Vestibular rehabilitation: substantiation, indications, application

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Abstract

Vestibular rehabilitation therapy is effective and inexpensive management of patients with dizziness and balance disorders. Here the authors discuss vestibular rehabilitation for patients with benign paroxysmal positional vertigo, unilateral vestibular loss or hypofunction, bilateral vestibular loss/hypofunction and central vestibular disorders. They describe different mechanisms of vestibular compensation, exercises that are used, repositioning maneuvers, principles of conducting a vestibular rehabilitation program and drug therapy.

About the authors

V. T Palchun

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: lorrsmu@mail.ru
д-р мед. наук, проф. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

A. L Guseva

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: alexandra.guseva@gmail.com
канд. мед. наук, доц. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

S. D Chistov

N.I.Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation

Email: sd.chistov@gmail.com
канд. мед. наук, ст. науч. сотр. каф. оториноларингологии лечебного фак-та ГБОУ ВПО РНИМУ им. Н.И.Пирогова 117997, Russian Federation, Moscow, ul. Ostrovitianova, d. 1

References

  1. Eaton D.A, Roland P.S. Dizzinessin the older adult. Part1. Evaluation and general treatment strategies. Geriatrics 2003; 58: 28-30, 33-6.
  2. Agrawal Y, Carey J.P, Della Santina C et al. Disorders of balance and vestibular function in US adults: data from the National Health and Nutrition Examination Survey, 2001-2004. Arch Intern Med 2009; 169 (10): 938-44. doi: 10.1001/archinternmed.2009.66.
  3. Neuhauser H.K, Von Brevern M, Radtke A et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology 2005; 65 (6): 898-904. doi: 10.1212/01.wnl.0000175987.59991.3d.
  4. Young L.R, Bernard-Demanze L, Dumitrescu M et al. Postural performance of vestibular loss patients under increased postural threat. J Vestib Res 2012; 22 (2): 129-38. doi: 10.3233/VES-2012-0449.
  5. Лучихин Л.А., Гусева А.Л., Бауш Я.А. Соматосенсорные расстройства. Изменение качества жизни при периферической вестибулярной дисфункции. Вестн. оториноларингологии. 2011; 2: 72-5.
  6. Cawthorne T, Cooksey F.S. Original Cawthorne-Cooksey rehabilitation exercises. Proc Roy Soc Med 1946; 39: 270-3.
  7. Mc Donnell M.N, Hillier S.L. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2015; 1: CD005397. doi: 10.1002/14651858.CD005397.pub4.
  8. Пальчун В.Т., Кунельская Н.Л., Ротермель Е.В. Диагностика и лечение доброкачественного пароксизмального позиционного головокружения. Вестн. оториноларингологии. 2007; 1: 4-7.
  9. Bhattacharyya N, Baugh R.F, Orvidas L et al. American Academy of Otolaryngology-Head and Neck Surgery Foundation. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008; 139 (5 Suppl. 4): S47-81. doi: 10.1016/j.otohns.2008.08.022.
  10. Fife T.D, Iverson D.J, Lempert T et al. Quality Standards Subcommittee, American Academy of Neurology. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence - based review): report of the Quality Standards Subcommittee of the American Academy of Neurology. Neurology 2008; 70 (22): 2067-74. doi: 10.1212/01.wnl.0000313378.77444.ac.
  11. Guneri E.A, Kustutan O. The effects of betahistine in addition to epley maneuver in posterior canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2012; 146 (1): 104-8. doi: 10.1177/0194599811419093.
  12. Dispenza F, Kulamarva G, De Stefano A. Comparison of repositioning maneuvers for benign paroxysmal positional vertigo of posterior semicircular canal: advantages of hybrid maneuver. Am J Otolaryngol 2012; 33 (5): 528-32. doi: 10.1016/j.amjoto.2011.12.002.
  13. Epley J.M. Canalith repositioning maneuver. Otolaryngol Head Neck Surg 1994; 111 (5): 688-90. doi: 10.1016/s0194-5998(94)70547-x.
