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Vestibular exercise

Andoret van Wyk, Carina A Eksteen, Piet J Becker, Barbara M Heinze
INTRODUCTION: Visual impairment, specifically eye movement disorders and vestibular dysfunction may have a negative influence on the functional recovery in post-stroke patients. This type of sensory dysfunction may further be associated with poor functional outcome in patients' post-stroke. METHODS: In phase 1, a cross-sectional survey (n = 100) will be conducted to determine the prevalence of eye movement disorders and vestibular dysfunction in patients who sustained a stroke...
2016: Frontiers in Neurology
Rachael Frost, Sara Levati, Doreen McClurg, Marian Brady, Brian Williams
OBJECTIVE: To systematically review methods for measuring adherence used in home-based rehabilitation trials, and evaluate their validity, reliability and acceptability. DATA SOURCES: Phase 1: We searched CENTRAL, EED and HTA (Jan 2000-April 2013) to identify adherence measures used in randomised controlled trials of allied health professional home-based rehabilitation interventions. Phase 2: We searched Medline, Embase, CINAHL, AMED, PsycINFO, CENTRAL, ProQuest and Web of Science (inception-April 2015) for measurement property assessments (MPAs) for each measure...
October 1, 2016: Archives of Physical Medicine and Rehabilitation
Dale R Wagner, Skyler Saunders, Brady Robertson, John E Davis
: Wagner, Dale R., Skyler Saunders, Brady Robertson, and John E. Davis. Normobaric hypoxia effects on balance measured by computerized dynamic posturography. High Alt Med Biol. 17:222-227, 2016.-Background/Aim: Equilibrium was measured by computerized dynamic posturography at varying levels of normobaric hypoxia before and after exercise. METHODS: Following a familiarization trial, 12 males (27.3 ± 7.1 years) completed three sessions in random order on a NeuroCom SMART Balance Master: a sham trial at the ambient altitude of 1500 m and simulated altitudes of 3000 and 5000 m created by a hypoxic generator...
September 2016: High Altitude Medicine & Biology
Laure Mathevon, Nicolas Leroux, Céline Piscicelli, Emmanuelle Clarac, Shenhao Dai, Patrice Davoine, Paul Krack, Dominic Perennou
OBJECTIVE: To take care of postural disorders is a major issue in Parkinson's disease (PD). We present a documented observation suggesting the existence of a biased representation of verticality in PD, resulting in a severe retropulsion and recurrent falls. A rehabilitation program aimed to modulate verticality perception dramatically improved the postural perception of the vertical, trunk posture and balance abilities, and reduced retropulsion as well as lastingly fall frequency. OBSERVATIONS: A 68 year-old patient with Parkinson's disease fall backward 3 times a day...
September 2016: Annals of Physical and Rehabilitation Medicine
Salma Jeribi, Abdelmoneem Yahia, Imen Achour, Bouthaina Hammemi, Abdelmoneem Ghorbel, Mohamed Habib Elleuch, Sameh Ghroubi
OBJECTIVE: To determine the effect of completing a vestibular rehabilitation treatment protocol on postural balance, dizziness and quality of life in patients with peripheral vertigo. MATERIAL/PATIENTS AND METHODS: A prospective study concerning patients with instability due to unilateral peripheral vestibular disorder. The patients were evaluated with a clinical examination and a test of static and dynamic balance on the Satel(®) platform in which length, mediolateral (LongX) and anterior-posterior deviations (long Y) were monitored...
September 2016: Annals of Physical and Rehabilitation Medicine
Patrick Grabowski, John Wilson, Alyssa Walker, Dan Enz, Sijian Wang
OBJECTIVE: Demonstrate implementation, safety and feasibility of multimodal, impairment-based physical therapy (PT) combining vestibular/oculomotor and cervical rehabilitation with sub-symptom threshold exercise for the treatment of patients with post-concussion syndrome (PCS). SETTING: University hospital outpatient sports medicine facility. PARTICIPANTS: Twenty-five patients (12-20 years old) meeting World Health Organization criteria for PCS following sport-related concussion referred for supervised PT consisting of sub-symptom cardiovascular exercise, vestibular/oculomotor and cervical spine rehabilitation...
