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Review on Physical Therapy for Patients with Vestibular Disorder

  • Kwon, Yong Hyun (Department of Physical Therapy, Yeungnam University College) ;
  • Ko, Yu Min (Department of Physical Therapy, Gangneung Yeungdong College)
  • Received : 2017.12.04
  • Accepted : 2017.12.28
  • Published : 2017.12.30

Abstract

Effort to improve balance ability in the field of rehabilitation has been constantly issued and developed up to now. A variety of subcomponent of postural control including function and cognition should be needed in many body systems and be complicatedly linked to each system. In South Korea, although decreased postural dysfunction due to neurological or musculoskeletal disorders has been well documented, we do not have many experience and knowledge of vestibular rehabilitation for maintain and improve balance function. In the United States, vestibular physical therapy is already acknowledged as clinical subspecialty by American Physical Therapy Association. However, there is no curriculum subject related to vestibular rehabilitation in standard education of physical therapy and no specialist who has clinical experience and knowledge of this realm. Therefore, we reviewed general information and basic knowledge of vestibular rehabilitation such as current state of vestibular disorder in South Korea, pathology, major causes of vestibular dysfunction including peripheral vestibular disorders, vestibular neuritis, benign paroxysmal positional vertigo, and central disorder, evaluation of vestibular dysfunction, and treatment for vestibular dysfunction new approaches. We expect that physical therapist in South Korea recognize clinical significance of vestibular exercise and that clinical concern and research will be begun in near future.

Keywords

References

  1. Furman JM CS, Whitney SL. Vestibular disorders a case study approach. New York, Oxford University Press, 2010.
  2. Hillier S, McDonnell M. Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane review. Eur J Phys Rehabil Med. 2016;52(4):541-56.
  3. Neuhauser HK, von Brevern M, Radtke A et al. Epidemiology of vestibular vertigo: a neurotologic survey of the general population. Neurology. 2005;65(6):898-904. https://doi.org/10.1212/01.wnl.0000175987.59991.3d
  4. Sloane PD, Coeytaux RR, Beck RS et al. Dizziness: state of the science. Ann Intern Med. 2001;134(9 Pt 2):823-32. https://doi.org/10.7326/0003-4819-134-9_Part_2-200105011-00005
  5. Post RE, Dickerson LM. Dizziness: a diagnostic approach. Am Fam Physician. 2010;82(4):361-8.
  6. Whitney SL, Hudak MT, Marchetti GF. The dynamic gait index relates to self-reported fall history in individuals with vestibular dysfunction. J Vestib Res. 2000;10(2):99-105.
  7. Gamiz MJ, Lopez-Escamez JA. Health-related quality of life in patients over sixty years old with benign paroxysmal positional vertigo. Gerontology. 2004;50(2):82-6. https://doi.org/10.1159/000075558
  8. Pavlou M. The use of optokinetic stimulation in vestibular rehabilitation. J Neurol Phys Ther. 2010;34(2):105-10. https://doi.org/10.1097/NPT.0b013e3181dde6bf
  9. Tjernstrom F, Zur O, Jahn K. Current concepts and future approaches to vestibular rehabilitation. J Neurol. 2016;263 Suppl 1:S65-70. https://doi.org/10.1007/s00415-015-7914-1
  10. Gillespie LD, Robertson MC, Gillespie WJ et al. Interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2012(9):CD007146.
  11. Gyllensvard H. Cost-effectiveness of injury prevention - a systematic review of municipality based interventions. Cost Eff Resour Alloc. 2010;8:17. https://doi.org/10.1186/1478-7547-8-17
