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Vestibular therapy

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https://www.readbyqxmd.com/read/29912034/vestibular-rehabilitation-is-associated-with-visuovestibular-improvement-in-pediatric-concussion
#1
Eileen P Storey, Douglas J Wiebe, Bernadette A DʼAlonzo, Kim Nixon-Cave, Janet Jackson-Coty, Arlene M Goodman, Matthew F Grady, Christina L Master
BACKGROUND AND PURPOSE: Vision and vestibular-related deficits are common after concussion and are associated with prolonged recovery times, substantially impacting the quality of life for children. The utility of targeted vestibular rehabilitation for these deficits in children after concussion is unknown. The purpose of this study was to determine whether active vestibular rehabilitation is associated with an improvement in visuovestibular signs and symptoms in children with concussion...
July 2018: Journal of Neurologic Physical Therapy: JNPT
https://www.readbyqxmd.com/read/29910862/vestibular-paroxysmia-in-vestibular-neuritis-a-case-report
#2
Michele Ori, Valeria Gambacorta, Giampietro Ricci, Mario Faralli
The term vestibular paroxysmia (VP) was introduced for the first time by Brandt and Dieterich in 1994. In 2016, the Barany Society formulated the International Classification of VP, focusing in particular on the number and duration of attacks, on the differential diagnosis and on the therapy. Ephaptic discharges in the proximal part of the eighth cranial nerve, which is covered by oligodendrocytes, are assumed to be the neural basis of VP. We report the first case in literature of an onset of symptoms and signs typical of VP in a young man following acute unilateral vestibular loss not combined with auditory symptoms...
March 6, 2018: Audiology Research
https://www.readbyqxmd.com/read/29910766/psychophysical-evaluation-of-sensory-reweighting-in-bilateral-vestibulopathy
#3
REVIEW
W Pieter Medendorp, Bart B G T Alberts, Wim I M Verhagen, Mathieu Koppen, Luc P J Selen
Perception of spatial orientation is thought to rely on the brain's integration of visual, vestibular, proprioceptive, and somatosensory signals, as well as internal beliefs. When one of these signals breaks down, such as the vestibular signal in bilateral vestibulopathy, patients start compensating by relying more on the remaining cues. How these signals are reweighted in this integration process is difficult to establish, since they cannot be measured in isolation during natural tasks, are inherently noisy, and can be ambiguous or in conflict...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29902600/contralateral-hearing-loss-after-resection-of-vestibular-schwannoma-in-a-case-of-neurofibromatosis-type-2-case-report-and-literature-review
#4
Manjul Tripathi, Ayusman Satapathy, Ravi Bharatbhai Chauhan, Aman Batish, Sunil K Gupta
BACKGROUND: Resection of a vestibular schwannoma may result in facial paralyiss and hearing loss on the side of tumor. Authors have encountered a young female of neurofibromatosis type 2, who developed contralateral side sensorineural hearing loss immediately after resection of vestibular schwannoma.The patient regained partial hearing with a short course (2 months) of steroid therapy over 6 month. MATERIAL AND METHODS: Clinical, audiological, intraoperative events and radiological parameters were evaluated in this case...
June 11, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29889202/canalostomy-as-a-surgical-approach-to-local-drug-delivery-into-the-inner-ears-of-adult-and-neonatal-mice
#5
Jing-Ying Guo, Lu He, Teng-Fei Qu, Yu-Ying Liu, Ke Liu, Guo-Peng Wang, Shu-Sheng Gong
Local delivery of therapeutic drugs into the inner ear is a promising therapy for inner ear diseases. Injection through semicircular canals (canalostomy) has been shown to be a useful approach to local drug delivery into the inner ear. The goal of this article is to describe, in detail, the surgical techniques involved in canalostomy in both adult and neonatal mice. As indicated by fast-green dye and adeno-associated virus serotype 8 with the green fluorescent protein gene, the canalostomy facilitated broad distribution of injected reagents in the cochlea and vestibular end-organs with minimal damage to hearing and vestibular function...
