Answer for question 3.15 is B. Alamo, Adimoolam, Thoa, Yang, Linda, Tong got it right. Vestibular rehabilitation is an effective means of managing unilateral peripheral vestibular disorders, such as vestibular neuritis, labyrinthitis, Ménière disease, and loss of vestibular function due to ablative surgery (eg, excision of acoustic neuroma) or trauma (eg, temporal bone fracture involving the labyrinth). Rehabilitation involves movement-based training exercises to desensitize the vestibular system and limit associated symptoms. Patients learn to coordinate eye and head movements, to improve balance and walking skills, and to cope with or become more active despite the condition. A Cochrane review of 27 randomized clinical trials showed that vestibular rehabilitation was effective in reducing subjective dizziness and improved participation in life roles and activities of daily living. The exception to these findings was for the group with benign paroxysmal positional vertigo. For this group of patients, comparisons of vestibular rehabilitation with specific physical repositioning maneuvers (eg, Epley maneuver) showed that the repositioning maneuvers more effectively reduced dizziness symptoms, particularly in the short term. Combining the maneuvers with vestibular rehabilitation was effective in improving functional recovery in the longer term. There were no reports of adverse effects after vestibular rehabilitation, and positive effects were maintained in studies with follow-up assessment at 3–12 months (SOE=A).
Posted on: Mon, 04 Aug 2014 23:52:12 +0000
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