional vertigo, whether dizzy or non dizzy. Data regarding demographics, canal location of positive tests and comorbidities were collected from medical records. RESULTS: Thirty-nine percent (238) of people with falls risk tested positive for benign paroxysmal positional vertigo; 62 (26%) or 1 in 4 of those testing positive were not dizzy...
February 24, 2024: Disability and Rehabilitation
https://read.qxmd.com/read/38391761/effects-of-transcranial-direct-current-stimulation-on-clinical-features-of-dizziness-and-cortical-activation-in-a-patient-with-vestibular-migraine
#25
Sang Seok Yeo, Chang Ju Kim, Seong Ho Yun, Sung Min Son, Yoon Jae Kim
BACKGROUND: Vestibular migraine (VM) is common migraine that occurs in patients with dizziness. Vestibular rehabilitation for managing VM generally remains unclear. Recently, it has been reported that transcranial direct current stimulation (tDCS) has positive effects in alleviating dizziness. This study investigated the effects of tDCS on dizziness and cortical activation in a patient with VM. METHODS: We recruited a male patient aged 31 years with no dizziness...
February 19, 2024: Brain Sciences
https://read.qxmd.com/read/38391603/leveraging-technology-for-vestibular-assessment-and-rehabilitation-in-the-operational-environment-a-scoping-review
#26
REVIEW
Carrie W Hoppes, Karen H Lambert, Susan L Whitney, Isaac D Erbele, Carlos R Esquivel, Tony T Yuan
INTRODUCTION: The vestibular system, essential for gaze and postural stability, can be damaged by threats on the battlefield. Technology can aid in vestibular assessment and rehabilitation; however, not all devices are conducive to the delivery of healthcare in an austere setting. This scoping review aimed to examine the literature for technologies that can be utilized for vestibular assessment and rehabilitation in operational environments. MATERIALS AND METHODS: A comprehensive search of PubMed was performed...
January 25, 2024: Bioengineering
https://read.qxmd.com/read/38374042/an-old-approach-to-a-novel-problem-effect-of-combined-balance-therapy-on-virtual-reality-induced-motion-sickness-a-randomized-placebo-controlled-double-blinded-study
#27
RANDOMIZED CONTROLLED TRIAL
Kurul Ramazan, Altuntas Yasin Devran, Ogun Nur Muhammed
BACKGROUND: The objective of this study was to investigate the impact of a rehabilitation program aimed at addressing vestibular and proprioceptive deficits, which are believed to underlie the pathophysiology of motion sickness. METHODS: A total of 121 medical students with motion sickness participated in this study and were randomly divided into intervention (n = 60) and placebo control (n = 61) groups. The intervention group underwent combined balance, proprioception, and vestibular training three times a week for 4 weeks, while the control group received placebo training...
February 19, 2024: BMC Medical Education
https://read.qxmd.com/read/38373015/the-effect-of-vestibular-and-somatosensory-rehabilitation-in-addition-to-early-rehabilitation-on-balance-after-stroke-a-randomized-controlled-trial
#28
JOURNAL ARTICLE
Elisa Calisgan, Burcu Talu
BACKGROUND: The goal of post-stroke early rehabilitation is to regain ambulation, standing and balance. OBJECTIVE: The purpose of this study was to investigate the effects of vestibular and somatosensory rehabilitation in addition to early rehabilitation on balance in patients with early subacute stroke. DESIGN AND SETTING: A randomized controlled trial was conducted at a university hospital. METHODS: The study was included 52 hemiplegic hospitalized early suacute stroke patients...
February 19, 2024: Topics in Stroke Rehabilitation
https://read.qxmd.com/read/38361640/vestibular-assessment-in-children-with-sensorineural-hearing-loss-diagnostic-accuracy-and-proposal-for-a-diagnostic-algorithm
#29
JOURNAL ARTICLE
Max Gerdsen, Tamara Maria Hundscheid, An Boudewyns, Vincent Van Rompaey, Raymond Van De Berg, Josine Christine Colette Widdershoven
INTRODUCTION: Vestibular assessment in children with sensorineural hearing loss (SNHL) is critical for early vestibular rehabilitation therapy to promote (motor) development or guide decision making towards cochlear implantation (timing of surgery and laterality). It can be challenging from a clinical viewpoint to decide which vestibular tests should be performed for a pediatric patient. The aim of this study was to evaluate the diagnostic accuracy of several clinically available vestibular tests in children with SNHL, and to provide recommendations for the implementation of vestibular testing of children in clinical practice, to screen for vestibular hypofunction (VH)...
