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Journal ArticleDOI

Does otolith organ dysfunction influence outcomes after a customized program of vestibular rehabilitation

TLDR
Otolith dysfunction does not significantly influence the response to rehabilitation of individuals with a peripheral vestibular disorder and Vestibular rehabilitation is associated improvements in symptom severity, self-perceived handicap, and balance function in individuals with otolith dysfunction.
Abstract
Background and Purpose:Vestibular rehabilitation (VR) is a successful approach to the treatment of vestibular dysfunction. The purpose of this study was to investigate the influence of otolith dysfunction on the response to VR in individuals with a peripheral vestibular disorder.Participants and Met

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Vestibular consequences of mild traumatic brain injury and blast exposure: a review.

TL;DR: New treatment approaches may be necessary for effective otolith organ pathway recovery in addition to traditional VR for horizontal semicircular canal (vestibulo-ocular reflex) recovery of mild traumatic brain injury-related vestibular dysfunction.
Journal ArticleDOI

Recent Evidence About the Effectiveness of Vestibular Rehabilitation.

TL;DR: Typical symptoms and their management including dysregulated gait, falling, fear of falling, increased sway in standing, visual blurring, symptoms with complex visual scenes in the periphery, and weakness are all discussed with ideas for intervention.

Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure

Faith W. Akin
Abstract: ABSTRACT The purpose of this article is to review relevant literature on the effect of mild traumatic brain injury (mTBI) and blast injury on the vestibular system. Dizziness and imbalance are common sequelae associated with mTBI, and in some individuals, these symptoms may last for six months or longer. In war-related injuries, mTBI is often associated with blast exposure. The causes of dizziness or imbalance following mTBI and blast injuries have been linked to white matter abnormalities, diffuse axonal injury in the brain, and central and peripheral vestibular system damage. There is some evidence that the otolith organs may be more vulnerable to damage from blast exposure or mTBI than the horizontal semicircular canals. In addition, benign paroxysmal positional vertigo (BPPV) is a common vestibular disorder following head injury that is treated effectively with canalith repositioning therapy. Treatment for (non-BPPV) mTBI-related vestibular dysfunction has focused on the use of vestibular rehabilitation (VR) augmented with additional rehabilitation methods and medication. New treatment approaches may be necessary for effective otolith organ pathway recovery in addition to traditional VR for horizontal semicircular canal (vestibulo-ocular reflex) recovery.
Journal ArticleDOI

Otolithic organ function in patients with profound sensorineural hearing loss

TL;DR: Considering the diversity of clinical symptoms associated with PSHL with otolithic dysfunction, it may be frequently misdiagnosed, and objective means of testing the function of otolithic organs should be recommended for hearing-impaired patients.
References
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Journal ArticleDOI

The Development of the Dizziness Handicap Inventory

TL;DR: The final version of the DHI was administered to 106 consecutive patients and demonstrated good internal consistency reliability, with the exception of the physical subscale, the mean values for DHI scale scores increased significantly with increases in the frequency of dizziness episodes.
Journal Article

Walking after stroke. Measurement and recovery over the first 3 months.

TL;DR: Of the 30 showing significant recovery, only 10 regained normal speed, and 8 remained dependent upon a physical aid at 3 months, showing the wide range of change which may be expected.
Journal ArticleDOI

A new test of dynamic standing balance for stroke patients : Reliability, validity and comparison with healthy elderly

Keith D. Hill
- 01 Oct 1996 - 
TL;DR: A new clinical test of dynamic standing balance, called the Step Test, has been developed to evaluate dynamic single limb stance, which may be important in identifying balance problems during common potentially destabilizing activities, such as locomotion, for stroke patients.
Journal ArticleDOI

Muscular control of landing from unexpected falls in man.

TL;DR: It was previously shown that the controlled landing from single steps to the ground is typically brought about by accurately timed motor activity, commencing before the actual landing, and completed before time would permit the participation of a useful stretch reflex response.
Journal ArticleDOI

Head taps evoke a crossed vestibulo-ocular reflex.

TL;DR: Taps to the forehead on the midline, at the hairline (Fz), with a reflex hammer or powerful bone conduction vibrator caused short-latency surface potentials from beneath both eyes in all healthy subjects.
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