May 25, 2018: Journal of Visualized Experiments: JoVE
https://www.readbyqxmd.com/read/29870471/the-role-of-androgens-in-the-treatment-of-genitourinary-syndrome-of-menopause-gsm-international-society-for-the-study-of-women-s-sexual-health-isswsh-expert-consensus-panel-review
#6
James A Simon, Irwin Goldstein, Noel N Kim, Susan R Davis, Susan Kellogg-Spadt, Lior Lowenstein, JoAnn V Pinkerton, Cynthia A Stuenkel, Abdulmaged M Traish, David F Archer, Gloria Bachmann, Andrew T Goldstein, Rossella E Nappi, Linda Vignozzi
OBJECTIVE: The objective of this consensus document is to broaden the perspective on clinical management of genitourinary syndrome of menopause to include androgens. METHODS: A modified Delphi method was used to reach consensus among the 14 international panelists representing multiple disciplines and societies. RESULTS: Menopause-related genitourinary symptoms affect over 50% of midlife and older women. These symptoms have a marked impact on sexual functioning, daily activities, emotional well-being, body image, and interpersonal relations...
June 4, 2018: Menopause: the Journal of the North American Menopause Society
https://www.readbyqxmd.com/read/29867750/bilateral-vestibular-dysfunction-associated-with-chronic-exposure-to-military-jet-propellant-type-eight-jet-fuel
#7
Terry D Fife, Michael J A Robb, Kristen K Steenerson, Kamala C Saha
We describe three patients diagnosed with bilateral vestibular dysfunction associated with the jet propellant type-eight (JP-8) fuel exposure. Chronic exposure to aromatic and aliphatic hydrocarbons, which are the main constituents of JP-8 military aircraft jet fuel, occurred over 3-5 years' duration while working on or near the flight line. Exposure to toxic hydrocarbons was substantiated by the presence of JP-8 metabolite n -hexane in the blood of one of the cases. The presenting symptoms were dizziness, headache, fatigue, and imbalance...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29867709/comprehensive-clinical-profile-of-mal-de-debarquement-syndrome
#8
Yoon-Hee Cha, Yong Yan Cui, Robert W Baloh
Background: There has been increasing awareness that post-motion triggered rocking self-vertigo can last for months or years, a disorder known as Mal de Debarquement Syndrome (MdDS). A similar feeling of oscillating self-motion can occur without a motion trigger in some individuals, leading to controversy about whether motion triggered (MT) and non-motion triggered (non-MT) symptoms ultimately represent the same disorder. Recognizing the similarities and differences between MT and non-MT MdDS can prevent unnecessary diagnostic testing and lead to earlier and more effective treatments...
2018: Frontiers in Neurology
https://www.readbyqxmd.com/read/29862019/the-effectiveness-of-exercise-based-vestibular-rehabilitation-in-adult-patients-with-chronic-dizziness-a-systematic-review
#9
Burak Kundakci, Anjum Sultana, Alan J Taylor, Mansour Abdullah Alshehri
Background: Dizziness is a non-specific term used by patients to describe several symptoms ranging from true vertigo, light headedness, disorientation or sense of imbalance. Vestibular rehabilitation (VR) is a specific form of exercise-based therapy programme aimed at alleviating the primary and secondary problems of a vestibular pathology. The aim of this study was to investigate the effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness. Methods: The following five databases were searched: the Cochrane Central Register of Controlled Trials (CENTRAL, the Cochrane Library), MEDLINE, PubMed, the Physiotherapy Evidence Database (PEDro) and Scopus (Elsevier)...
2018: F1000Research
https://www.readbyqxmd.com/read/29798406/-advance-in-research-of-delayed-endolymphatic-hydrops
#10
REVIEW
Z C Chen, Y Z Zhang, Y Xu, Y Gao, Y Cheng, Y Zhang, J Hu, W J Ma, Q Zhang, M Xu
Delayed endolymphatic hydrops (DEH) is a disease entity first described by Kamei and named by Schuknecht, defined as profound sensorineural deafness at early stage and after several years started to appear clinical feature of endolymphatic hydrops such as vertigo, aural fullness like Meniere's disease or fluctuating hearing loss in the contralateral ear . DEH can be classified into ipsilateral type, contralateral type and bilateral type. Although DEH has low incident rate, there are many kinds of etiology and audiology and vestibular tests...