  12. Rhee CK. Vestibular rehabilitation. Audiol Speech Res. 2010;6(1):1-9.
  13. Koo JW, Chang MY, Woo SY et al. Prevalence of vestibular dysfunction and associated factors in South Korea. BMJ Open. 2015;5(10):e008224. https://doi.org/10.1136/bmjopen-2015-008224
  14. Mueller M, Strobl R, Jahn K et al. Burden of disability attributable to vertigo and dizziness in the aged: results from the KORA-age study. Eur J Public Health. 2014;24(5):802-7. https://doi.org/10.1093/eurpub/ckt171
  15. Nakashima K, Yokoyama Y, Shimoyama R et al. Prevalence of neurological disorders in a Japanese town. Neuroepidemiology. 1996;15(4):208-13. https://doi.org/10.1159/000109909
  16. Agrawal Y, Carey JP, Della Santina CC et al. Disorders of balance and vestibular function in us adults: data from the National Health and Nutrition Examination Survey, 2001-2004. Arch Intern Med. 2009;169(10):938-44. https://doi.org/10.1001/archinternmed.2009.66
  17. Neuhauser HK, Radtke A, von Brevern M et al. Burden of dizziness and vertigo in the community. Arch Intern Med. 2008;168(19):2118-24. https://doi.org/10.1001/archinte.168.19.2118
  18. Lai YT, Wang TC, Chuang LJ et al. Epidemiology of vertigo: a national survey. Otolaryngol Head Neck Surg. 2011;145(1):110-6. https://doi.org/10.1177/0194599811400007
  19. Kim JY, Jeong SY, Park SM et al. Oriental medical treatment pattern of Korean patients with dizziness or vertigo. J Orient Neuropsychiatry. 2015;26(3):225-34. https://doi.org/10.7231/jon.2015.26.3.225
  20. Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol. 2007;20(1):40-6. https://doi.org/10.1097/WCO.0b013e328013f432
  21. Lee HJ, Choi SM. Factors influencing adherence to vestibular rehabilitation exercise program in patients with dizziness. Korean J Adult Nurs. 2014;26(4):434-43. https://doi.org/10.7475/kjan.2014.26.4.434
  22. Liston MB, Bamiou DE, Martin F et al. Peripheral vestibular dysfunction is prevalent in older adults experiencing multiple non-syncopal falls versus age-matched non-fallers: a pilot study. Age Ageing. 2014;43:38-43. https://doi.org/10.1093/ageing/aft129
  23. Smouha E. Inner ear disorders. NeuroRehabilitation. 2013;32(3):455-62.
  24. Strupp M, Brandt T. Peripheral vestibular disorders. Curr Opin Neurol. 2013;26(1):81-9. https://doi.org/10.1097/WCO.0b013e32835c5fd4
  25. Hillier SL, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2011(2):CD005397.
  26. Alghadir AH, Iqbal ZA, Whitney SL. An update on vestibular physical therapy. J Chin Med Assoc. 2013;76(1):1-8. https://doi.org/10.1016/j.jcma.2012.09.003
  27. Marioni G, Fermo S, Lionello M et al. Vestibular rehabilitation in elderly patients with central vestibular dysfunction: a prospective, randomized pilot study. Age (Dordr). 2013;35(6):2315-27. https://doi.org/10.1007/s11357-012-9494-7
  28. Ogata Y, Sekitani T, Shimogori H et al. Bilateral vestibular neuronitis. Acta Otolaryngol Suppl. 1993;503:57-60.
  29. Reinhard A, Maire R. [Vestibular neuritis: treatment and prognosis]. Rev Med Suisse. 2013;9(400):1775-9.
  30. Sekitani T, Imate Y, Noguchi T et al. Vestibular neuronitis: epidemiological survey by questionnaire in Japan. Acta Otolaryngol Suppl. 1993;503:9-12.
  31. Jeong SH, Kim HJ, Kim JS. Vestibular neuritis. Semin Neurol. 2013;33(3):185-94. https://doi.org/10.1055/s-0033-1354598
  32. Fishman JM, Burgess C, Waddell A. Corticosteroids for the treatment of idiopathic acute vestibular dysfunction (vestibular neuritis). Cochrane Database Syst Rev. 2011;(5):CD008607.
  33. Goudakos JK, Markou KD, Psillas G et al. Corticosteroids and vestibular exercises in vestibular neuritis. Single-blind randomized clinical trial. JAMA Otolaryngol Head Neck Surg. 2014;140(5):434-40. https://doi.org/10.1001/jamaoto.2014.48
  34. Herdman SJ. Vestibular rehabilitation. Curr Opin Neurol. 2013;26(1):96-101. https://doi.org/10.1097/WCO.0b013e32835c5ec4
  35. Hong SK, Kim JH, Kim HJ et al. Changes in the gray matter volume during compensation after vestibular neuritis: a longitudinal vbm study. Restor Neurol Neurosci. 2014;32(5):663-73.
