Effects of Saccular Function on Recovery of Subjective Dizziness After Vestibular Rehabilitation.
Identifieur interne : 000526 ( Main/Curation ); précédent : 000525; suivant : 000527Effects of Saccular Function on Recovery of Subjective Dizziness After Vestibular Rehabilitation.
Auteurs : Junhui Jeong [Corée du Sud] ; Jinsei Jung ; Jeon Mi Lee ; Michelle J. Suh ; Sang Hyun Kwak ; Sung Huhn KimSource :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2017.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mâle (MeSH), Névrite vestibulaire (diagnostic), Névrite vestibulaire (physiopathologie), Névrite vestibulaire (rééducation et réadaptation), Résultat thérapeutique (MeSH), Saccule et utricule (physiopathologie), Sensation vertigineuse (diagnostic), Sensation vertigineuse (physiopathologie), Sujet âgé (MeSH), Vertige (diagnostic), Vertige (physiopathologie), Vertige (rééducation et réadaptation), Épreuves vestibulaires (MeSH), Équilibre postural (physiologie), Études rétrospectives (MeSH).
- MESH :
- diagnostic : Névrite vestibulaire, Sensation vertigineuse, Vertige.
- physiologie : Équilibre postural.
- physiopathologie : Névrite vestibulaire, Saccule et utricule, Sensation vertigineuse, Vertige.
- rééducation et réadaptation : Névrite vestibulaire, Vertige.
- Adulte d'âge moyen, Femelle, Humains, Indice de gravité de la maladie, Mâle, Résultat thérapeutique, Sujet âgé, Épreuves vestibulaires, Études rétrospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Dizziness (diagnosis), Dizziness (physiopathology), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Postural Balance (physiology), Retrospective Studies (MeSH), Saccule and Utricle (physiopathology), Severity of Illness Index (MeSH), Treatment Outcome (MeSH), Vertigo (diagnosis), Vertigo (physiopathology), Vertigo (rehabilitation), Vestibular Function Tests (MeSH), Vestibular Neuronitis (diagnosis), Vestibular Neuronitis (physiopathology), Vestibular Neuronitis (rehabilitation).
- MESH :
- diagnosis : Dizziness, Vertigo, Vestibular Neuronitis.
- physiology : Postural Balance.
- physiopathology : Dizziness, Saccule and Utricle, Vertigo, Vestibular Neuronitis.
- rehabilitation : Vertigo, Vestibular Neuronitis.
- Aged, Female, Humans, Male, Middle Aged, Retrospective Studies, Severity of Illness Index, Treatment Outcome, Vestibular Function Tests.
Abstract
OBJECTIVE
We attempted to investigate whether the integrity of saccular function influences the severity of subjective dizziness after vestibular rehabilitation in vestibular neuritis.
STUDY DESIGN
Retrospective analysis.
SETTING
Tertiary referral center.
PATIENTS
Forty-six patients with acute unilateral vestibular neuritis were included.
INTERVENTIONS
Diagnostic, therapeutic, and rehabilitative.
MAIN OUTCOME MEASURES
All the patients completed vestibular rehabilitation therapy until their computerized dynamic posturography and rotary chair test results were significantly improved. The rehabilitation patients were classified into the normal to mild subjective dizziness and moderate to severe subjective dizziness groups according to the dizziness handicap inventory score (cutoff of 40). Differences between the two groups were analyzed.
RESULTS
After rehabilitation, 32.6% of the patients still complained of moderate to severe dizziness. Age, sex distribution, the presence of comorbidities, caloric weakness, pre- and postrehabilitation gain values in rotary chair test, postrehabilitation composite scores in posturography, and the duration of rehabilitation were not significantly different between the two groups. However, initial dizziness handicap inventory (DHI) score and composite score in dynamic posturography were worse and the proportion of patients with absent cervical vestibular-evoked myogenic potential in the moderate to severe group was much higher (93.3% vs. 35.5%, p < 0.001). After multiple regression analysis of those factors, initial DHI score and absent cervical vestibular-evoked myogenic potential response were identified as being associated with higher postrehabilitation DHI score.
CONCLUSION
Saccular dysfunction in acute vestibular neuritis can contribute to persistent subjective dizziness, even after the objective parameters of vestibular function tests have been improved by vestibular rehabilitation.
