The Role of Vestibular Rehabilitation in the Treatment of Meniere’s Disease

To study the role of vestibular rehabilitation is treating patients with Meniere’s disease. We examined all Meniere’s patients presenting to our tertiary care specialized vestibular clinic during a 1-year period. All patients underwent a standardized history and physical examination, a complete audi...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2005-09, Vol.133 (3), p.326-328
Main Authors: Gottshall, Kim R., Hoffer, Michael E., Moore, Robert J., Balough, Ben J.
Format: Article
Language:English
Subjects:
Adult
Depth Perception - physiology
Ear, Inner - physiopathology
Ear, Inner - surgery
Exercise
Female
Humans
Male
Meniere Disease - physiopathology
Meniere Disease - rehabilitation
Middle Aged
Neurosurgical Procedures
Physical Therapy Modalities
Postoperative Care
Postural Balance
Posture
Reflex, Vestibulo-Ocular - physiology
Spatial Behavior
Vertigo - surgery
Vestibular Nerve - physiopathology
Vestibular Nerve - surgery
Vestibule, Labyrinth - physiopathology
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Summary:To study the role of vestibular rehabilitation is treating patients with Meniere’s disease. We examined all Meniere’s patients presenting to our tertiary care specialized vestibular clinic during a 1-year period. All patients underwent a standardized history and physical examination, a complete auditory-vestibular test battery, and a set of physical therapy tools to measure balance function. A subset of patients suffered from disequilibrium or unsteadiness between attacks. Once the acute fluctuating symptoms of Meniere’s were controlled in this group of individuals, all of them underwent vestibular physical therapy and demonstrated significant improvement in balance function on both objective and self-report tests. Due to the fluctuating nature of the disorder, vestibular physical therapy has had a limited role in the treatment of Meniere’s disease. In general, rehabilitation has been used only as a postoperative treatment for the acute vertigo seen after vestibular neurectomy or labyrinthectomy. This is the first report advocating the role of vestibular physical therapy in a group of patients receiving medical therapy of intraear medicines (other that gentamicin).
ISSN:0194-5998
1097-6817
DOI:10.1016/j.otohns.2005.06.001