December 5, 2017: Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery
https://www.readbyqxmd.com/read/29794607/considerations-for-incision-and-flap-design-with-implant-therapy-in-the-esthetic-zone
#11
Lance Hill Hutchens, Stuart Douglas Beauchamp, Shawn Haley McLeod, Jacob Kobi Stern
The planning and design of any incision in the esthetic zone should be carried out based on biologic principles and with careful consideration of the desired esthetic outcome. Different incision and flap designs have been identified for implant and implant-related surgeries in the esthetic zone. Those include; flapless, vestibular incision, papilla sparing, envelope, triangular, and trapezoidal. The specific aim of this article is to outline various important factors that influence healing, to discuss the advantages/disadvantages of several key incision/flap designs, and to help guide the clinician in treatment planning tooth replacement in the esthetic zone...
June 2018: Implant Dentistry
https://www.readbyqxmd.com/read/29788412/treatment-of-mal-de-debarquement-syndrome-in-a-deployed-environment
#12
Stephanie M Schenk, Jacklyn M Wagner, Jarrod A Miller, Tracey M Lyons-White, Emilee C Venn, Michael D April, Brit Long, Steven G Schauer, Joshua J Oliver
We report the case of a 26-year-old Caucasian female with persistent sensations of forward and reverse movement with spontaneous onset. This worsened over 4 wk. The patient reported an episode of these symptoms 5 mo prior, which lasted for 3 mo before improving. Our case details the treatment of Mal de Debarquement syndrome, or Disembarkment Syndrome, in a deployed military environment. Mal de Debarquement was a term originally coined to describe the persistent sensation of rocking back and forth after disembarking a boat and returning to land...
May 18, 2018: Military Medicine
https://www.readbyqxmd.com/read/29785522/non-invasive-vagus-nerve-stimulation-significantly-improves-quality-of-life-in-patients-with-persistent-postural-perceptual-dizziness
#13
Ozan E Eren, Filipp Filippopulos, Kristina Sönmez, Ken Möhwald, Andreas Straube, Florian Schöberl
Persistent postural-perceptual dizziness (PPPD) is one of the most common causes of chronic vestibular disorders, with a substantial portion of the affected patients showing no significant improvement to standard therapies (i.e., pharmacotherapy, behavioral psychotherapy). Patients with PPPD have been shown to have a significant comorbidity with anxiety disorders and depression. Further, these patients show an activation of the autonomic nervous system resulting in symptoms such as nausea, increase of heart rate, and sweating...
May 21, 2018: Journal of Neurology
https://www.readbyqxmd.com/read/29781505/cerebral-vasculopathy-in-childhood-neurofibromatosis-type-2-cause-for-concern
#14
Karine Lascelles, Shazia Afridi, Ata Siddiqui, Cheryl Hemingway, Rosalie Ferner, Vijeya Ganesan
Unlike adult neurofibromatosis type 2 (NF2), which presents with symptoms related to bilateral vestibular schwannomas, children with NF2 most frequently present with ocular, dermatological, and neurological symptoms. Arteriopathy, a well-established feature in neurofibromatosis type 1, is not a widely recognized feature of NF2. Here we report three children with NF2 with cerebral arteriopathy and/or arterial ischaemic stroke. Bevacizumab, a vascular endothethial growth factor inhibitor, is an established treatment for rapidly growing vestibular schwannomas; however, it carries a risk of both ischaemic and haemorrhagic stroke...
May 21, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29769117/a-protocol-for-a-network-meta-analysis-of-interventions-to-treat-patients-with-sudden-sensorineural-hearing-loss
#15
Nadera Ahmadzai, Shaun Kilty, Dianna Wolfe, Jamie Bonaparte, David Schramm, Elizabeth Fitzpatrick, Vincent Lin, Wei Cheng, Becky Skidmore, David Moher, Brian Hutton
BACKGROUND: Hearing loss is one of the leading causes of disability worldwide, with greater than 20% of Canadian adults having measurable hearing loss in at least one ear. Patients with hearing loss experience impaired quality of life, and emotional and financial consequences that affect themselves and their families. Sudden sensorineural hearing loss (SSNHL) is a common but difficult to treat form of hearing loss that has a sudden onset of ≤ 72 h associated with various etiologies, with the majority of cases being idiopathic...
