دورية أكاديمية
Questioning the Impact of Vestibular Rehabilitation in Mal de Debarquement Syndrome.
| العنوان: | Questioning the Impact of Vestibular Rehabilitation in Mal de Debarquement Syndrome. |
|---|---|
| المؤلفون: | Cedras AM; School of Speech Language Pathology and Audiology, Université de Montréal, Montreal, Québec, Canada.; Institut Universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), pavillon Laurier, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Québec, Canada., Moin-Darbari K; School of Speech Language Pathology and Audiology, Université de Montréal, Montreal, Québec, Canada.; Institut Universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), pavillon Laurier, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Québec, Canada., Foisy K; Audiology Center-West, Montreal, Québec, Canada., Auger S; Audiology Center-West, Montreal, Québec, Canada., Nguyen D; Jewish General Hospital, Montreal, Québec, Canada.; Research Institute of the McGill University Health Centre (RI-MUHC), Montreal, Québec, Canada., Champoux F; School of Speech Language Pathology and Audiology, Université de Montréal, Montreal, Québec, Canada.; Institut Universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), pavillon Laurier, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Québec, Canada.; Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, Montreal, Québec, Canada., Maheu M; School of Speech Language Pathology and Audiology, Université de Montréal, Montreal, Québec, Canada.; Institut Universitaire sur la réadaptation en déficience physique de Montréal (IURDPM), pavillon Laurier, CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Québec, Canada. |
| المصدر: | Audiology & neuro-otology [Audiol Neurootol] 2024; Vol. 29 (2), pp. 107-113. Date of Electronic Publication: 2023 Oct 11. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Karger Country of Publication: Switzerland NLM ID: 9606930 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1421-9700 (Electronic) Linking ISSN: 14203030 NLM ISO Abbreviation: Audiol Neurootol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Basel ; New York : Karger, c1996- |
| مواضيع طبية MeSH: | Quality of Life* , Travel-Related Illness*, Humans ; Dizziness ; Vertigo ; Postural Balance |
| مستخلص: | Introduction: Mal de debarquement syndrome (MdDS) is a rare and poorly understood clinical entity defined as a persistent sensation of rocking and swaying that can severely affect the quality of life. To date, the treatment options are very limited. Even though vestibular rehabilitation (VR) efficacy following peripheral vestibular lesion is well-documented, little is known about its influence on MdDS. The objective of the study was to explore the influence of traditional VR program on postural control in a patient diagnosed with MdDS. Methods: We assessed 3 different participants: 1 healthy control; 1 participant with identified peripheral vestibular impairment (VI); 1 participant diagnosed with MdDS. Postural control was assessed using a force plate (AMTI, Accusway). Participants were assessed following the modified Clinical Test Sensory Integration Balance protocol (mCTSIB, eyes open on firm surface/eyes closed on firm surface/eyes open on foam/eyes closed on foam). The raw data were exported and analyzed in a custom-made Matlab script (Matlab R2020a). We retrieved the center of pressure velocity in both anterior-posterior and mediolateral directions and performed an analysis of the frequency content using Daubechies wavelet of order 4 with 6 levels of decomposition. Protocol VI and MdDS patients performed a 4-week VR program. Postural control, using a force plate, and Dizziness Handicap Inventory (DHI) were assessed before and after the VR program. Healthy control was assessed twice separated by 1 week without any specific intervention. Results: VI participant showed clear improvement on DHI and sway velocity on condition eyes closed with foam. Accordingly, a reduction of energy content within frequency bands (0.39-0.78 Hz and 0.78-1.56 Hz) was observed post-rehabilitation for VI participant in both conditions with foam. Interestingly, MdDS participant demonstrated a reduction in sway velocity in most of the conditions but the frequency content was not modified by VR and was comparable to healthy control. Accordingly, the DHI of the MdDS participant failed to demonstrate any difference following VR. Conclusion: The results of the present study question the use of VR as an efficient treatment option for MdDS. Future studies must recruit a larger sample size and focus on the relationship between illusion of movement and postural characteristics such as sway velocity. (© 2023 S. Karger AG, Basel.) |
| فهرسة مساهمة: | Keywords: Postural control; Posture Balance; Vestibular therapy; Wavelets Vestibular impairment |
| SCR Disease Name: | Mal de debarquement |
| تواريخ الأحداث: | Date Created: 20231011 Date Completed: 20240404 Latest Revision: 20240404 |
| رمز التحديث: | 20240404 |
| DOI: | 10.1159/000533684 |
| PMID: | 37820609 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder كن أول من يترك تعليقا!