Recovery of Dynamic Visual Acuity in Bilateral Vestibular Hypofunction

Herdman, Susan J.; Hall, Courtney D.; Schubert, Michael C.; Das, Vallabh E.; Tusa, Ronald J.

doi:10.1001/archotol.133.4.383

Cited by 169 publications

(172 citation statements)

References 19 publications

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“…Studies demonstrate the reliability and validity of DVA to identify the side of vestibular dysfunction in both unilateral and bilateral vestibular pathologies [7] and that VR improves DVA in subjects with vestibular dysfunction. [8,14,15] The Dix-Hallpike maneuver is generally considered the gold standard test for the diagnosis of posterior canal BPPV. [16] The Epley and Semont maneuvers are effective and best known repositioning methods for posterior canal involvement.…”

Section: Discussionmentioning

confidence: 99%

“…Reports demonstrate that vestibular exercises are generally effective regardless of the patient's age and duration of symptoms. [8,19] The patients with vestibulopathy caused by ototoxicity should be discouraged from driving at nighttime or while it is raining until VR has been completed. It is possible that a short period of vertigo provoked by moving rain wiper or water f lowing down the front window or diminished visual input during nighttime may lead to a traffic accident.…”

Section: Discussionmentioning

confidence: 99%

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Practical diagnosis and management of peripheral vertigo

Sakalli¹

2017

KBB Uygulamaları

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ÖZAmaç: Bu çalışmada baş dönmesi olan hastaların tanısında kullandığımız klinik tanı yöntemlerinin güvenilirliği ve vestibüler rehabilitasyon tedavisinin etkinliği araştırıldı. Hastalar ve ABSTR ACTObjectives: This study aims to investigate the reliability of clinical diagnostic modalities of the patients with dizziness and the effectiveness of the vestibular rehabilitation therapy. Patients and Methods:We examined the patients who were admitted to our hospital between February 2013 and June 2014 with complaints of dizziness and examined in the audio-vestibular laboratory. In the audio-vestibular laboratory, patients went through the following examinations: spontaneous nystagmus and gaze nystagmus, skew deviation, head impulse test, head-shaking nystagmus test, dynamic visual acuity test, Dix-Hallpike maneuver, supine roll test, Tandem Romberg test and Modified Clinical Test of Sensory Interaction and Balance. The patients with symptoms of pathology in the central nervous system were excluded from the study. Vestibular rehabilitation therapy was used depending on the clinical diagnosis of the patients. The patients were evaluated one year later to investigate the vestibular rehabilitation treatment outcomes. Results:One hundred and four patients (35 males, 69 females) were found to be eligible for this study. Ninety-two (88.4%) out of 104 patients got a final clinical diagnosis. The most common diagnoses were unilateral vestibulopathy and posterior canal benign positional paroxysmal vertigo, respectively. Although 12 patients (11.6%) could not be diagnosed definitely, acute central pathologies were excluded in all of the patients. 75.96% out of 104 patients were relieved in 15 days, 94.23% in 30 days, 98.08% in 45 days, 99.04% in 60 days and it took 75 days for the rest of the patients. In the one year post-treatment interview, 83.2% of patients confirmed having benefits of the vestibular therapy and none of the patients experienced cerebral stroke. Conclusion:The combined set of diagnostic tests performed in the audio-vestibular laboratory is reliable and sufficient. Vestibular rehabilitation is very effective in relieving the symptoms of peripheral vestibular dysfunction and increasing the quality of life of the patients with dizziness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Practical diagnosis and management of peripheral vertigo

Sakalli¹

2017

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“…Egzersiz tabanlı VR ile İTV da etkisi pek çok çalışmada incelenmiş ve yararlı etkileri gösterilmiştir (30,(37)(38)(39)(40)(41). Herdman ve ark.'…”