  14. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988; 42: 290-3. doi: 10.1159/000416126.
  15. Soto-Varela A, Rossi-Izquierdo M, Santos-Pérez S. Can we predict the efficacy of the semont maneuver in the treatment of benign paroxysmal positional vertigo of the posterior semicircular canal? Otol Neurotol 2011; 32 (6): 1008-11. doi: 10.1097/MAO.0b013e3182267f02.
  16. Brandt T, Daroff R.B. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980; 106 (8): 484-5.
  17. Lempert T, Tiel-Wilck K. A positional maneuver for treatment of horizontal - canal benign positional vertigo. Laryngoscope 1996; 106 (4): 476-8.
  18. Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal. Acta Otorhinolaryngo Ital 1998; 18 (6): 363-7.
  19. Vannucchi P, Giannoni B, Pagnini P. Treatment of horizontal semicircular canal benign paroxysmal positional vertigo. J Vestib Res 1997; 7 (l): l-6.
  20. Kim Y.K, Shin J.E, Chung J.W. The effect of canalith repositioning for anterior semicircular canal canalithiasis. ORL J Otorhinolaryngol Relat Spec 2005; 67 (1): 56-60. doi: 10.1159/000084336.
  21. Yacovino D.A, Hain T.C, Gualtieri F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 2009; 256 (11): 1851-5. doi: 10.1007/s00415-009-5208-1.
  22. Herdman S.J. Exercise strategies for vestibular disorders. Ear Nose Throat J 1989; 68 (12): 961-4.
  23. Shepard N.T, Telian S.A, Smith-Wheelock M, Raj A. Vestibular and balance rehabilitation therapy. Ann Otol Rhinol Laryngol 1993; 102: 198-205.
  24. Garcia A.P, Ganança M.M, Cusin F.S et al. Vestibular rehabilitation with virtual reality in Meniere’s disease. Braz J Otorhinolaryngol 2013; 79 (3): 366-74. doi: 10.5935/1808-8694.20130064.
  25. Porciuncula F, Johnson C.C, Glickman L.B. The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: a systematic review. J Vestib Res 2012; 22: 283-98. doi: 10.3233/VES-120464.
  26. Herdman S.J, Blatt P, Schubert M.C, Tusa R.J. Falls in patients with vestibular deficits. Am J Otol 2000; 21: 847-51.
  27. Van de Berg R, Guinand N, Nguyen T.A et al. The vestibular implant: frequency - dependency of the electrically evoked vestibule - ocular reflex in humans. Front Syst Neurosci 2015; 8: 255. doi: 10.3389/fnsys.2014.00255.
  28. Замерград М.В. Реабилитация при заболеваниях нервной системы. Неврология, нейропсихиатрия, психосоматика. 2013; 1: 18-22.
  29. Naguib M.B, Madian Y.T. Betahistine dihydrochloride with and without early vestibular rehabilitation for the management of patients with balance disorders following head trauma: a preliminary randomized clinical trial. J Chiropr Med 2014; 13 (1): 14-20. doi: 10.1016/j.jcm.2014.01.011.
  30. Karapolat H, Celebisoy N, Kirazli Y et al. Does betahistine treatment have additional benefits to vestibular rehabilitation? Eur Arch Otorhinolaryngol 2010; 267 (8): 1207-12. doi: 10.1007/s00405-010-1216-0.
  31. Brown K.E, Whitney S.L, Marchetti G.F et al. Physical therapy for central vestibular dysfunction. Arch Phys Med Rehabil 2006; 87: 76-81.
  32. Furman J.M, Marcus D.A. Migraine and motion sensitivity. Continuum (Minneap Minn) 2012; 18: 1102-17. doi: 10.1212/01.CON.0000421621.18407.96.
  33. Norré M.E, De Weerdt W. Treatment of vertigo based on habituation. 2. Technique and results of habituation training. J Laryngol Otol 1980; 94 (9): 971-7.
  34. Shepard N.T, Telian S.A. Programmatic vestibular rehabilitation. Otolaryngol Head Neck Surg 1995; 112 (1): 173-82.
  35. Pfaltz C.R. Vestibular compensation. Physiological and clinical aspects. Acta Otolaryngol 1983; 95 (5-6): 402-6.
  36. Schubert M.C, Hall C.D, Das V et al. Oculomotor strategies and their effect on reducing gaze position error. Otol Neurotol 2010; 31 (2): 228-31.
  37. Shumway-Cook A, Horak F.B. Assessing the influence of sensory interaction of balance. Suggestion from the field. Phys Ther 1986; 66: 1548-50.