  36. Deveze A, Bernard-Demanze L, Xavier F et al. Vestibular compensation and vestibular rehabilitation. Current concepts and new trends. Neurophysiol Clin. 2014;44(1):49-57. https://doi.org/10.1016/j.neucli.2013.10.138
  37. von Brevern M, Radtke A, Lezius F et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007;78(7):710-5. https://doi.org/10.1136/jnnp.2006.100420
  38. Bhattacharyya N, Baugh RF, Orvidas L et al. Clinical practice guideline: Benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2008;139(5 Suppl 4):S47-81.
  39. Kim HA, Lee H. Autonomic dysfunction as a possible cause of residual dizziness after successful treatment in benign paroxysmal positional vertigo. Clin Neurophysiol. 2014;125(3):608-14. https://doi.org/10.1016/j.clinph.2013.08.008
  40. Yamanaka T, Shirota S, Sawai Y et al. Osteoporosis as a risk factor for the recurrence of benign paroxysmal positional vertigo. Laryngoscope. 2013;123(11):2813-6. https://doi.org/10.1002/lary.24099
  41. Talaat HS, Abuhadied G, Talaat AS et al. Low bone mineral density and vitamin d deficiency in patients with benign positional paroxysmal vertigo. Eur Arch Otorhinolaryngol. 2015;272(9):2249-53. https://doi.org/10.1007/s00405-014-3175-3
  42. Yu S, Liu F, Cheng Z et al. Association between osteoporosis and benign paroxysmal positional vertigo: a systematic review. BMC Neurol. 2014;14:110. https://doi.org/10.1186/1471-2377-14-110
  43. Prokopakis E, Vlastos IM, Tsagournisakis M et al. Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol. 2013;18(2):83-8. https://doi.org/10.1159/000343579
  44. Faralli M, Cipriani L, Del Zompo MR et al. Benign paroxysmal positional vertigo and migraine: analysis of 186 cases. B-ENT. 2014;10(2):133-9.
  45. Babac S, Djeric D, Petrovic-Lazic M et al. Why do treatment failure and recurrences of benign paroxysmal positional vertigo occur? Otol Neurotol. 2014;35(6):1105-10. https://doi.org/10.1097/MAO.0000000000000417
  46. Diaz DS. Management of athletes with postconcussion syndrome. Semin Speech Lang. 2014;35(3):204-10. https://doi.org/10.1055/s-0034-1384682
  47. Schneider KJ, Meeuwisse WH, Nettel-Aguirre A et al. Cervicovestibular rehabilitation in sport-related concussion: a randomized controlled trial. Br J Sports Med. 2014;48(17):1294-8. https://doi.org/10.1136/bjsports-2013-093267
  48. Fife TD, Giza C. Posttraumatic vertigo and dizziness. Semin Neurol. 2013;33(3):238-43. https://doi.org/10.1055/s-0033-1354599
  49. Aligene K, Lin E. Vestibular and balance treatment of the concussed athlete. NeuroRehabilitation. 2013;32(3):543-53.
  50. Gurley JM, Hujsak BD, Kelly JL. Vestibular rehabilitation following mild traumatic brain injury. NeuroRehabilitation. 2013;32(3):519-28.
  51. Mucha A, Collins MW, Elbin RJ et al. A brief vestibular/ocular motor screening (VOMS) assessment to evaluate concussions: preliminary findings. Am J Sports Med. 2014;42(10):2479-86. https://doi.org/10.1177/0363546514543775
  52. Whitney SL, Alghwiri A, Alghadir A. Physical therapy for persons with vestibular disorders. Curr Opin Neurol. 2015;28(1):61-8. https://doi.org/10.1097/WCO.0000000000000162
  53. Kruger E, Teasell R, Salter K et al. The rehabilitation of patients recovering from brainstem strokes: case studies and clinical considerations. Top Stroke Rehabil. 2007;14(5):56-64. https://doi.org/10.1310/tsr1405-56
  54. Brown KE, Whitney SL, Marchetti GF et al. Physical therapy for central vestibular dysfunction. Arch Phys Med Rehabil. 2006;87(1):76-81. https://doi.org/10.1016/j.apmr.2005.08.003
  55. Dai CY, Huang YH, Chou LW et al. Effects of primary caregiver participation in vestibular rehabilitation for unilateral neglect patients with right hemispheric stroke: a randomized controlled trial. Neuropsychiatr Dis Treat. 2013;9:477-84.
