The compensation of the vestibulo-ocular reflex during rehabilitation of the patients presenting with vestibular neuritis

Vestnik otorinolaringologii
N L Kunel'skayaE A Manaenkova

Abstract

The objective of the present study was to elucidate the mechanisms behind the compensation of the vestibular ocular reflex and evaluate the effectiveness of vestibular rehabilitation in the patients presenting with vestibular neuritis (VN) with the application of the video head-impulse test (vHIT) and the dynamic visual acuity test (DVAT). The study included 26 patients with vestibular neuritis whose condition was assessed by scoring based on the dizziness handicap inventory, the dynamic visual acuity test, and the video head-impulse test with the evaluation of saccades and the degree of eye-head movement coordination (gain) before and after the course of vestibular rehabilitation. The study has demonstrated that the course of vestibular rehabilitation of the patients presenting with vestibular neuritis resulted in a significant decrease in the scores of dizziness estimated based on the dizziness handicap inventory and an improvement of dynamic visual acuity in the case of the complete gain recovery as well as in the case of persisting impairment of the gain and the development of sufficient 'covert' saccade. Vestibular rehabilitation was unsuccessful in the patients with persistereduced gain and simultaneous development of 'co...Continue Reading

References

Apr 1, 1990·Archives of Otolaryngology--head & Neck Surgery·G P Jacobson, C W Newman
Mar 26, 2009·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Elizabeth DannenbaumJoyce Fung
Oct 17, 2009·Seminars in Neurology·Michael Strupp, Thomas Brandt
Jul 3, 2016·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·Leise Elisabeth Hviid KorsagerJens Højberg Wanscher

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Citations

Oct 23, 2019·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·Lacour MichelThiry Alain
Mar 23, 2021·Journal of Vestibular Research : Equilibrium & Orientation·Michel LacourLaurent Tardivet

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