Programmatic vestibular rehabilitation☆, ☆☆, ★, ★★

Shepard, Neil T.; Telian, Steven A.

doi:10.1016/s0194-5998(95)70317-9

Cited by 158 publications

(119 citation statements)

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“…O equilíbrio postural só é possível mediante informação de pelo menos dois sistemas e, quando há perda substancial da função de um ou mais deles, as limitações passam a ser maiores 12 . Essa limitação é particularmente importante quando é lesado o sistema vestibular, cuja informação é decisiva quando há presença de conflito sensorial entre dois sistemas.…”

Section: Discussionunclassified

Arreflexia pós-calórica bilateral: aplicabilidade clínica da reabilitação vestibular

Bittar¹,

Bottino²,

Pedalini³

et al. 2004

Rev. Bras. Otorrinolaringol.

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Bilateral vestibular loss after caloric irrigation: clinical aplication of vestibular rehabilitation Resumo / SummaryA perda bilateral da função vestibular é rara em pacientes com vertigem e desequilíbrio, porém os sintomas muitas vezes são incapacitantes e seu tratamento é tema controverso na literatura. Objetivo: Nosso objetivo foi avaliar e descrever a resposta clínica de pacientes com distúrbio do equilíbrio corporal secundário à arreflexia vestibular pós-calórica bilateral, documentada pela eletronistagmografia, submetidos à Reabilitação Vestibular. Forma de estudo: Retrospectivo, inclui um desenho de descrição de casos. Método: Foram avaliadas as respostas de 8 pacientes portadores de arreflexia pós-calórica bilateral submetidos à Reabilitação Vestibular, observando-se a relação entre os resultados de exame e sintomas pré e pós-tratamento. A avaliação da resposta clínica foi feita por meio de escala analógico-visual. Resultados: Após a Reabilitação Vestibular, 7 (87,5%) dos 8 pacientes submetidos à terapia apresentaram melhora clínica. Conclusão: embora não seja esperada melhora completa do equilíbrio corporal, a Reabilitação Vestibular é uma terapia eficaz na recuperação desses pacientes.

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Section: Discussionunclassified

Arreflexia pós-calórica bilateral: aplicabilidade clínica da reabilitação vestibular

Bittar¹,

Bottino²,

Pedalini³

et al. 2004

Rev. Bras. Otorrinolaringol.

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“…11 Each patient received an individualized program that included habituation exercises (to facilitate central nervous system compensation by negating pathological responses to head movement), postural control exercises, and general conditioning activities. These exercises were conducted in the physiotherapy department and were performed in an open-air area twice a day, 6 days a week, with a rest on the seventh day.…”

Section: Methodsmentioning

confidence: 99%

“…Head trauma was classified following the Glasgow coma scale into severe (Glasgow coma scale ≤ 8), moderate (9)(10)(11)(12), and mild (13)(14)(15).…”

Section: Patientsmentioning

confidence: 99%

Betahistine Dihydrochloride With and Without Early Vestibular Rehabilitation for the Management of Patients With Balance Disorders Following Head Trauma: A Preliminary Randomized Clinical Trial

Naguib

Madian

2014

Journal of Chiropractic Medicine

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Objective: The purpose of this study was to compare the effect of betahistine dihydrochloride alone and in combination with vestibular rehabilitation for the management of patients with balance disorders following head trauma. Methods: In this preliminary clinical trial, a group of patients with head trauma was referred to our university-based tertiary care balance unit over a 1-year period. The study included 60 patients with balance disorder following head trauma. Patients were randomly divided into 3 groups with 20 patients each. The first group was treated by betahistine dihydrochloride tablets 48 mg/d alone. The second group was treated with a standard vestibular rehabilitation program. The third group was given betahistine dihydrochloride tablets (48 mg/d) in addition to the early standard vestibular rehabilitation program. Videonystagmography was used in the diagnosis, characterization, and monitoring of all patients with balance disorders, with improvement of the pretreatment objective results taken as a marker for treatment progress. Results: Recovery time was within the first 3 months following head trauma in 57 (95%) of the patients. Recovery was faster after mild head trauma than after moderate and severe traumas. Patients who underwent vestibular rehabilitation immediately after the onset of head trauma (with or without addition of betahistine dihydrochloride) recovered earlier than those treated with betahistine dihydrochloride alone. Conclusion: Based on these preliminary findings in a small group of patients, early vestibular rehabilitation with the concomitant use of betahistine dihydrochloride showed better results than the other 2 treatments alone in patients with balance disorders following head trauma. Early vestibular rehabilitation seemed to improve recovery that was enhanced by the use of betahistine dihydrochloride, and may have depressed the associated adverse effects such as nausea and vomiting.

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“…Habituation exercises are a key component of VRT for patients who experience motion-provoked dizziness. Habituation is defined as a long-term reduction in the pathological response to particularly noxious stimuli [10]. Habituation exercises to treat vertigo were first described by Norré and DeWeerdt in the early 1980s and consist of individually selected symptom-provoking head motions designed to encourage vestibular compensation [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…The MST has been used as a guide for developing an exercise program to meet the individualized needs of patients with motion-provoked dizziness and as a treatment outcome measure to monitor the effectiveness of VRT [10,16,17]. Although the test has been used for nearly a decade to guide treatment and to measure small changes in symptoms over time, the reliability of the MST has not been investigated.…”

Section: Introductionmentioning

confidence: 99%

Validity and reliability of the Motion Sensitivity Test

Akin¹,

Davenport²

2003

JRRD

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Abstract-The Motion Sensitivity Test (MST) is a clinicalprotocol designed to measure motion-provoked dizziness during a series of 16 quick changes to head or body positions. The MST has been used as a guide for developing an exercise program for patients with motion-provoked dizziness and as a treatment outcome measure to monitor the effectiveness of vestibular rehabilitation therapy. This study determined validity, test-retest reliability, and interrater reliability of the MST. Fifteen individuals with motion-provoked dizziness and ten control individuals were tested during sessions occurring 90 min and/or 24 hr after baseline testing. The MST was found to be reliable across raters (intraclass correlation coefficient [ICC] = 0.99) and test sessions (ICC = 0.98 and 0.96). Test validity was good. The results indicated that the MST can be used reliably in clinical practice to develop exercise programs for patients with motion-provoked dizziness and to provide evidence of intervention efficacy.

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Programmatic vestibular rehabilitation☆, ☆☆, ★, ★★

Cited by 158 publications

References 0 publications

Arreflexia pós-calórica bilateral: aplicabilidade clínica da reabilitação vestibular

Arreflexia pós-calórica bilateral: aplicabilidade clínica da reabilitação vestibular

Betahistine Dihydrochloride With and Without Early Vestibular Rehabilitation for the Management of Patients With Balance Disorders Following Head Trauma: A Preliminary Randomized Clinical Trial

Validity and reliability of the Motion Sensitivity Test

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