DOI: 10.1097/MAO.0000000000001467
PubMed: 28562427
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Suh</name></author><author><name sortKey="Kwak, Sang Hyun" sort="Kwak, Sang Hyun" uniqKey="Kwak S" first="Sang Hyun" last="Kwak">Sang Hyun Kwak</name></author><author><name sortKey="Kim, Sung Huhn" sort="Kim, Sung Huhn" uniqKey="Kim S" first="Sung Huhn" last="Kim">Sung Huhn Kim</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28562427</idno><idno type="pmid">28562427</idno><idno type="doi">10.1097/MAO.0000000000001467</idno><idno type="wicri:Area/Main/Corpus">000526</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000526</idno><idno type="wicri:Area/Main/Curation">000526</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000526</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Effects of Saccular Function on Recovery of Subjective Dizziness After Vestibular Rehabilitation.</title><author><name sortKey="Jeong, Junhui" sort="Jeong, Junhui" uniqKey="Jeong J" first="Junhui" last="Jeong">Junhui Jeong</name><affiliation wicri:level="1"><nlm:affiliation>*Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang †Department of Medicine, The Graduate School, Yonsei University ‡Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul §Department of Otorhinolaryngology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang ||The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Korea.</nlm:affiliation><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>*Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang †Department of Medicine, The Graduate School, Yonsei University ‡Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul §Department of Otorhinolaryngology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang ||The Airway Mucus Institute, Yonsei University College of Medicine, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Jung, Jinsei" sort="Jung, Jinsei" uniqKey="Jung J" first="Jinsei" last="Jung">Jinsei Jung</name></author><author><name sortKey="Lee, Jeon Mi" sort="Lee, Jeon Mi" uniqKey="Lee J" first="Jeon Mi" last="Lee">Jeon Mi Lee</name></author><author><name sortKey="Suh, Michelle J" sort="Suh, Michelle J" uniqKey="Suh M" first="Michelle J" last="Suh">Michelle J. Suh</name></author><author><name sortKey="Kwak, Sang Hyun" sort="Kwak, Sang Hyun" uniqKey="Kwak S" first="Sang Hyun" last="Kwak">Sang Hyun Kwak</name></author><author><name sortKey="Kim, Sung Huhn" sort="Kim, Sung Huhn" uniqKey="Kim S" first="Sung Huhn" last="Kim">Sung Huhn Kim</name></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Dizziness (diagnosis)</term><term>Dizziness (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Postural Balance (physiology)</term><term>Retrospective Studies (MeSH)</term><term>Saccule and Utricle (physiopathology)</term><term>Severity of Illness Index (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Vertigo (diagnosis)</term><term>Vertigo (physiopathology)</term><term>Vertigo (rehabilitation)</term><term>Vestibular Function Tests (MeSH)</term><term>Vestibular Neuronitis (diagnosis)</term><term>Vestibular Neuronitis (physiopathology)</term><term>Vestibular Neuronitis (rehabilitation)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Mâle (MeSH)</term><term>Névrite vestibulaire (diagnostic)</term><term>Névrite vestibulaire (physiopathologie)</term><term>Névrite vestibulaire (rééducation et réadaptation)</term><term>Résultat thérapeutique (MeSH)</term><term>Saccule et utricule (physiopathologie)</term><term>Sensation vertigineuse (diagnostic)</term><term>Sensation vertigineuse (physiopathologie)</term><term>Sujet âgé (MeSH)</term><term>Vertige (diagnostic)</term><term>Vertige (physiopathologie)</term><term>Vertige (rééducation et réadaptation)</term><term>Épreuves vestibulaires (MeSH)</term><term>Équilibre postural (physiologie)</term><term>Études rétrospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dizziness</term><term>Vertigo</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Névrite vestibulaire</term><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Équilibre postural</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Névrite vestibulaire</term><term>Saccule et utricule</term><term>Sensation vertigineuse</term><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Saccule and Utricle</term><term>Vertigo</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Vertigo</term><term>Vestibular Neuronitis</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Névrite vestibulaire</term><term>Vertige</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Retrospective Studies</term><term>Severity of Illness Index</term><term>Treatment Outcome</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Mâle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Épreuves vestibulaires</term><term>Études rétrospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>We attempted to investigate whether the integrity of saccular function influences the severity of subjective dizziness after vestibular rehabilitation in vestibular neuritis.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Retrospective analysis.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Tertiary referral center.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>Forty-six patients with acute unilateral vestibular neuritis were included.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>Diagnostic, therapeutic, and rehabilitative.