Habituation Therapy for Chronic Vestibular Dysfunction: Preliminary Results

Telian, Steven A.; Shepard, Neil T.; Smith-Wheelock, Michael; Kemink, John L.

doi:10.1177/019459989010300113

Cited by 68 publications

(44 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The vestibular input is particularly sensitive to low-frequency movements, and the practice of these types of low-energy activities may generate hyperstimulation of the vestibular afferent, as in vestibular rehabilitation [17,[29][30][31][32][33][34][35][36][37][38], leading to an increase in its sensitivity. Exercises of this kind, which include Yoga, soft gymnastics and even Tai Chi, also develop proprioception [20,22], meaning that since subjects of group Ia are deprived of the visual afferent, they achieve an accurate sensorial choice between visual and proprioceptive-vestibular afferences [21,22].…”

Section: Discussionmentioning

confidence: 99%

“…The positive effects of training and physical therapy on vestibular afferences have been studied in animals [24][25][26][27][28] and in humans [17,[29][30][31][32][33][34][35][36][37][38]. After unilateral vestibular loss, several mechanisms are involved in the recovery of postural stability, including spontaneous vestibular recovery, adaptation or plasticity, and substitution of other sensorimotor strategies.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Physical and Sporting Activities Improve Vestibular Afferent Usage and Balance in Elderly Human Subjects

Gauchard

Jeandel²,

Perrin

2001

Gerontology

View full text Add to dashboard Cite

Background: Ageing is associated with a reduction in balance, in particular through dysfunction of each level of postural control, which results in an increased risk of falling. Conversely, the practice of physical activities has been shown to modulate postural control in elderly people. Objective: This study examined the potential positive effects of two types of regular physical and sporting activities on vestibular information and their relation to posture. Methods: Gaze and postural stabilisation was evaluated by caloric and rotational vestibular tests on 18 healthy subjects over the age of 60 who regularly practised low-energy or bioenergetic physical activities and on 18 controls of a similar age who only walked on a regular basis. These subjects were also submitted to static and dynamic posturographic tests. Results: The control group displayed less balance control, with a lower vestibular sensitivity and a relatively high dependency on vision compared to the group practising low-energy physical activities, which had better postural control with good vestibular sensitivity and less dependency on vision. The postural control and vestibular sensitivity of subjects practising bioenergetic activities was average, and required higher visual afferent contribution. Conclusion: Low-energy exercises, already shown to have the most positive impact on balance control by relying more on proprioception, also appear to develop or maintain a high level of vestibular sensitivity allowing elderly people practising such exercises to reduce the weight of vision.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Physical and Sporting Activities Improve Vestibular Afferent Usage and Balance in Elderly Human Subjects

Gauchard

Jeandel²,

Perrin

2001

Gerontology

View full text Add to dashboard Cite

show abstract

“…No presente estudo, a hipótese de que os exercícios de RV podem promover a diminuição da sintomatologia vestibular é reforçada, sendo os exercícios fortes aliados no tratamento de disfunções periféricas. Na comparação dos protocolos utilizados observou-se melhora significativa no grupo A, quando utilizado o protocolo I em relação à utilização do protocolo II, no grupo B. Diversos autores [33][34][35] também aplicaram os exercí-cios de Cawthorne e Cooksey em seus estudos e referiram que o processo de compensação pode ser acelerado. A melhora da sintomatologia e do prognóstico clínico também foi evidenciada nos estudos 12,36 utilizando o mesmo protocolo.…”

Section: N Resultadosunclassified

Reabilitação vestibular em idosos com Parkinson

et al. 2007

View full text Add to dashboard Cite

OBJETIVO: verificar a efetividade dos exercícios de reabilitação vestibular (RV) por meio de avaliação pré e pós-aplicação do questionário Dizziness Handicap Inventory (DHI) - adaptação brasileira. MÉTODOS: avaliaram-se oito pacientes (três do sexo feminino e cinco do sexo masculino), na faixa etária de 48 a 71 anos, encaminhados da Associação Paranaense de Parkinson para o Laboratório de Otoneurologia da Universidade Tuiuti do Paraná. Os pacientes foram divididos em dois grupos e submetidos aos seguintes procedimentos: anamnese, avaliação otorrinolaringológica, avaliação vestibular por meio da vectoeletronistagmografia (VENG) e aplicação do questionário DHI - adaptação brasileira pré e pós RV utilizando-se os protocolos de Cawthorne e Cooksey (grupo A) e Herdman (grupo B). RESULTADOS: a) conforme as queixas otoneurológicas referidas na anamnese, observou-se a prevalência da tontura (100,0%), tremor (100,0%) e desvio de marcha (75,0&); b) no exame vestibular, todos os pacientes (100,0%) apresentaram alteração, sendo a maior freqüência das síndromes vestibulares periféricas deficitárias (62,5%); c) houve melhora significativa dos aspectos funcional (p = 0,020470) e emocional (p = 0,013631) após a realização dos exercícios de RV utilizando-se o protocolo de Cawthorne e Cooksey e do aspecto emocional (p=0,007316) utilizando-se o protocolo de Herdman. CONCLUSÃO: comparando-se os dois protocolos utilizados, verificou-se uma melhora significativa dos pacientes do grupo A, submetidos ao protocolo de Cawthorne e Cooksey (p=0.0231).

show abstract

“…Fiatarone et al (7) reported that significant improvements in both the strength and mass of the leg muscles and mobility related to balance functions during an %week training protocol of leg muscle exercises. Telian et al (21) reported that vestib ular habitation therapy was effective in increasing stability during standing on one leg while shaking the head or closing the eyes. Moreover, Bkhele et al (4) reported that normal young adults improved postural stability during 5 days of training for clinical ataxia therapy under manipulated or reduced sensory information.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Toe Pressures Under the Foot While Dynamic Standing on One Foot in Healthy Subjects

Tanaka¹,

Hashimoto²,

Nakata³

et al. 1996

J Orthop Sports Phys Ther

View full text Add to dashboard Cite

Static and dynamic standing balance are two of the most important variables assessed by rehabilitation clinicians when trying to determine whether patients are ready to assume more independence in their activities of daily living (3). The standing balance involves physiological as well as psychological characteristics of the individual ( 17). A quantitative, standardized test for standing balance, which also mimics the sensory conflicts often present in daily life, will be of great aid in the assessment of such functional impairments.The one-leg stance test is used in the clinical setting to detect balance impairment and, though quantitative, has been shown to reliably distinguish fallers from nonfallers among the elderly (8,lO). Ekdahl et a1 (5) suggested that standing on one leg appeared to be of almost a maximum level of difficulty for such test$ of patients, as not only is the base of s u p port more narrow than normal, the subject must reorganize the posture to maintain the body's center of gravity on a line along the only supporting leg. This test, however, does not provide information on the ability of a person to balance under sensory can be used for the quantification of Objective information on balance body sway in a variety of patterns as a performance may be obtained proper instrument of static or dythrough the use of kinetic or kinenamic standing balance. Alexander

show abstract

Habituation Therapy for Chronic Vestibular Dysfunction: Preliminary Results

Cited by 68 publications

References 15 publications

Physical and Sporting Activities Improve Vestibular Afferent Usage and Balance in Elderly Human Subjects

Physical and Sporting Activities Improve Vestibular Afferent Usage and Balance in Elderly Human Subjects

Reabilitação vestibular em idosos com Parkinson

Analysis of Toe Pressures Under the Foot While Dynamic Standing on One Foot in Healthy Subjects

Contact Info

Product

Resources

About