  56. Jacobson GP, Newman CW. The development of the dizziness handicap inventory. Arch Otolaryngol Head Neck Surg. 1990;116(4):424-7. https://doi.org/10.1001/archotol.1990.01870040046011
  57. Jacob RG, Whitney SL, Detweiler-Shostak G et al. Vestibular rehabilita tion for patients with agoraphobia and vestibular dysfunction: a pilot study. J Anxiety Disord. 2001;15(1-2):131-46. https://doi.org/10.1016/S0887-6185(00)00047-5
  58. Graziano M. Introduction to the international classification of functioning disability and health - icf - in the context of vestibular rehabilitation. J Vestib Res. 2013;23(6):293-6.
  59. Alghwiri AA, Marchetti GF, Whitney SL. Content comparison of selfreport measures used in vestibular rehabilitation based on the international classification of functioning, disability and health. Phys Ther. 2011;91(3):346-57. https://doi.org/10.2522/ptj.20100255
  60. Malmstrom EM, Westergren H, Fransson PA et al. Experimentally induced deep cervical muscle pain distorts head on trunk orientation. Eur J Appl Physiol. 2013;113(10):2487-99. https://doi.org/10.1007/s00421-013-2683-y
  61. Huntley AH, Srbely JZ, Zettel JL. Experimentally induced central sensitization in the cervical spine evokes postural stiffening strategies in healthy young adults. Gait Posture. 2015;41(2):652-7. https://doi.org/10.1016/j.gaitpost.2015.01.017
  62. Horak FB. Clinical measurement of postural control in adults. Phys Ther. 1987;67(12):1881-5. https://doi.org/10.1093/ptj/67.12.1881
  63. Wrisley DM, Whitney SL. The effect of foot position on the modified clinical test of sensory interaction and balance. Arch Phys Med Rehabil. 2004;85(2):335-8. https://doi.org/10.1016/j.apmr.2003.03.005
  64. Black FO, Angel CR, Pesznecker SC et al. Outcome analysis of individualized vestibular rehabilitation protocols. Am J Otol. 2000;21(4):543-51.
  65. Horak FB, Jones-Rycewicz C, Black FO et al. Effects of vestibular rehabilitation on dizziness and imbalance. Otolaryngol Head Neck Surg. 1992;106(2):175-80.
  66. Podsiadlo D, Richardson S. The timed “up & go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
  67. Wrisley DM, Marchetti GF, Kuharsky DK et al. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther. 2004;84(10):906-18.
  68. Whitney SL, Rossi MM. Efficacy of vestibular rehabilitation. Otolaryngol Clin North Am. 2000;33(3):659-72. https://doi.org/10.1016/S0030-6665(05)70232-2
  69. Pavlou M, Quinn C, Murray K et al. The effect of repeated visual motion stimuli on visual dependence and postural control in normal subjects. Gait Posture. 2011;33(1):113-8. https://doi.org/10.1016/j.gaitpost.2010.10.085
  70. Whitney SL, Sparto PJ, Hodges LF et al. Responses to a virtual reality grocery store in persons with and without vestibular dysfunction. Cyberpsychol Behav. 2006;9(2):152-6. https://doi.org/10.1089/cpb.2006.9.152
  71. Vitte E, Semont A, Berthoz A. Repeated optokinetic stimulation in conditions of active standing facilitates recovery from vestibular deficits. Exp Brain Res. 1994;102(1):141-8.
  72. Merlingolda V. Vestibular rehabilitation: rehabilitation options for patients with dizziness and imbalance. Nurs J India. 2013;104(1):18-20.
  73. Chang WC, Yang YR, Hsu LC et al. Balance improvement in patients with benign paroxysmal positional vertigo. Clin Rehabil. 2008;22(4):338-47. https://doi.org/10.1177/0269215507082741
  74. Asai T, Doi T, Hirata S et al. Dual tasking affects lateral trunk control in healthy younger and older adults. Gait Posture. 2013;38(4):830-6. https://doi.org/10.1016/j.gaitpost.2013.04.005
  75. Asai T, Misu S, Doi T et al. Effects of dual-tasking on control of trunk movement during gait: respective effect of manual- and cognitive-task. Gait Posture. 2014;39(1):54-9. https://doi.org/10.1016/j.gaitpost.2013.05.025
  76. Bernard-Demanze L, Dumitrescu M, Jimeno P et al. Age-related changes in posture control are differentially affected by postural and cognitive task complexity. Curr Aging Sci. 2009;2(2):139-49.