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>All the patients completed vestibular rehabilitation therapy until their computerized dynamic posturography and rotary chair test results were significantly improved. The rehabilitation patients were classified into the normal to mild subjective dizziness and moderate to severe subjective dizziness groups according to the dizziness handicap inventory score (cutoff of 40). Differences between the two groups were analyzed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>After rehabilitation, 32.6% of the patients still complained of moderate to severe dizziness. Age, sex distribution, the presence of comorbidities, caloric weakness, pre- and postrehabilitation gain values in rotary chair test, postrehabilitation composite scores in posturography, and the duration of rehabilitation were not significantly different between the two groups. However, initial dizziness handicap inventory (DHI) score and composite score in dynamic posturography were worse and the proportion of patients with absent cervical vestibular-evoked myogenic potential in the moderate to severe group was much higher (93.3% vs. 35.5%, p < 0.001). After multiple regression analysis of those factors, initial DHI score and absent cervical vestibular-evoked myogenic potential response were identified as being associated with higher postrehabilitation DHI score.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Saccular dysfunction in acute vestibular neuritis can contribute to persistent subjective dizziness, even after the objective parameters of vestibular function tests have been improved by vestibular rehabilitation.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28562427</PMID><DateCompleted><Year>2018</Year><Month>03</Month><Day>26</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><Volume>38</Volume><Issue>7</Issue><PubDate><Year>2017</Year><Month>08</Month></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>Effects of Saccular Function on Recovery of Subjective Dizziness After Vestibular Rehabilitation.</ArticleTitle><Pagination><MedlinePgn>1017-1023</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000001467</ELocationID><Abstract><AbstractText Label="OBJECTIVE">We attempted to investigate whether the integrity of saccular function influences the severity of subjective dizziness after vestibular rehabilitation in vestibular neuritis.</AbstractText><AbstractText Label="STUDY DESIGN">Retrospective analysis.</AbstractText><AbstractText Label="SETTING">Tertiary referral center.</AbstractText><AbstractText Label="PATIENTS">Forty-six patients with acute unilateral vestibular neuritis were included.</AbstractText><AbstractText Label="INTERVENTIONS">Diagnostic, therapeutic, and rehabilitative.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES">All the patients completed vestibular rehabilitation therapy until their computerized dynamic posturography and rotary chair test results were significantly improved. The rehabilitation patients were classified into the normal to mild subjective dizziness and moderate to severe subjective dizziness groups according to the dizziness handicap inventory score (cutoff of 40). Differences between the two groups were analyzed.</AbstractText><AbstractText Label="RESULTS">After rehabilitation, 32.6% of the patients still complained of moderate to severe dizziness. Age, sex distribution, the presence of comorbidities, caloric weakness, pre- and postrehabilitation gain values in rotary chair test, postrehabilitation composite scores in posturography, and the duration of rehabilitation were not significantly different between the two groups. However, initial dizziness handicap inventory (DHI) score and composite score in dynamic posturography were worse and the proportion of patients with absent cervical vestibular-evoked myogenic potential in the moderate to severe group was much higher (93.3% vs. 35.5%, p < 0.001). After multiple regression analysis of those factors, initial DHI score and absent cervical vestibular-evoked myogenic potential response were identified as being associated with higher postrehabilitation DHI score.</AbstractText><AbstractText Label="CONCLUSION">Saccular dysfunction in acute vestibular neuritis can contribute to persistent subjective dizziness, even after the objective parameters of vestibular function tests have been improved by vestibular rehabilitation.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Jeong</LastName><ForeName>Junhui</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>*Department of Otorhinolaryngology, National Health Insurance Service Ilsan Hospital, Goyang †Department of Medicine, The Graduate School, Yonsei University ‡Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul §Department of Otorhinolaryngology, Inje University College of Medicine, Ilsan Paik Hospital, Goyang ||The Airway Mucus Institute, Yonsei University College of Medicine, Seoul, Korea.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jung</LastName><ForeName>Jinsei</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Lee</LastName><ForeName>Jeon Mi</ForeName><Initials>JM</Initials></Author><Author ValidYN="Y"><LastName>Suh</LastName><ForeName>Michelle J</ForeName><Initials>MJ</Initials></Author><Author ValidYN="Y"><LastName>Kwak</LastName><ForeName>Sang Hyun</ForeName><Initials>SH</Initials></Author><Author ValidYN="Y"><LastName>Kim</LastName><ForeName>Sung Huhn</ForeName><Initials>SH</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012189" MajorTopicYN="N">Retrospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012444" MajorTopicYN="N">Saccule and Utricle</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D020338" MajorTopicYN="N">Vestibular Neuronitis</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2018</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28562427</ArticleId><ArticleId IdType="doi">10.1097/MAO.0000000000001467</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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