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The role of vestibular rehabilitation in the treatment of Meniere's disease.

TitleThe role of vestibular rehabilitation in the treatment of Meniere's disease.
Publication TypeJournal Article
Year of Publication2005
AuthorsGottshall KR, Hoffer ME, Moore RJ, Balough BJ
JournalOtolaryngol Head Neck Surg
Volume133
Issue3
Pagination326-8
Date Published2005 Sep
ISSN0194-5998
KeywordsAdult, Depth Perception, Ear, Inner, Exercise, Female, Humans, Male, Meniere Disease, Middle Aged, Neurosurgical Procedures, Physical Therapy Modalities, Postoperative Care, Postural Balance, Posture, Reflex, Vestibulo-Ocular, Spatial Behavior, Vertigo, Vestibular Nerve, Vestibule, Labyrinth
Abstract

<p><b>OBJECTIVE: </b>To study the role of vestibular rehabilitation is treating patients with Meniere's disease.</p><p><b>METHODS: </b>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.</p><p><b>RESULTS: </b>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.</p><p><b>CONCLUSIONS: </b>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).</p>

DOI10.1016/j.otohns.2005.06.001
Alternate JournalOtolaryngol Head Neck Surg
Citation KeyCK57
PubMed ID16143175