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Static and dynamic balance and well-being after acute unilateral vestibular loss
Örebro University, School of Health and Medical Sciences.
Örebro University, School of Health and Medical Sciences.ORCID iD: 0000-0001-6557-6359
2008 (English)In: Audiological Medicine, ISSN 1651-386X, E-ISSN 1651-3835, Vol. 6, no 4, p. 265-270Article in journal (Refereed) Published
Abstract [en]

The aim of this trial was to evaluate long-term (after six months) effects of successful vestibular rehabilitation in patients with acute unilateral vestibular loss (AUVL) in relation to static and dynamic balance, hypertension, headache, disturbed sleep and physical exercise habits. A group of 42 patients were included. For comparison, an age and gender matched healthy reference group was used, consisting of 56 subjects. The assessments were static and dynamic balance performances with the Romberg test, a sharpened Romberg test (SREC), standing on one leg with eyes open/closed (SOLEO/SOLEC) and a 10-m walking test, with and without head movements. A questionnaire concerning the occurrence of hypertension, headache, disturbed sleep and physical exercise habits was also administered. The AUVL group walked significantly slower and took shorter steps (p<0.001) compared to the subjects in the reference group. Significantly impaired performances were also found in the AUVL group in SREC (p<0.01) and SOLEC (p<0.05) compared to the reference group. A significantly larger proportion of patients with AUVL (26%) used anti-hypertensive medication compared to the reference group (4%) (p<0.01). This study demonstrated that AUVL patients, after vestibular rehabilitation and compensation, still have long-term static and dynamic balance problems. We have also found that patients who have suffered from AUVL have a higher prevalence of hypertension compared to a reference group.

Place, publisher, year, edition, pages
2008. Vol. 6, no 4, p. 265-270
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-6946DOI: 10.1080/16513860802504681OAI: oai:DiVA.org:oru-6946DiVA, id: diva2:219388
Available from: 2009-05-27 Created: 2009-05-27 Last updated: 2017-12-13Bibliographically approved
In thesis
1. Dizziness, balance and rehabilitation in vestibular disorders
Open this publication in new window or tab >>Dizziness, balance and rehabilitation in vestibular disorders
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Dizziness and balance problems are common symptoms at all ages. The aims were; to evaluate rehabilitation, static, dynamic balance and recovery in acute unilateral vestibular loss (AUVL), to evaluate the treatment of benign paroxysmal positional vertigo (BPPV) with assessment of static and dynamic balance and to evaluate the prevalence of dizziness and BPPV in a population of 75-year-olds.

Study 1: Twenty-seven patients (51years) with AUVL were included and the recovery was followed regarding vestibular function, dizziness, and sick-leave. The recovery was rapid, with disappearance of spontaneous nystagmus and rapid return to work.

Study II: Forty two patents (51 years) with AUVL were included and compared with a reference group. Static and dynamic balance were assessed after six months. Significant instability was found both in static and dynamic balance compared to a reference group.

Study III: Seventeen patients (52 years) with severe BPPV (> 3 months) were treated with Semonts´s manouver and/or Brandt-Daroff exercises. The recovery was evaluated by Dix-Hallpike test, subjective dizziness, unsteadiness and balance tests, after 1, 6 and 12 months. Semont´s maneouver resolved dizziness but the long term follow up showed impaired balance.

Study IV: A large cohort (675) of elderly was assessed regarding dizziness and BPPV. Side lying test and balance tests were applied. A high prevalence of dizziness (36%) and BPPV (11%) was found.

Conclusions: Patients with AUVL and BPPV have despite good symptomatic relief, still impaired static and dynamic balance at long term follow up. BPPV in elderly is common and should be examined since it can be treated.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2011. p. 78
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 33
Keywords
benign paroxysmal positional vertigo, static balance, dynamic balance, unilateral vestibular loss, dizziness, walking, vestibular rehabilitation
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-15012 (URN)978-91-7668-797-0 (ISBN)
Public defence
2011-06-10, Arvid Carlssons föreläsningssal, Sahlgrenska akademin,Göteborgs universitet, Göteborg, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2011-03-17 Created: 2011-03-17 Last updated: 2017-10-17Bibliographically approved

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Kollén, LenaMöller, Claes

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