Effects of vestibulo-ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery. Export

@article{citeulike:4945891, abstract = {OBJECTIVE: To assess vestibular function in a large group of vestibular schwannoma patients so that we could determine whether simple vestibular exercises speed vestibular dysfunction recovery after tumor removal surgery. STUDY DESIGN: A prospective investigation of the vestibular dysfunction experienced by patients in the first 12 weeks after surgery. SETTING: Vestibular investigation unit at a tertiary referral institution. PATIENTS: Sixty-five patients with identified vestibular schwannoma referred for preoperative vestibular investigations. Thirty-two men and 33 women, with a mean age 51 years (range, 24-77 yr). INTERVENTIONS: There were 27 control patients, 30 exercise patients, and 8 patients that had balance physiotherapy. Exercise patients began simple vestibulo-ocular reflex gaze stabilization exercises 3 days after surgery. MAIN OUTCOME MEASURES: Postoperative vestibular function testing was performed at 2 to 3, 6 to 7, and 10 to 12 weeks after surgery. Objective measurements of vestibular compensation status were as follows: spontaneous nystagmus and sinusoidal harmonic acceleration asymmetry and gain values. Dizziness Handicap Inventory questionnaires were used to assess subjective perceptions. RESULTS: The main findings were reduced dispersion in vestibulo-ocular reflex asymmetry at 2 to 3 weeks, reduced mean in asymmetry at 6 to 7 weeks, less dizziness/imbalance according to the Dizziness Handicap Inventory questionnaire, and that preoperative caloric tests did not predict postoperative severity of vestibular systems. CONCLUSION: This large study provided unique evidence that a program of simple vestibular exercises and education can speed the rate of compensation after vestibular schwannoma surgery.}, author = {Enticott, J. C. and O'leary, S. J. and Briggs, R. J.}, citeulike-article-id = {4945891}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/15793417}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=15793417}, issn = {1531-7129}, journal = {Otology \& neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology}, keywords = {balance, dhi, dizziness, neurology\_physical\_therapy, physical\_therapy, prospective\_study, rehabilitation, surgery, unilateral\_vestibular\_hypofunction, vestibular, vestibular\_dyfunction, vestibular\_exercises, vestibular\_impariment, vestibular\_rehabilitation, vestibular\_schwannoma}, month = {March}, number = {2}, pages = {265--269}, posted-at = {2009-06-24 17:52:04}, priority = {2}, title = {Effects of vestibulo-ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/15793417}, volume = {26}, year = {2005} }

TY - JOUR ID - citeulike:4945891 L3 - citeulike-article-id:4945891 N2 - OBJECTIVE: To assess vestibular function in a large group of vestibular schwannoma patients so that we could determine whether simple vestibular exercises speed vestibular dysfunction recovery after tumor removal surgery. STUDY DESIGN: A prospective investigation of the vestibular dysfunction experienced by patients in the first 12 weeks after surgery. SETTING: Vestibular investigation unit at a tertiary referral institution. PATIENTS: Sixty-five patients with identified vestibular schwannoma referred for preoperative vestibular investigations. Thirty-two men and 33 women, with a mean age 51 years (range, 24-77 yr). INTERVENTIONS: There were 27 control patients, 30 exercise patients, and 8 patients that had balance physiotherapy. Exercise patients began simple vestibulo-ocular reflex gaze stabilization exercises 3 days after surgery. MAIN OUTCOME MEASURES: Postoperative vestibular function testing was performed at 2 to 3, 6 to 7, and 10 to 12 weeks after surgery. Objective measurements of vestibular compensation status were as follows: spontaneous nystagmus and sinusoidal harmonic acceleration asymmetry and gain values. Dizziness Handicap Inventory questionnaires were used to assess subjective perceptions. RESULTS: The main findings were reduced dispersion in vestibulo-ocular reflex asymmetry at 2 to 3 weeks, reduced mean in asymmetry at 6 to 7 weeks, less dizziness/imbalance according to the Dizziness Handicap Inventory questionnaire, and that preoperative caloric tests did not predict postoperative severity of vestibular systems. CONCLUSION: This large study provided unique evidence that a program of simple vestibular exercises and education can speed the rate of compensation after vestibular schwannoma surgery. IS - 2 JF - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology SN - 1531-7129 EP - 269 TI - Effects of vestibulo-ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery. VL - 26 SP - 265 KW - balance KW - dhi KW - dizziness KW - neurology_physical_therapy KW - physical_therapy KW - prospective_study KW - rehabilitation KW - surgery KW - unilateral_vestibular_hypofunction KW - vestibular KW - vestibular_dyfunction KW - vestibular_exercises KW - vestibular_impariment KW - vestibular_rehabilitation KW - vestibular_schwannoma AU - Enticott, JC AU - O'leary, SJ AU - Briggs, RJ PY - 2005/03// UR - http://view.ncbi.nlm.nih.gov/pubmed/15793417 ER -