Vestibular System Disorders

Fetter, M.

doi:10.1002/9780470015902.a0002213.pub2

Cited by 5 publications

(16 citation statements)

References 35 publications

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“…Volunteers were recruited through an invitational letter mailed from the neuro‐otologist's office. Volunteers were not admitted if they presented with bilateral tumors or other vestibular or neurological disorders; other causes of dizziness, such as syncope/vertibro‐basilar insufficiency or severe cardiac or respiratory conditions; severe musculoskeletal problems requiring pain management; uncorrected visual deficits; reduced lower limb sensation; or depression requiring management with psychotropic medication known to impact balance …”

Section: Methodsmentioning

confidence: 99%

Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control

et al. 2016

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Section: Methodsmentioning

confidence: 99%

Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control

et al. 2016

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“…Improvement of these signs and symptoms requires movement-induced error signals for recovery to occur. [70][71][72][73] When there is poor compensation for vestibular hypofunction, the individual's ability to perform activities of daily living, drive, work, and exercise are affected. 74,75 The negative changes in quality of life may lead to anxiety, depression, and deconditioning.…”

Section: Background and Need For A Clinical Practice Guideline On Ves...mentioning

confidence: 99%

“…The remaining signs and symptoms of asymmetry of the vestibular system include gait instability, oscillopsia, head movement-induced symptoms, spatial disorientation, and impaired navigation. Improvement of these signs and symptoms requires movement-induced error signals for recovery to occur 70–73. When there is poor compensation for vestibular hypofunction, the individual's ability to perform activities of daily living, drive, work, and exercise are affected 74,75.…”

Section: Introductionmentioning

confidence: 99%

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association

Hall

Herdman

Whitney

et al. 2021

Journal of Neurologic Physical Therapy

181

203

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Background: Uncompensated vestibular hypofunction can result in symptoms of dizziness, imbalance, and/or oscillopsia, gaze and gait instability, and impaired navigation and spatial orientation; thus, may negatively impact an individual's quality of life, ability to perform activities of daily living, drive, and work. It is estimated that one-third of adults in the United States have vestibular dysfunction and the incidence increases with age. There is strong evidence supporting vestibular physical therapy for reducing symptoms, improving gaze and postural stability, and improving function in individuals with vestibular hypofunction. The purpose of this revised clinical practice guideline is to improve quality of care and outcomes for individuals with acute, subacute, and chronic unilateral and bilateral vestibular hypofunction by providing evidence-based recommendations regarding appropriate exercises. Methods: These guidelines are a revision of the 2016 guidelines and involved a systematic review of the literature published since 2015 through June 2020 across 6 databases. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case-control series, and case series for human subjects, published in English. Sixty-seven articles were identified as relevant to this clinical practice guideline and critically appraised for level of evidence. Results: Based on strong evidence, clinicians should offer vestibular rehabilitation to adults with unilateral and bilateral vestibular hypofunction who present with impairments, activity limitations, and participation restrictions related to the vestibular deficit. Based on strong evidence and a preponderance of harm over benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) to promote gaze stability. Based on moderate to strong evidence, clinicians may offer specific exercise techniques to target identified activity limitations and participation restrictions, including virtual reality or augmented sensory feedback. Based on strong evidence and in consideration of patient preference, clinicians should offer supervised vestibular rehabilitation. Based on moderate to weak evidence, clinicians may prescribe weekly clinic visits plus a home exercise program of gaze stabilization exercises consisting of a minimum of: (1) 3 times per day for a total of at least 12 minutes daily for individuals with acute/subacute unilateral vestibular hypofunction; (2) 3 to 5 times per day for a total of at least 20 minutes daily for 4 to 6 weeks for individuals with chronic unilateral vestibular hypofunction; (3) 3 to 5 times per day for a total of 20 to 40 minutes daily for approximately 5 to 7 weeks for individuals with bilateral vestibular hypofunction. Based on moderate evidence, clinicians may prescribe static and dynamic balance exercises for a minimum of 20 minutes daily for at least 4 to 6 weeks for individuals with chronic unilateral vestibular hypofunction and, bas...

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“…BPPV, characterized by brief episodes of vertigo, nausea and/or positional nystagmus upon head movements, is produced by the inadequate presence of statocone particles coming from the utriculus macula floating in the endolymph of the semicircular canal (s) or attached to their cupule 10 . BPPV is the most common cause of vertigo in adults, and at around 70 years of age, 30% of the individuals had had the disorder at least once 11,12 . BPPV is also considered the most common cause of dizziness in the elderly 13 .…”

Section: Introductionmentioning

confidence: 99%

Quedas em idosos com Vertigem Posicional Paroxística Benigna

Ganança¹,

Gazzola²,

Ganança³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

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Summary Benign Paroxysmal Positional Vertigo (BPPV) can cause falls, especially in the elderly. Aim to study whether or not elderly patients with BPPV have a reduction on their falls after the particle repositioning maneuver (PRM). Materials and Methods retrospective study including elderly with BPPV who had fall(s) during the last year. All patients were submitted to the PRM according to the affected semicircular canal (SCC). After the abolition of positioning vertigo and nystagmus, the patients were submitted to a 12 month follow-up and were investigated about the number of fall(s). Wilcoxon's test was performed to compare the number of fall(s) before and after 12 months of the PRM. Results One hundred and twenty one patients were included in the study. One hundred and one patients presented involvement of the posterior SCC, 16 of the lateral and four of the anterior. We noticed a reduction on the number of falls, with statistically significant difference when all the patients were analyzed together (p<0.001), the posterior canal BPPV patients (p<0,001) and the lateral canal VPPB patients (p=0.002). We also found a tendency of statistically significant difference for the anterior canal BPPV patients (p=0.063). Conclusion BPPV elderly patients had indeed a reduction on the number of falls after the PRM.

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Vestibular System Disorders

Cited by 5 publications

References 35 publications

Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control

Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association

Quedas em idosos com Vertigem Posicional Paroxística Benigna

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