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

Kim R. Gottshall, Michael E Hoffer, Robert J. Moore, Ben J. Balough

Research output: Contribution to journalArticle

28 Citations (Scopus)

Abstract

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

Original languageEnglish (US)
Pages (from-to)326-328
Number of pages3
JournalOtolaryngology - Head and Neck Surgery
Volume133
Issue number3
DOIs
StatePublished - Sep 2005
Externally publishedYes

Fingerprint

Meniere Disease
Rehabilitation
Therapeutics
Vertigo
Tertiary Healthcare
Gentamicins
Self Report
Physical Examination
History

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

The role of vestibular rehabilitation in the treatment of Meniere's disease. / Gottshall, Kim R.; Hoffer, Michael E; Moore, Robert J.; Balough, Ben J.

In: Otolaryngology - Head and Neck Surgery, Vol. 133, No. 3, 09.2005, p. 326-328.

Research output: Contribution to journalArticle

Gottshall, Kim R. ; Hoffer, Michael E ; Moore, Robert J. ; Balough, Ben J. / The role of vestibular rehabilitation in the treatment of Meniere's disease. In: Otolaryngology - Head and Neck Surgery. 2005 ; Vol. 133, No. 3. pp. 326-328.
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