Personalized Vestibular Rehabilitation - Medical Chart Survey with Patients Seen at the Ambulatory of Otoneurology

Sep 5, 2026

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Objective: verify the efficiency of personalized vestibular rehabilitation (PVR) across different otoneurologic clinical diseases and determine the best protocol option for each case. Methods: a retrospective clinical chart survey included 37 patients aged 21–87 (26 females, 11 males) attending an otoneurologic ambulatory from 2002–2003. After otoneurologic evaluation and diagnosis, patients followed diagnosis- and symptom-based programs; individual and group analyses were performed. Results: PVR is concluded as an effective resource for otoneurologic symptoms, improving patients’ quality of life.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages8

Reading Time20 min

AccessFree to download

Summary

Introduction

Vestibular function and balance mechanisms

Types and prevalence of dizziness

Etiological variability and diagnosis

Therapeutic strategy and role of rehabilitation

ORIGINAL ARTICLE Personalized vestibular rehabilitation: medical chart survey with patients seen at the ambulatory of otoneurology of I.S.C.M.S.P. Lucia Kazuko Nishino1, Cristina de Freitas Ganança2, Andrea Manso3, Carlos Alberto Herrerias de Campos4, GustavoP. Korn5 Key words: vestibular rehabilitation, personalized vestibular rehabilitation. Summary The objective of this research study was to verify the efficiency of the personalized vestibular rehabilitation (PVR) in different otoneurologic clinical diseases, as well as set the best protocol option in each case. Study design: clinical retrospective. Material and method: A retrospective study was conducted based on the description of the vestibular rehabilitation program of 37 patients aged 21 to 87 years, twenty-six females and eleven males, with different clinical diseases seen in the Otoneurologic Ambulatory of Otolaryngology, department of Irmandade da Santa Casa de Misericórdia de Sao Paulo, from 2002 to 2003. Those patients went through otoneurologic evaluation and after diagnosis they were referred to vestibular rehabilitation. Each patient followed a specific program based on diagnosis, clinical disease and symptoms. We performed an individual analysis of the evaluation of each patient and group analysis in order to verify the efficiency of the PVR. Conclusion: It was possible to conclude that the PVR program is an effective resource in the treatment of otoneurologic symptoms of patients, consequently improving their quality of life. 1 Specialist in Clinical Audiology, Speech and Hearing Therapist. 2 Ph.D. studies in Communication Disorders under course, Universidade Federal de Sao Paulo-Escola Paulista de Medicina, Speech and Hearing Therapist. 3 Specialist in Clinical Audiology. 4 Ph.D. in Otorhinolaryngology. 5 Master studies in Medicine under course, Program of Post-graduation in Otorhinolaryngology, Universidade Federal de Sao Paulo-Escola Paulista de Medicina, Otorhinolaryngologist. Article submited on March 10, 2005. Article accepted on June 16, 2005. BRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY 71 (4) PART 1 JULY/AUGUST 2005 [http://www.rborl.org.br / e-mail:](http://www.rborl.org.br / e-mail:) [revista@aborlccf.org.br](revista@aborlccf.org.br) 440 INTRODUCTION Maintenance of body balance during body and head movement depends on the harmonious interaction of the motor sensorial systems and precise processing of information. For this reason, the Central Nervous System (CNS) needs redundant information coming from vestibular, visual and proprioceptive systems about what happens in the environment to maintain our body erect and in balance 1. If there is damage to one of these systems, there will be discrepancy of information leading to conflict, which may lead to onset of body imbalance symptoms, such as dizziness, which is defined as a mistaken sensation of body and environmental movement. There are different types of dizziness, which may be divided into rotation dizziness, known as vertigo and non-rotation dizziness, characterized by instability, fluctuation, sensation of fall, gait deviation, empty-head sensation, among others 1-3. The CNS processes this information by combining it and generates responses by reflexes that improve posture control and body orientation in relation to the space, allowing the subject to make his/her daily activities. The most important reflexes are VestibuleOcular Reflex (RVO) and Vestibule-Spinal Reflex (RVE); RVO allows stabilization of sight during head movement and RVE generates body movement of compensation to maintain the stability of the head and body, so as to prevent falls 1. Dizziness has high incidence in the world population, reported by many authors as the main complaint after the age of 65 years, present in about 80% of the population. As to origin, in 85% of the cases it is located in the vestibular system and the other 15% originates exclusively from ocular, neurological, psychia

FAQs

What is the main objective of the study on personalized vestibular rehabilitation (PVR)?

To verify PVR efficiency across different otoneurologic clinical diseases and set the best protocol option for each case.

How was the study conducted and who were the participants?

A retrospective clinical chart survey included 37 patients aged 21–87 who were evaluated and referred to vestibular rehabilitation after diagnosis in 2002–2003.

What conclusion did the study reach about PVR for otoneurologic symptoms?

PVR was concluded to be an effective resource for treating otoneurologic symptoms, improving patients’ quality of life.

Sep 5, 2026

Upload by Xiajie