Vestibular Rehabilitation in Isolated Otolith Dysfunction After Covid-19: A Case Report

Abstract

A 56-year-old female with dizziness, imbalance, and a slight floating sensation was evaluated. Her symptoms started after infection with the novel coronavirus (SARS-CoV-2). Routine auditory test (pure tone audiometry), vestibular assessment (videonystagmography), and neurologic test results were in the normal range, but the otolith evaluations, such as cervical vestibular evoked myogenic potentials (cVEMP) and subjective visual vertical tests, showed abnormal findings. The patient underwent a ten-session individualized vestibular rehabilitation program (one session per week). After completing rehabilitation sessions, her chief complaints were alleviated, the performance on computerized posturography was improved, and the abnormal cVEMP amplitude asymmetry between ears disappeared. In conclusion, vestibular disorders can happen after COVID-19 infection, presenting exclusively with isolated otolith dysfunction. In these patients, functional integrity assessment of the whole vestibular system is crucial, and vestibular rehabilitation may be beneficial.

The Impact of Resistance Training on Equilibrium Abilities and Quality of Life in Older Adults after SARS-cov-2 Surviving

“…It requires finding therapeutic solution to fight against post-covid conditions to reach a new level of evidence-based medicine and improve the quality of survivor's life [1]. So far, training programs have already been used that only improve balance, without considering the increase in muscle strength and improvement of the patient's functional condition [13]. The current activities related to counteracting balance disorders may be useful in this case as well.…”

The Impact of Resistance Training on Equilibrium Abilities and Quality of Life in Older Adults after SARS-CoV-2 Survival

“…It requires finding therapeutic solutions to fight against post-COVID-19 conditions to reach a new level of evidence-based medicine and improve the quality of survivors' lives [1]. So far, training programs have already been used that only improve balance without considering the increase in muscle strength and improvement of the patient's functional condition [13]. We know that long-term strength training improves muscle strength and physical functioning in older adults [14].…”