Efficacy and Comparison of Vestibular Rehabilitation Exercises on Quality of Life in Patients with Vestibular Disorders
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ORIGINAL ARTICLE
Efficacy and Comparison of Vestibular Rehabilitation Exercises on Quality of Life in Patients with Vestibular Disorders Kumar Gourav Sharma1
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Ashok Kumar Gupta1
Received: 26 May 2020 / Accepted: 16 June 2020 Association of Otolaryngologists of India 2020
Abstract Vertigo is the sensation of spinning or having one’s surroundings spin about them. It represents about 25% of cases of occurrences of dizziness Yardley et al. (Br J Gen Pract 48(429):1131–1135, 1998). About 40% patients have peripheral vestibular dysfunction (Neuhauser in Curr Opin Neurol 20:40–46, 2007). Quality of life (QOL) is significantly impaired by vertigo (Patatas et al. in Braz J Otorhinolaryngol 75:387–394, 2009). To study the effect and compare vestibular exercises on QOL in patients with vestibular disorders. 120 individuals with vestibular disorders like acoustic neuroma, vestibular neuritis, labyrinthitis, Meniere’s disease, vestibulopathy, ISSNHL and ototoxicity were included. Four groups adaptation exercises, habituation exercises, substitution exercises, and combined exercises were formed and 30 individuals were selected in each group randomly. Vestibular activities and participation (VAP) was administered before and after exercises to fulfill the aim. VAP Scale results revealed significant difference between pre and post treatment score in all groups, suggestive of positive effect on QOL in patients with vestibular disorders. Improvements in VAP Score between all groups were compared and significant difference was observed. Combined exercises group found to be best out of 4 exercises group. Keywords Adaptation exercises Habituation exercises Substitution exercises
& Kumar Gourav Sharma [email protected] 1
Department of ENT, Geetanjali Medical College and Hospital, Udaipur, Rajasthan 313001, India
Introduction In situations of sensory information conflict, individual fells unstable or dizzy. Dizziness is an impairment in spatial perception and stability. The term dizziness is imprecise: it can refer to vertigo, presyncope, disequilibrium, or a non-specific feeling such as giddiness or foolishness. Vertigo is the sensation of spinning or having one’s surroundings spin about them. Many people find vertigo very disturbing and often report associated nausea and vomiting. It represents about 25% of cases of occurrences of dizziness [23]. About 40% patients have peripheral vestibular dysfunction [15, 23]. The Vestibular Rehabilitation protocols are considered effective at reducing dizziness and its consequences. Treatment of vestibular deficits reduces the burden of fall related injuries and improves quality of life. Vestibular exercises improve balance, decrease risk of falling, decrease dizziness, and improve quality of life. Vestibular exercises improve vestibulospinal compensation in patients with acute peripheral vestibular disorders. Vestibular adaptation exercises result in improved postural stability and in a diminished perception of disequilibrium in both the chronic and acute stages. Vestibular adapta
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