Document Detail


Vestibular rehabilitation outcomes in chronic vertiginous patients through computerized dynamic visual acuity and Gaze stabilization test.
MedLine Citation:
PMID:  17577127     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To evaluate the efficiency of the rehabilitative protocols in patients with labyrinthine hypofunction, focusing on computerized dynamic visual acuity test (DVAt) and Gaze stabilization test (GST) specifically evaluating the vestibulo-oculomotor reflex (VOR) changes due to vestibular rehabilitation. DESIGN: Consecutive sample study. SETTING: Day hospital in Ears, Nose, and Throat Rehabilitation Unit. SUBJECTS: Thirty-two patients with chronic dizziness with a mean age of 60.74 years. INTERVENTION: Patients performed one cycle of 12 daily rehabilitation sessions (2 h each) consisting of exercises aimed at improving VOR gain. The rehabilitation program included substitutional and/or habitudinal exercises, exercises on a stability platform, and exercises on a moving footpath with rehabilitative software. MAIN MEASURES: Dizziness Handicap Inventory and Activities-specific Balance Confidence Scale. Computerized dynamic posturography, computerized DVAt, and GST. RESULTS: The patients significantly improved in all the tests. CONCLUSION: Vestibular rehabilitation improved the quality of life by reducing the handicap index and improving the ability in everyday tasks. The recovery of the vestibular-ocular reflex and vestibular-spinal reflex efficiency was objectively proven by instrumental testing. The DVAt and the GST allow to objectively quantify the fixation ability at higher frequencies and speeds (main VOR function). Moreover, these new parameters permit to completely evaluate vestibular rehabilitation outcomes, adding new information to the generally used tests that only assess vestibulospinal reflex.
Authors:
Carlo Badaracco; Francesca Sylos Labini; Annalisa Meli; Ezio De Angelis; Davide Tufarelli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  28     ISSN:  1531-7129     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-16     Completed Date:  2007-11-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  809-13     Citation Subset:  IM    
Affiliation:
ENT Rehabilitation Unit, San Raffaele Pisana Scientific Institute Tosinvest Sanità, Via della Pisana, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chronic Disease
Data Interpretation, Statistical
Disability Evaluation
Dizziness / therapy
Exercise Therapy
Female
Fixation, Ocular / physiology*
Humans
Labyrinth Diseases / diagnosis*,  rehabilitation*
Male
Middle Aged
Questionnaires
Reflex, Vestibulo-Ocular / physiology
Treatment Outcome
Vertigo / diagnosis*,  rehabilitation*
Vestibular Function Tests*
Visual Acuity / physiology*

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


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