June 7, 2016: Physical Therapy in Sport
M Strupp, K Feil, M Dieterich, T Brandt
The leading symptoms of bilateral vestibulopathy (BVP) are postural imbalance and unsteadiness of gait that worsens in darkness and on uneven ground. There are typically no symptoms while sitting or lying under static conditions. A minority of patients also have movement-induced oscillopsia, in particular while walking. The diagnosis of BVP is based on a bilaterally reduced or absent function of the vestibulo-ocular reflex (VOR). This deficit is diagnosed for the high-frequency range of the angular VOR by a bilaterally pathologic bedside head impulse test (HIT) and for the low-frequency range by a bilaterally reduced or absent caloric response...
2016: Handbook of Clinical Neurology
Su-Yi Hsu, Te-Yung Fang, Shih-Ching Yeh, Mu-Chun Su, Pa-Chun Wang, Victoria Y Wang
PURPOSES: The purpose of this study was to evaluate a three-dimensional, virtual reality system for vestibular rehabilitation in patients with intractable Ménière's disease and chronic vestibular dysfunction. METHODS: We included 70 patients (36 for study, 34 as control) with a chronic imbalance problem caused by uncompensated Ménière's disease. The virtual reality vestibular rehabilitation comprised four training tasks (modified Cawthorne-Cooksey exercises: eye, head, extension, and coordination exercises) performed in six training sessions (in 4 weeks)...
July 15, 2016: Disability and Rehabilitation
Susan Hillier, Michelle McDonnell
INTRODUCTION: Unilateral peripheral vestibular dysfunction (UPVD) is characterized by complaints of dizziness, gaze disturbances and balance impairment. Current management includes medication, physical man oeuvres and exercise regimes, the latter known collectively as vestibular rehabilitation. The aim was to assess the effectiveness of vestibular rehabilitation in people with symptomatic UVPD. EVIDENCE ACQUISITION: A systematic review was conducted for the population of adults diagnosed with symptomatic UPVD, living in the community...
August 2016: European Journal of Physical and Rehabilitation Medicine
Sarah Sunderman, Kathleen Carter, Stefanie Wooten-Burnett, Jill Jacobi-Vessels
No abstract text is available yet for this article.
May 2016: Medicine and Science in Sports and Exercise
Catherine Quatman-Yates, Amanda Cupp, Cherryanne Gunsch, Tonya Haley, Steve Vaculik, David Kujawa
BACKGROUND: Heightened awareness of the lasting effects of mild traumatic brain injury (mTBI) has amplified interest in interventions that facilitate recovery from persistent post-mTBI symptoms. PURPOSE: The purpose of this study was to systematically review the literature to identify potential physical rehabilitation interventions that are safe, feasible, and appropriate for physical therapists to utilize with patients with persistent mTBI-related symptoms. DATA SOURCES: The electronic databases PubMed, Cochrane Library, CINHAL, Scopus, SPORTDiscus, and Web of Science were systematically searched from study inception until June 2015...
May 19, 2016: Physical Therapy
Jean-Philippe Guyot, A Perez Fornos, N Guinand, R van de Berg, R Stokroos, H Kingma
The handicap resulting from a bilateral vestibular deficit is often underestimated. In most cases the deficit settles gradually. Patients do not understand what is happening to them and have many difficulties to describe their symptoms. They have to consult several doctors with different medical specialties before diagnosis. Once the diagnosis is made there is no biological way to "repair" the deficient vestibular apparatus and vestibular exercises are mildly effective. Attempts have been made to help patients using substitution devices replacing the defective vestibular information by tactile or acoustic cues...
April 2016: Journal of Neurology
Gulnur Ozgen, Hale Karapolat, Yesim Akkoc, Nur Yuceyar
BACKGROUND: Balance disorders are among the most common problems encountered by patients diagnosed with multiple sclerosis (MS). AIM: The purpose of this randomized, controlled trial was to investigate the effects of customized vestibular rehabilitation (VR) on balance, functional capacity, quality of life, and depression in patients with MS. DESIGN: This study was designed as a prospective, randomized, controlled trial. SETTING: The study was carried out in a single tertiary referral center...
