Document Detail


Does otolith organ dysfunction influence outcomes after a customized program of vestibular rehabilitation?
MedLine Citation:
PMID:  20588091     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Vestibular rehabilitation (VR) is a successful approach to the treatment of vestibular dysfunction. The purpose of this study was to investigate the influence of otolith dysfunction on the response to VR in individuals with a peripheral vestibular disorder. PARTICIPANTS AND METHODS: Eighteen participants with loss of semicircular canal function only, and 29 participants with combined loss of semicircular canal and otolith organ function were recruited. All participants received a comprehensive clinical assessment before and after an 8-week customized program of VR. RESULTS: Both groups achieved significant improvements on most measures at the end of the 8-week VR program. However, no significant differences were identified between participants with versus without otolith dysfunction with respect to change in symptom severity (P = .81), self-perceived handicap (P = .92), functional limitations (P = .93), or balance performance after VR. DISCUSSION AND CONCLUSIONS: Otolith dysfunction does not significantly influence the response to rehabilitation of individuals with a peripheral vestibular disorder. Vestibular rehabilitation is associated improvements in symptom severity, self-perceived handicap, and balance function in individuals with otolith dysfunction.
Authors:
Katherine J Murray; Keith Hill; Bev Phillips; John Waterston
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of neurologic physical therapy : JNPT     Volume:  34     ISSN:  1557-0584     ISO Abbreviation:  J Neurol Phys Ther     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-06-30     Completed Date:  2010-10-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101193365     Medline TA:  J Neurol Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-5     Citation Subset:  IM    
Affiliation:
Dizzy Day Clinics, East Richmond, Melbourne, Australia. kmurray@dizzyday.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Dizziness / physiopathology,  rehabilitation
Exercise Therapy / methods*
Female
Gait
Humans
Male
Middle Aged
Otolithic Membrane / physiopathology*
Patient Selection
Postural Balance
Semicircular Canals / physiopathology*
Severity of Illness Index
Statistics, Nonparametric
Treatment Outcome
Vestibular Diseases / physiopathology,  rehabilitation*
Vestibular Function Tests

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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