Gradient impact of cognitive decline in unilateral vestibular hypofunction after rehabilitation: preliminary findings

European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
Alessandro MicarelliMarco Alessandrini

Abstract

Considering recent advances in central cognitive- and age-related processing interfering with balance and sensory reweighting in uncompensated vestibular disorders, purpose of this study is to highlight the vestibular rehabilitation (VR) outcomes in a population of older adults and age-matched mild cognitive impairment (MCI) patients, both affected by unilateral vestibular hypofunction (UVH) and undergoing VR. Vestibulo-ocular reflex (VOR), postural sway examination (respectively, performed by video head impulse test and static posturography) and dizziness-related and quality-of-life scores were collected in 12 UVH MCI individuals ≥ 55 years and 12 matched UVH older adults with age-appropriate cognitive function-cognitively evaluated by means of Mini-Mental State Examination (MMSE) and Alzheimer's Disease Assessment Scale-before and after a VR protocol. A significant post-treatment reduction in surface, length and power spectra (PS) values within low-frequency domain and an improvement in performance measures were recorded in both groups. Moreover, the VR protocol highlighted-when comparing pre-/post-treatment differences (Δ)-a significant (i) increase in Δ VOR gain; (ii) decrease in Δ surface and length and (iii) increase in Δ...Continue Reading

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Citations

Mar 19, 2019·Journal of Neurologic Physical Therapy : JNPT·Brooke N KlattYuri Agrawal
Nov 11, 2019·Journal of Vestibular Research : Equilibrium & Orientation·Alessandro MicarelliMarco Alessandrini
Jun 17, 2020·Cranio : the Journal of Craniomandibular Practice·Alessandro MicarelliMarco Alessandrini
Aug 11, 2020·Somatosensory & Motor Research·Alessandro MicarelliMarco Alessandrini
Dec 1, 2020·Journal of Vestibular Research : Equilibrium & Orientation·Alessandro MicarelliMarco Alessandrini
Jan 5, 2021·European Archives of Oto-rhino-laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery·Alessandro MicarelliMarco Alessandrini
Jul 16, 2020·European Journal of Physical and Rehabilitation Medicine·Alessandro MicarelliMarco Alessandrini
Aug 11, 2021·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Marco AlessandriniAlessandro Micarelli
Jul 1, 2021·The Laryngoscope·Alessandro MicarelliMarco Alessandrini
Sep 13, 2021·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Andreas LiliosCharalambos Skoulakis

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