  38. Bles W, Vianney de Jong J.M, De Wit G. Compensation for labyrinthine defects examined by use of a tilting room. Acta Otolaryngol 1983; 95: 576-9.
  39. Pavlou M, Shumway-Cook A, Horak F.B et al. Rehabilitation of balance disorders in the patient with vestibular pathology. In: A.M.Bronstein, T.Brandt, M.H.Woollacott, J.G.Nutt. Clinical Disorders of Balance, Posture and Gait. 2nd ed. London: Arnold, 2004; p. 317-43.
  40. Nyabenda A, Briart C, Deggouj N, Gersdorff M. Benefit of rotational exercises for patients with Meniere’s syndrome, method used by the ENT department of St-Luc university clinic. Ann Readapt Med Phys 2003; 46: 607-14.
  41. Pavlou M, Davies R.A, Bronstein A.M. The assessment of increased sensitivity to visual stimuli in patients with chronic dizziness. J Vestib Res 2006; 16: 223-31.
  42. Asai T, Misu S, Doi T et al. Effects of dual - tasking on control of trunk movement during gait: Respective effect of manual - and cognitive - task. Gait Posture 2014; 39 (1): 54-9. doi: 10.1016/j.gaitpost.2013.05.025.
  43. Bernard-Demanze L, Dumitrescu M, Jimeno P et al. Age - related changes in posture control are differentially affected by postural and cognitive task complexity. Curr Aging Sci 2009; 2: 139-49.
  44. Кубряк О.В., Гроховский С.С., Исакова Е.В., Котов С.В. Биологическая обратная связь по опорной реакции: методология и терапевтические аспекты. М.: Маска, 2015.
  45. Erren-Wolters C.V, Van Dijk H, De Kort A.C et al. Virtual reality for mobility devices: training applicationsand clinical results: a review. Int J Rehabil Res 2007; 30: 91-6.
  46. Sparrer I, Duong Dinh T.A, Ilgner J, Westhofen M. Vestibular rehabilitation using the NintendoR Wii Balance Board - a user friendly alternative for central nervous compensation. Acta Otolaryngol 2013; 133: 239-45.
  47. Danilov Y.P, Tyler M.E, Skinner K.L et al. Efficacy of electrotactile vestibular substitution in patients with peripheral and central vestibular loss. J Vestib Res 2007; 17 (2-3): 119-30.
  48. Janssen M, Pas R, Aarts J et al. Clinical observational gait analysis to evaluate improvement of balance during gait with vibrotactile biofeedback. Physiother Res Int 2012; 17 (1): 4-11. doi: 10.1002/pri.504.
  49. Tsang W.W, Hui-Chan C.W. Standing balance after vestibular stimulation in Tai Chi - practicing and nonpracticing healthy older adults. Arch Phys Med Rehabil 2006; 87: 546-53.
  50. Gabilan Y.P, Perracini M.R, Munhoz M.S, Gananc F.F. Aquatic physiotherapy for vestibular rehabilitation in patients with unilateral vestibular hypofunction: exploratory prospective study. J Vestib Res 2008; 18: 139-46.
  51. Schmid A.A, Miller K.K, Van Puymbroeck M, Schalk N. Feasibility and results of a case study of yoga to improve physical functioning in people with chronic traumatic brain injury. Disabil Rehabil 2015; 24: 1-7.
  52. Dutheil S, Lacour M, Tighilet B. The neurogenetic potential of the vestibular nuclei and the recovery time course in the adult cat are governed by different mechanisms depending on the nature of the vestibular damage. PLoS One 2011; 6 (8): e22262. doi: 10.1371/journal.pone.0022262.
  53. Lacour M., Bernard-Demanze L. Interaction between Vestibular Compensation Mechanisms and Vestibular Rehabilitation Therapy: 10 Recommendations for Optimal Functional Recovery. Front Neurol 2015; 5: 285. doi: 10.3389/fneur.2014.00285.
  54. Whitney S.L, Sparto P.J. Principles of vestibular physical therapy rehabilitation. Neurorehabilitation 2011; 29 (2): 157-66. doi: 10.3233/NRE-2011-0690.
  55. Пальчун В.Т., Кунельская Н.Л., Красюк А.А., Левина Ю.В. Особенности психосоматического статуса больных с кохлеовестибулярными нарушениями. Методы коррекции. Вестн. оториноларингологии. 2005; 6: 21-4.
  56. Herdman S.J, Hall C.D, Schubert M.C et al. Recovery of dynamic visual acuity in bilateral vestibular hypofunction. Arch Otolaryngol Head Neck Surg 2007; 133: 383-9.

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