2024: Frontiers in Neurology
https://read.qxmd.com/read/38361298/the-role-of-motion-sensitivity-and-headaches-on-vestibular-rehabilitation-outcomes-in-pediatric-vestibular-migraines
#30
JOURNAL ARTICLE
Adam S Vesole, Katheryn R Bachmann, Gretchen A Mueller, Violette H Lavender, Micheal Castiglione, John H Greinwald
OBJECTIVE: To determine the utility of the motion sensitivity quotient (MSQ) in diagnosing pediatric vestibular migraine (VM) and to characterize the role of motion sensitivity and headache control on vestibular rehabilitation (VR) outcomes in pediatric VM. STUDY DESIGN: Retrospective cohort analysis. SETTING: Pediatric tertiary referral center. PATIENTS: Children (≤18 years old) with dizziness who completed vestibular testing from January 2016 to August 2022, diagnosed with either VM or another vestibular disorder...
March 1, 2024: Otology & Neurotology
https://read.qxmd.com/read/38350404/additional-cognitive-behavior-therapy-for-persistent-postural-perceptual-dizziness-a-meta-analysis
#31
REVIEW
Jialin Zang, Mohan Zheng, Hongyuan Chu, Xu Yang
OBJECTIVE: To investigate whether additional Cognitive Behavior Therapy (CBT) combined with conventional therapy improves outcomes for patients with Persistent Postural-Perceptual Dizziness (PPPD) compared with conventional therapy alone. METHODS: Two reviewers independently searched PubMed, Embase, Web of Science, Cochrane Library, and ClinicalTrials.gov for relevant Randomized Controlled Trials (RCTs) examining CBT for PPPD which were conducted and published in English from January 2002 to November 2022...
January 24, 2024: Brazilian Journal of Otorhinolaryngology
https://read.qxmd.com/read/38345630/assessing-the-synergistic-effectiveness-of-intermittent-theta-burst-stimulation-and-the-vestibular-ocular-reflex-rehabilitation-protocol-in-the-treatment-of-mal-de-debarquement-syndrome-a-randomised-controlled-trial
#32
JOURNAL ARTICLE
Cherylea J Browne, S R Sheeba, T Astill, A Baily, C Deblieck, V Mucci, R Cavaleri
INTRODUCTION: Mal de Debarquement Syndrome (MdDS) is a rare central vestibular disorder characterised by a constant sensation of motion (rocking, swaying, bobbing), which typically arises after motion experiences (e.g. sea, air, and road travel), though can be triggered by non-motion events. The current standard of care is non-specific medications and interventions that only result in mild-to-moderate improvements. The vestibular ocular reflex (VOR) rehabilitation protocol, a specialised form of rehabilitation, has shown promising results in reducing symptoms amongst people with MdDS...
February 12, 2024: Journal of Neurology
https://read.qxmd.com/read/38342426/enlarged-vestibular-aqueduct-as-a-cause-of-postneonatal-deafness
#33
JOURNAL ARTICLE
Carmen Fernández-Cedrón, Paula Sánchez-Fernández, Maite Guntín-García, Isabel Sandoval-Menéndez, Justo Gómez-Martínez, Jose Luis Llorente-Pendás, Faustino Núñez-Batalla
INTRODUCTION: The enlarged vestibular aqueduct (EVA) is the most frequent malformation of the inner ear associated with sensorineural hearing loss (5-15%). It exists when the diameter in imaging tests is greater than 1.5 mm at its midpoint. The association between hearing loss and EVA has been described in a syndromic and non-syndromic manner. It can appear as a familial or isolated form and the audiological profile is highly variable. The gene responsible for sensorineural hearing loss associated with EVA is located in the same region described for Pendred syndrome, where the SCL26A4 gene is located...
February 9, 2024: Acta otorrinolaringologica española
https://read.qxmd.com/read/38341824/effectiveness-of-brandt-daroff-exercises-in-the-treatment-of-benign-paroxysmal-positional-vertigo-a-systematic-review-of-randomized-controlled-trials
#34
REVIEW
Anas R Alashram
PURPOSE: This review aims to examine the effects of Brandt-Daroff exercises (BDEs) on individuals with posterior canal Benign Paroxysmal Positional Vertigo (BPPV) and to provide recommendations for future research on this topic. METHODS: PubMed, MEDLINE, PEDro, SCOPUS, REHABDATA, EMBASE, and Web of Science were searched from inception to November 2023. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies...
February 11, 2024: European Archives of Oto-rhino-laryngology
https://read.qxmd.com/read/38332515/improved-recovery-after-vestibular-schwannoma-excision-with-intratympanic-gentamicin-prehabilitation
#35
JOURNAL ARTICLE
Mathieu Trudel, Emma J Stapleton, Andrea M Wadeson, William Spiller, Hannah J North, Calvin Heal, Joseph Sebastian, Simon R Freeman, Scott A Rutherford, Helen Entwistle, Charlotte L Hammerbeck-Ward, Omar Pathmanaban, Andrew T King, Simon K W Lloyd
OBJECTIVE: Translabyrinthine excision of a vestibular schwannoma is associated with acute vestibular failure. Preoperative intratympanic gentamicin (ITG) injections can improve objective balance function after surgery but its clinical benefits remain to be established. METHODS: Adult patients undergoing translabyrinthine removal of a vestibular schwannoma between January 2014 and February 2018 underwent preoperative vestibular function testing. Patients were divided in to 3 groups, those with vestibular function (VF) who received ITG injections, those with VF but did not receive ITG and those with no VF...