August 2016: European Journal of Physical and Rehabilitation Medicine
Michael Smaerup, Uffe Laessoe, Eric Grönvall, Jens-Jacob Henriksen, Else Marie Damsgaard
Objective. The purpose of this study was to evaluate whether elderly patients with vestibular dysfunction are able to preserve physical functional level, reduction in dizziness, and the patient's quality of life when assistive computer technology is used in comparison with printed instructions. Materials and Methods. Single-blind, randomized, controlled follow-up study. Fifty-seven elderly patients with chronic dizziness were randomly assigned to a computer-assisted home exercise program or to home exercises as described in printed instructions and followed for tree month after discharge from an outpatient clinic...
2016: Rehabilitation Research and Practice
Courtney D Hall, Susan J Herdman, Susan L Whitney, Stephen P Cass, Richard A Clendaniel, Terry D Fife, Joseph M Furman, Thomas S D Getchius, Joel A Goebel, Neil T Shepard, Sheelah N Woodhouse
BACKGROUND: Uncompensated vestibular hypofunction results in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. We sought to answer the question, "Is vestibular exercise effective at enhancing recovery of function in people with peripheral (unilateral or bilateral) vestibular hypofunction?" METHODS: A systematic review of the literature was performed in 5 databases published after 1985 and 5 additional sources for relevant publications were searched...
April 2016: Journal of Neurologic Physical Therapy: JNPT
Andréa Manso, Mauricio Malavasi Ganança, Heloisa Helena Caovilla
INTRODUCTION: Visual stimuli can induce vestibular adaptation and recovery of body balance. OBJECTIVE: To verify the effect of visual stimuli by digital images on vestibular and body balance rehabilitation of peripheral vestibular disorders. METHODS: Clinical, randomized, prospective study. Forty patients aged between 23 and 63 years with chronic peripheral vestibular disorders underwent 12 sessions of rehabilitation with visual stimuli using digital video disk (DVD) (experimental group) or Cawthorne-Cooksey exercises (control group)...
March 2016: Brazilian Journal of Otorhinolaryngology
M Smaerup, E Grönvall, S B Larsen, U Laessoe, J J Henriksen, E M Damsgaard
Purpose The purpose of the study was to identify possible reasons for a modest level of exercise compliance during computer-assisted training for vestibular rehabilitation. Method Qualitative design and analysis of 14 semi-structured interviews with seven participants before and after a period with computer-assisted home training. The interviews evolved around themes, such as the elderly participants' self-efficacy, motivation and acceptance of the technology. Results Age was not an excuse for the modest exercise compliance...
January 4, 2016: Disability and Rehabilitation. Assistive Technology
Scott J Wood, William H Paloski, Jonathan B Clark
INTRODUCTION: Postflight postural ataxia reflects both the control strategies adopted for movement in microgravity and the direct effects of deconditioning. Computerized dynamic posturography (CDP) has been used during the first decade of the International Space Station (ISS) expeditions to quantify the initial postflight decrements and recovery of postural stability. METHODS: The CDP data were obtained on 37 crewmembers as part of their pre- and postflight medical examinations...
December 2015: Aerospace Medicine and Human Performance
Ingerid Kleffelgaard, Helene Lundgaard Soberg, Kari A Bruusgaard, Anne L Tamber, Birgitta Langhammer
BACKGROUND AND PURPOSE: There has been an increasing focus on vestibular rehabilitation (VR) after traumatic brain injury (TBI) in recent years. However, detailed descriptions of the content of and patient responses to VR after TBI are limited. The purposes of this case series are (1) to describe a modified, group-based VR intervention and (2) to examine changes in self-reported and performance-based outcome measures. CASE DESCRIPTION: Two women and 2 men (aged 24-45 years) with mild TBI, dizziness, and balance problems participated in an 8-week intervention consisting of group sessions with guidance, individually modified VR exercises, a home exercise program, and an exercise diary...
June 2016: Physical Therapy
Ida Wiszomirska, Katarzyna Kaczmarczyk, Michalina Błażkiewicz, Andrzej Wit
The aim of the study was to assess the impact of a vestibular-stimulating exercise regime on postural stability in individuals with visual impairment. The study group consisted of 70 people, including 28 persons (15 female and 13 male) with visual impairment and 42 (21 female and 21 male) without visual impairment. Each individual in the group with visual impairment was medically qualified for a 3-month training program. The research methodology included medical examination, anthropometric tests, and stabilometry tests on a Biodex Balance System SD (BBS)...
2015: BioMed Research International
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