Section: İki Tarafli Vestibulopatide Vestibuler Rehabilitasyonunclassified

“…Tüm katılımcılara ev egzersizi programının bir parçası olarak, denge ve yürüyüş egzersizleri verilmiş. Egzersiz grubunda plasebo gruba kıyasla, dinamik görme keskinliğinde iyileşme saptanmıştır (37). İTV'li 5 hastada bakış stabilizasyon (adaptasyon) ve yürüme egzersizi ile görme keskinliğinde artış ve aktif baş hareketleri ile VOR de kazanç elde edilmiş ani baş hareketleri sırasında da 2 hastada VOR'de kazanç elde edilmiştir (38 (22).…”

Section: İki Tarafli Vestibulopatide Vestibuler Rehabilitasyonunclassified

Vestibuler rehabilitation in bilateral vestibulopaty

Armağan¹

2017

Türk Beyin Damar Hast Derg

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ÖZETİki taraflı vestibulopati vestibuler organ, vestibuler sinir ya da her ikisinin birden fonksiyonlarında iki taraflı kayıp ya da azalmayla karakterize hetrerojen bir gurup hastalıktır. Vestibuler sistem dengenin multisensorial kontrolünde önemli bir rol oynar. Vestibuler işlev kaybolduğunda, özellikle postural kontrol, bakış stabilizasyonu ve denge gibi temel görevler bozulur ve hastaların yaşam kalitesini önemli ölçüde zayıflar. Dengeyi oluşturan kompleks sistem içinde vestibuler sistemin görevleri nedeniyle iki taraflı vestibuler hastalık, hastalarda önemli fonksiyonel ve fiziksel yetersizliklere yol açar. Günümüzde iki taraflı vestibuler hastalıkta, yaygın olarak kullanılan tedavi vestibuler rehabilitasyondur. Vestibuler rehabilitasyonda amaç, insan beyninde var olan adaptif ve kompansatuvar mekanizmaların harekete geçirilmesidir. Bu makalede vestibuler rehabilitasyon uygulamaları, farklı egzersiz programları ve teknikleri son literatür sonuçları gözden geçirilerek sunulmuştur. Anahtar Sözcükler: İki taraflı, vestibulopati, rehabilitasyon. VESTIBULER REHABILITATION IN BILATERAL VESTIBULOPATY ABSTRACTBilateral vestibulopathy is a heterogeneous chronic condition characterized by a bilateral reduced or absent function of the vestibular organs, the vestibular nerves or a combination of both. The vestibular system plays a crucial role in the multisensory control of balance. When vestibular function is lost, essential tasks such as postural control, gaze stabilization, and balance deteriorate and the quality of life of patients is significantly impaired. Nowadays the widely available treatment of bilateral vestibulopathy is vestibular rehabilitation. The aim of the vestibular rehabiltation is to use adaptive mechanisms of brain and to activate compensation mechanisms. In this review, applications of vestibular rehabilitation, different exercise programs and techniques are presented by reviewing recent literature results.

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“…Además, la AVD puede resultar de utilidad para evaluar la eficacia clínica de un tratamiento rehabilitador, comparando los resultados obtenidos antes y después del mismo [11]. Mediante los ejercicios de estabilización de la mirada, que buscan mover las imágenes visuales fuera de la fóvea de la retina, para provocar un «deslizamiento retiniano», sabemos que se mejora la AVD en pacientes con hipofunción vestibular uni y bilateral [9,17,21]. DISCUSIÓN Como con cualquier evaluación, la medida de la AVD debe demostrar suficiente precisión y validez en la población de interés, a través de las características que la definan.…”

Section: Introductionunclassified

Revisión sobre la agudeza visual dinámica

Santos-Gorjón

2017

Rev. ORL

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Recovery of Dynamic Visual Acuity in Bilateral Vestibular Hypofunction

Abstract: To determine the effect of vestibular exercises on the recovery of visual acuity during head movement in patients with bilateral vestibular hypofunction (BVH).

Cited by 169 publications

References 19 publications

Practical diagnosis and management of peripheral vertigo

Practical diagnosis and management of peripheral vertigo

Vestibuler rehabilitation in bilateral vestibulopaty

Revisión sobre la agudeza visual dinámica

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