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Vestibular Disorders: Clinical Treatment and Rehabilitation

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: closed (25 November 2024) | Viewed by 3886

Special Issue Editors


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Guest Editor
Otolaryngology, Head & Neck Surgery Department, Chania General Hospital, Chania, Greece
Interests: vestibular dysfunction; otology; audiology; neurotology; hearing disorders; hearing loss; deafness; rhinology; head and neck

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Guest Editor
Department of Otorhinolaryngology, Tzaneio General Hospital, Pireaus, Greece
Interests: vestibular dysfunction; otology; audiology; neurotology; hearing disorders; hearing loss; deafness

Special Issue Information

Dear Colleagues,

Peripheral vestibular disorders are common in the general population, with up to 30% of adults experiencing at least a dizziness attack during their lifespan. These disorders usually present with acute episodes of vertigo accompanied by nausea, vomiting, and imbalance.

The most common peripheral vestibular disorder is benign paroxysmic positional vertigo (BPPV), which presents with short-lasting episodic vertigo during head movements, and is treated with special rehabilitating maneuvers according to the pathophysiologic mechanism and the affected semicircular canal. Vestibular neuritis (VN) is the second most common peripheral vestibular disorder, with severe vertigo that lasts for some days and is accompanied by normal hearing. Meniere’s disease (MD) is characterized by tinnitus, ear fullness sensation, hearing loss, and vertigo, lasting up to 24 hours. There are also less common vestibular disorders that may interfere with the differential diagnosis, such as third window disorders, labyrinthitis, Rumsey–Hunt syndrome, ototoxicity, autoimmune disorders, etc.

Accurate diagnosis of vestibular disorders is essential for prompt treatment, and clinicians need guidelines for managing their vertiginous patients. Diagnosis is mainly based on history, clinical examination, and laboratory testing. Sedative or etiological medical treatment is used for acute cases. Chronic therapy and vestibular rehabilitation improve vestibular–ocular reflex gain and promote central nervous system compensation.  

We welcome manuscripts on the diagnosis, clinical treatment, and rehabilitation of vestibular disorders.

We will gladly review your contributions submitted to our Special Issue in the Journal of Clinical Medicine.

Dr. Theognosia S. Chimona
Dr. Dimitrios G. Balatsouras
Guest Editors

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Keywords

  • vestibular disorder
  • vestibular neuritis
  • Meniere’s disease
  • benign paroxysmal positional vertigo
  • special vertiginous disorders
  • vertigo laboratory testing
  • medical treatment of vertigo
  • Meniere’s disease treatment
  • vestibular rehabilitation

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Published Papers (2 papers)

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Research

11 pages, 778 KiB  
Article
The Unveiled Potential of Telehealth Practice in Vestibular Rehabilitation: A Comparative Randomized Study
by Andreas Lilios, Christos Nikitas, Charalampos Skoulakis, Aggeliki Alagianni, Ioannis Chatziioannou, Panagiota Asimakopoulou and Theognosia Chimona
J. Clin. Med. 2024, 13(23), 7015; https://doi.org/10.3390/jcm13237015 - 21 Nov 2024
Cited by 1 | Viewed by 1417
Abstract
Background and Objectives: Unilateral vestibular hypofunction (UVH) in cases of insufficient central nervous system compensation leads to chronic dizziness. A customized vestibular rehabilitation (VR) program is more beneficial than a generic set of exercises for patients with chronic UVH. The purpose of the [...] Read more.
Background and Objectives: Unilateral vestibular hypofunction (UVH) in cases of insufficient central nervous system compensation leads to chronic dizziness. A customized vestibular rehabilitation (VR) program is more beneficial than a generic set of exercises for patients with chronic UVH. The purpose of the present study is to compare a customized remotely supervised VR program with a customized unsupervised VR program in chronic UVH patients. Methods: Participants were randomly allocated into two groups (Group A and Group B) and received an individualized 6-week home-based VR program that included adaptation and habituation exercises, balance and gait training. All individuals’ VR program implementation was evaluated weekly, allowing for exercise modifications. Moreover, Group A received additional remote supervision via phone communication (twice per week). The effectiveness of each VR program was evaluated using the scores of the Mini-BESTest, the Functional Gait Assessment (FGA), and the Dizziness Handicap Inventory (DHI). Results: At the 6-week assessment, participants in Group A had significantly better scores in objective and subjective evaluated parameters than those in Group B (p < 0.001). Group A also showed better compliance with the VR program. On the contrary, participants’ conformity in their individualized exercises was not affected by gender, duration of symptoms, or BMI (p > 0.05). Conclusions: Our clinical study highlights the advantages of using telephone communication, with a structured design and implementation, to assist individuals in successfully following a VR protocol. Full article
(This article belongs to the Special Issue Vestibular Disorders: Clinical Treatment and Rehabilitation)
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15 pages, 3364 KiB  
Article
Functional Level and Dynamic Posturography Results Two Years after Vestibular Neurectomy in Patients with Severe Meniere’s Disease
by Agnieszka Jasińska-Nowacka, Magdalena Lachowska and Kazimierz Niemczyk
J. Clin. Med. 2024, 13(12), 3362; https://doi.org/10.3390/jcm13123362 - 7 Jun 2024
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Abstract
Objectives: The aim of this study was to evaluate the functional outcomes and balance compensation in patients with severe Meniere’s disease after vestibular neurectomy. Methods: Pre- and postoperative results were analyzed in twenty patients with unilateral Meniere’s disease before and two years after [...] Read more.
Objectives: The aim of this study was to evaluate the functional outcomes and balance compensation in patients with severe Meniere’s disease after vestibular neurectomy. Methods: Pre- and postoperative results were analyzed in twenty patients with unilateral Meniere’s disease before and two years after vestibular neurectomy. Clinical evaluation was performed using a subjective grading scale proposed by the American Academy of Otolaryngology-Head and Neck Surgery and the Dizziness Handicap Inventory. Sensory organization test results were analyzed to assess the balance system before and after the surgery. Results: All patients reported a complete resolution of vertigo attacks after the vestibular neurectomy; 95% of patients reported functional level improvement according to a scale proposed by the American Academy of Otolaryngology-Head and Neck Surgery, and the average score decreased from 4.5 to 1.6. Clinical improvement, evaluated with the Dizziness Handicap Inventory, was present in all patients, with the average result decreasing from 81.7 to 16.4. Analyzing both grading systems, differences between pre- and postoperative results were statistically significant. No statistically significant differences were found between the sensory organization test results before and after vestibular neurectomy. Significant correlations were found between a patient’s age and postoperative results of the Dizziness Handicap Inventory and posturography. Conclusions: Vestibular neurectomy is an effective vertigo treatment in patients with severe Meniere’s disease with no clinical improvement despite conservative treatment. It results in subjective physical, functional, and emotional improvement, enabling patients to return to daily activities and work. An appropriate qualification of patients and comprehensive preoperative evaluation are essential to obtaining satisfactory clinical outcomes. Full article
(This article belongs to the Special Issue Vestibular Disorders: Clinical Treatment and Rehabilitation)
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