  77. Stroud KJ, Harm DL, Klaus DM. Preflight virtual reality training as a countermeasure for space motion sickness and disorientation. Aviat Space Environ Med. 2005;76(4):352-6.
  78. Pavlou M, Kanegaonkar RG, Swapp D et al. The effect of virtual reality on visual vertigo symptoms in patients with peripheral vestibular dysfunction: a pilot study. J Vestib Res. 2012;22(5-6):273-81.
  79. Bittar RS, Barros Cde G. Vestibular rehabilitation with biofeedback in patients with central imbalance. Braz J Otorhinolaryngol. 2011;77(3):356-61. https://doi.org/10.1590/S1808-86942011000300014
  80. Vuillerme N, Hlavackova P, Franco C et al. Can an electro-tactile vestibular substitution system improve balance in patients with unilateral vestibular loss under altered somatosensory conditions from the foot and ankle? Conf Proc IEEE Eng Med Biol Soc. 2011;2011:1323-6.
  81. Chen EW, Fu AS, Chan KM et al. The effects of tai chi on the balance control of elderly persons with visual impairment: a randomized clinical trial. Age Ageing. 2012;41(2):254-9. https://doi.org/10.1093/ageing/afr146
  82. Gabilan YP, Perracini MR, Munhoz MS et al. Aquatic physiotherapy for vestibular rehabilitation in patients with unilateral vestibular hypofunction: exploratory prospective study. J Vestib Res. 2008;18(2-3):139-46.
  83. Hillier SL, McDonnell M. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Clin Otolaryngol. 2011;36(3):248-9. https://doi.org/10.1111/j.1749-4486.2011.02309.x
  84. Blatt PJ, Georgakakis GA, Herdman SJ et al. The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo. Am J Otol. 2000;21(3):356-63. https://doi.org/10.1016/S0196-0709(00)80045-9
  85. Odman M, Maire R. Chronic subjective dizziness. Acta Otolaryngol. 2008;128(10):1085-8. https://doi.org/10.1080/00016480701805455
  86. Staab JP, Ruckenstein MJ, Solomon D et al. Serotonin reuptake inhibitors for dizziness with psychiatric symptoms. Arch Otolaryngol Head Neck Surg. 2002;128(5):554-60. https://doi.org/10.1001/archotol.128.5.554
  87. Karlberg M, Magnusson M, Malmstrom EM et al. Postural and symptomatic improvement after physiotherapy in patients with dizziness of suspected cervical origin. Arch Phys Med Rehabil. 1996;77(9):874-82. https://doi.org/10.1016/S0003-9993(96)90273-7
  88. Lacour M, Bernard-Demanze L. Interaction between vestibular compensation mechanisms and vestibular rehabilitation therapy: 10 recommendations for optimal functional recovery. Front Neurol. 2014;5:285.
  89. Whitney SL, Alghadir AH, Anwer S. Recent evidence about the effectiveness of vestibular rehabilitation. Curr Treat Options Neurol. 2016;18(3):13. https://doi.org/10.1007/s11940-016-0395-4
  90. Krpic A, Savanovic A, Cikajlo I. Telerehabilitation: remote multimediasupported assistance and mobile monitoring of balance training outcomes can facilitate the clinical staff's effort. Int J Rehabil Res. 2013;36(2):162-71. https://doi.org/10.1097/MRR.0b013e32835dd63b
  91. Meldrum D, Herdman S, Vance R et al. Effectiveness of conventional versus virtual reality-based balance exercises in vestibular rehabilitation for unilateral peripheral vestibular loss: results of a randomized controlled trial. Arch Phys Med Rehabil. 2015;96(7):1319-28 e1. https://doi.org/10.1016/j.apmr.2015.02.032
  92. Hesse S, Schmidt H, Werner C et al. Upper and lower extremity robotic devices for rehabilitation and for studying motor control. Curr Opin Neurol. 2003;16(6):705-10. https://doi.org/10.1097/00019052-200312000-00010
  93. Guinand N, van de Berg R, Cavuscens S et al. Vestibular implants: 8 years of experience with electrical stimulation of the vestibular nerve in 11 patients with bilateral vestibular loss. ORL J Otorhinolaryngol Relat Spec. 2015;77(4):227-40. https://doi.org/10.1159/000433554