February 8, 2024: Laryngoscope
https://read.qxmd.com/read/38330077/suspected-mal-de-debarquement-syndrome-a-case-report-highlighting-the-difficulty-in-diagnosis-and-management
#36
JOURNAL ARTICLE
Nathan M Tommas, Meagan Ferguson
MdDS is syndrome of oscillating vertigo following cessation of passive motion. The pathogenesis of this disorder is not well understood, but functional imaging studies suggest cortical connectivity dysfunction in feedback loops of the vestibulo-ocular system and visuo-spatial system. Patients go through multiple appointments and often specialist referrals before being diagnosed. After diagnosis, optimal management is difficult. Several treatment modalities, including medication, vestibular rehabilitation, and neuromodulation, have had variable success in management...
February 5, 2024: Military Medicine
https://read.qxmd.com/read/38321432/are-tai-chi-and-qigong-effective-in-the-treatment-of-traumatic-brain-injury-a-systematic-review
#37
JOURNAL ARTICLE
Nicole Alexandra Laskosky, Patricia Huston, Wai Ching Lam, Charlotte Anderson, Linda L D Zhong
BACKGROUND: Traumatic brain injury (TBI) adversely affects both young and old and is a growing public health concern. The common functional, psychological, and cognitive changes associated with TBI and recent trends in its management, such as recommending sub-threshold aerobic activity, and multi-modal treatment strategies including vestibular rehabilitation, suggest that Tai Chi/Qigong could be beneficial for TBI. Tai Chi and Qigong are aerobic mind-body practices with known benefits for maintaining health and mitigating chronic disease...
February 6, 2024: BMC complementary medicine and therapies
https://read.qxmd.com/read/38318898/-clinical-analysis-of-denture-rehabilitation-after-mandibular-fibula-free-flap-reconstruction
#38
JOURNAL ARTICLE
Congwei Wang, Min Gao, Yao Yu, Wenbo Zhang, Xin Peng
OBJECTIVE: To evaluate the postoperative denture restoration and denture function in patients with mandibular defect reconstructed with vascularized free fibula flap. METHODS: In the study, 154 patients who underwent mandibular segment resection and used vascularized free fibula flap to repair mandibular defects due to inflammation, trauma and tumor from January 2015 to December 2020 were collected. These patients had common inclusion criteria which were stable occlusal relationship before operation, segmental defects of mandibular bone caused by lesions of mandible and adjacent parts (such as floor of mouth, tongue, cheek), free fibula flap used for repair and surviving after operation...
February 18, 2024: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://read.qxmd.com/read/38313758/influence-of-bppv-and-meniere-s-disease-on-cognitive-abilities-a-questionnaire-based-study
#39
JOURNAL ARTICLE
Rohit Bhattacharyya, Animesh Barman, Freddy Antony
The vestibular system connects the inner ear to the midbrain and subcortical structures and can affect cognition. Patients with vertigo often experience cognitive symptoms such as attention deficits, memory problems, and spatial perception difficulties. This study aimed to explore the cognitive impairments associated with Benign paroxysmal positional vertigo (BPPV) and Meniere's Disease (MD). A non-experimental group comparison design was used with 107 participants divided into three groups: Group I (clinically normal), Group II (BPPV), and Group III (MD)...
January 2024: Journal of Otology
https://read.qxmd.com/read/38306503/a-long-term-follow-up-study-on-the-auditory-performance-and-speech-intelligibility-of-mandarin-speaking-prelingually-deaf-children-with-isolated-large-vestibular-aqueduct-syndrome-after-cochlear-implantation
#40
JOURNAL ARTICLE
Chao Meng, Qianqian Guo, Ying Kong, Jing Lyu, Xueqing Chen
PURPOSE: The purpose of this study was to evaluate the auditory performance and speech perception of 104 children with isolated large vestibular aqueduct syndrome (LVAS) and 523 children with no inner ear malformation (IEM) for 5 years after cochlear implantation, in order to explore whether isolated LVAS can affect the long-term hearing and speech rehabilitation of deaf children after cochlear implantation. METHOD: A cohort study was established consisting of 627 children who underwent cochlear implantation at Beijing Tongren Hospital from 1999 to 2016...
February 2, 2024: American Journal of Audiology
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