Document Detail


Factors affecting recovery after acoustic neuroma resection.
MedLine Citation:
PMID:  12542203     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In order to determine which variables influence recovery from acoustic neuroma resection, acutely postoperative patients were divided into two groups and treated twice daily at bedside as inpatients at a tertiary care center. Treatment times were increased gradually from 5 to 30 min. Exercise subjects underwent passive and active head movements and walking with augmented head movements. Control subjects received attention without exercise. Pre- and post-tests included vertigo intensity and frequency, low-frequency vestibulo-ocular reflex (VOR), posturography and path integration. Post-tests were given at discharge and at approximately 4-week intervals for 3 months. Multilevel statistical analyses showed that neither group assignment nor age affected the outcome. All measures were abnormal at discharge but improved towards normal within 3 weeks. VOR on the unoperated side returned to normal values but on the lesioned side did not. Therefore, compensation is influenced by tumor size but not by age or early postoperative vestibular rehabilitation. Most compensation occurs within 3 weeks, probably due to central mechanisms, although some measures may not recover completely.
Authors:
Helen S Cohen; Kay T Kimball; Herman A Jenkins
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  122     ISSN:  0001-6489     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2002 Dec 
Date Detail:
Created Date:  2003-01-24     Completed Date:  2003-04-10     Revised Date:  2012-08-23    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  841-50     Citation Subset:  IM    
Affiliation:
Bobby R. Alford Department of Otorhinolaryngology and Communicative Sciences, Baylor College of Medicine, Houston, Texas 77030, USA. hcohen@bcm.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Head Movements
Humans
Male
Middle Aged
Motion Therapy, Continuous Passive
Neuroma, Acoustic / physiopathology,  rehabilitation,  surgery*
Physical Therapy Modalities*
Postoperative Care*
Postural Balance
Recovery of Function*
Reflex, Vestibulo-Ocular
Vestibular Function Tests
Grant Support
ID/Acronym/Agency:
DC01732/DC/NIDCD NIH HHS
Comments/Corrections
Comment In:
Acta Otolaryngol. 2003 Sep;123(7):889-90; author reply 891   [PMID:  14575408 ]

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