May 16, 2018: Systematic Reviews
https://www.readbyqxmd.com/read/29761349/intracochlear-administration-of-steroids-with-a-catheter-during-human-cochlear-implantation-a-safety-and-feasibility-study
#16
Nils K Prenzler, Rolf Salcher, Max Timm, Lutz Gaertner, Thomas Lenarz, Athanasia Warnecke
Suppression of foreign body reaction, improvement of electrode-nerve interaction, and preservation of residual hearing are essential research topics in cochlear implantation. Intracochlear pharmaco- or cell-based therapies can open new horizons in this field. Local drug delivery strategies are desirable as higher local concentrations of agents can be realized and side effects can be minimized compared to systemic administrations. When administered locally at accessible, basal parts of the cochlea, drugs reach apical regions later and in much lower concentrations due to poor diffusion patterns in cochlear fluids...
May 14, 2018: Drug Delivery and Translational Research
https://www.readbyqxmd.com/read/29747963/the-possible-effect-of-human-menopausal-gonadotropin-on-the-audio-vestibular-system
#17
Montaser Abdel-Salam, Osama G Abdel-Naby Awad, Mohamed El-Badry, Ahmed Ibrahim, Mahmoud Hosny Ibrahiem
OBJECTIVE: Human menopausal gonadotropin (HMG) is one of the commonest drugs used for ovarian stimulation with no reports on the audio-vestibular system. This study aims to examine HMG on the hearing profile of patients planning intracytoplasmic sperm injection (ICSI). METHODS: This prospective study was conducted from June 2016 to June 2017 in a tertiary referral hospital. The audio-vestibular system of a total of 30 patients was evaluated using pure tone audiometry, distortion product otoacoustic emissions (DPOAEs in the form of a DP-gram) and Vestibular-evoked myogenic potential (VEMP) immediately before therapy and at the day 10 after therapy...
May 7, 2018: Auris, Nasus, Larynx
https://www.readbyqxmd.com/read/29745627/neurophysiological-and-clinical-effects-of-blinfolded-balance-training-bbt-in-parkinson-s-disease-patients-a-preliminary-study
#18
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/29716524/cochlear-morphology-in-the-developing-inner-ear-of-the-porcine-model-of-spontaneous-deafness
#19
Wei Chen, Qing-Qing Hao, Li-Li Ren, Wei Ren, Hui-Sang Lin, Wei-Wei Guo, Shi-Ming Yang
BACKGROUND: Auditory function and cochlear morphology have previously been described in a porcine model with spontaneous WS2-like phenotype. In the present study, cochlear histopathology was further investigated in the inner ear of the developing spontaneous deafness pig. RESULTS: We found that the stria vascularis transformed into a complex tri-laminar tissue at embryonic 85 days (E85) in normal pigs, but not in the MITF-/- pigs. As the neural crest (NC) of cochlea was derived by melanocytes...
May 2, 2018: BMC Neuroscience
https://www.readbyqxmd.com/read/29707579/cognitive-behavior-therapy-as-augmentation-for-sertraline-in-treating-patients-with-persistent-postural-perceptual-dizziness
#20
Yi-Chuan Yu, Hui Xue, Ying-Xin Zhang, Jiying Zhou
Background: Persistent postural-perceptual dizziness (PPPD) is a common vestibular disorder. This study was conducted to assess whether the addition of cognitive behavior therapy (CBT) could significantly improve the efficacy and acceptability of sertraline in treating PPPD. Methods: PPPD patients were recruited and randomly assigned to control and experiment groups. Patients in both groups received sertraline 50-200 mg/day, and only patients in the experiment group received CBT (twice a week, one hour per time)...
2018: BioMed Research International
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