Article
Clinical Neurology
Birgul Balci, Gulden Akdal
Summary: This study investigated the effects of an individualized vestibular rehabilitation program on balance, gait performance, and self-perceived handicap in vestibular migraine patients with associated anxiety. The findings showed that vestibular exercises improved balance and gait performance and reduced self-perceived handicap, even in patients with anxiety complaints. Therefore, vestibular rehabilitation should be included in the treatment of vestibular migraine patients with both high and low anxiety levels to improve vestibular function.
JOURNAL OF NEUROLOGY
(2022)
Article
Medicine, General & Internal
Vishal Sana, Misbah Ghous, Muhammad Kashif, Abdulaziz Albalwi, Rashida Muneer, Mahnoor Zia
Summary: This study aimed to evaluate the comparative effects of vestibular rehabilitation with virtual reality on dizziness, balance, and gait in patients with subacute stroke. The randomized clinical trial involved 34 subacute stroke patients randomly assigned to 2 groups; 1 received vestibular rehabilitation therapy (VRT) and the other virtual reality (VR) treatment. The results showed that VR was more effective in improving balance and gait, while VRT was more effective in improving dizziness symptoms.
Review
Clinical Neurology
Fabiane de Castro Vaz, Leonardo Petrus, Wagner Rodrigues Martins, Isabella Monteiro de Castro Silva, Jade Arielly Oliveira Lima, Nycolle Margarida da Silva Santos, Natalia Turri-Silva, Fayez Bahmad Jr
Summary: This study analyzes the effects of cochlear implant surgery on postural stability in adult patients through multiple vestibular function tests. The findings show that vestibular alterations and balance disorders are the most common complications caused by cochlear implant placement. VEMP and caloric test are the most commonly used tests to assess vestibular function.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Eytan A. David, Navid Shahnaz
Summary: This study evaluated the long-term changes in participant-reported disability and objective posturography after computerized vestibular retraining for unilateral vestibular deficits. The results showed significant improvements in perceived disability and postural stability at 4-6 months and 10-12 months after treatment.
NEUROREHABILITATION
(2023)
Article
Clinical Neurology
Emily A. Keshner, Arthur I. Mallinson, Neil S. Longridge, Solara Sinno, Hannes Petersen, Philippe Perrin
Summary: In the early years of spaceflight, astronauts experienced impairment and incapacitation upon returning to Earth. Computerized Dynamic Posturography (CDP) was developed to assess and quantify this deficit. However, the advancement of virtual reality (VR) technology has now allowed for a more informative and low-cost alternative approach. VR has the potential to replace the current mechanical CDP techniques and become an integral part of posturography.
FRONTIERS IN NEUROLOGY
(2023)
Article
Clinical Neurology
Charlotte De Vestel, Willem De Hertogh, Vincent Van Rompaey, Luc Vereeck
Summary: Clinical balance and visual dependence tests can help identify patients with persistent postural-perceptual dizziness (PPPD). PPPD patients are more visually dependent but do not necessarily have worse postural balance compared to non-PPPD patients.
FRONTIERS IN NEUROLOGY
(2022)
Article
Medicine, Research & Experimental
Alicia Wang, Guangwei Zhou, Sophie Lipson, Kosuke Kawai, Meghan Corcoran, Jacob R. Brodsky
Summary: The study demonstrates that the causes of dizziness and imbalance in the pediatric population are diverse, with many patients having multiple diagnoses that are often interrelated. It is important for providers to recognize that vestibular symptoms in children and adolescents may have multifactorial causes spanning across multiple specialties.
Article
Clinical Neurology
Regan G. Harrell, Michael C. Schubert, Sara Oxborough, Susan L. Whitney
Summary: During the COVID-19 pandemic, physical therapists in the United States shifted to providing telehealth for patients with vestibular disorders. A survey of physical therapists revealed that more than 80% agreed that telehealth was an effective platform for vestibular physical therapy. Common vestibular diagnoses, including benign paroxysmal positional vertigo and vestibular neuritis, were found to be comfortable to treat via telehealth. However, barriers such as testing balance without a caregiver present and providing written home exercise programs were reported by physical therapists.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Chih-Chung Chen, Ting-Yi Lee, Hsun-Hua Lee, Yu-Hung Kuo, Anand K. Bery, Tzu-Pu Chang
Summary: This retrospective study analyzed the long-term treatment outcome of vestibular paroxysmia (VP) in 29 patients. The study found that low-dose oxcarbazepine monotherapy was effective for VP over the long term, with about 20% of patients experiencing long-term remission off medication.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Christos Nikitas, Evangelia Kontogianni, Sofia Papadopoulou, Michalis Tsoukatos, Dimitris Kikidis
Summary: The objective of this cross-sectional study was to identify correlations among functional gait, cognitive function, and perceived dizziness in people with peripheral vestibular disorders and explore variables that could be used as prognostic factors of functional gait. The results showed that age, perceived level of disability, and vigilance were predictive factors of functional gait variability and high risk of falling. The study concluded that cognitive impairments affect functional gait in people with peripheral vestibular disorders, highlighting the importance of integrating cognitive assessment into rehabilitation programs.
JOURNAL OF THE NEUROLOGICAL SCIENCES
(2023)
Article
Otorhinolaryngology
Hirofumi Ogihara, Tomohiko Kamo, Ryozo Tanaka, Masato Azami, Takumi Kato, Mayumi Endo, Reiko Tsunoda, Hiroaki Fushiki
Summary: This study aimed to identify factors associated with the outcome of physical-therapist-supervised vestibular rehabilitation in patients with peripheral vestibular disorders, with the impact of dizziness on quality of life as the main outcome. The results showed that a higher level of confidence in balance was associated with better improvement in the outcome. Therefore, assessing psychological factors, especially confidence in balance, is important in implementing vestibular rehabilitation for patients with peripheral vestibular disorders.
AURIS NASUS LARYNX
(2022)
Review
Pediatrics
Pasquale Viola, Gianmarco Marciano, Alessandro Casarella, Davide Pisani, Alessia Astorina, Alfonso Scarpa, Elena Siccardi, Emanuele Basile, Giovambattista De Sarro, Luca Gallelli, Giuseppe Chiarella
Summary: Vertigo in children is a challenging topic due to the lack of dedicated trials, guidelines, and papers causing inhomogeneity in treatment. This review summarizes existing evidence related to drug use for childhood vertigo and emphasizes the urgent need for international guidelines.
Article
Clinical Neurology
Josefine Eder, Silvy Kellerer, Tamara Amberger, Aram Keywan, Julia Dlugaiczyk, Max Wuehr, Klaus Jahn
Summary: There is no synergistic treatment effect when noisy galvanic vestibular stimulation (nGVS) is combined with vestibular rehabilitation training (VRT) in patients with bilateral vestibulopathy (BVP). However, nGVS may be used as a complementary therapeutic option during postural activities in daily life.
JOURNAL OF NEUROLOGY
(2022)
Article
Clinical Neurology
Jan Erik Berge, Frederik Kragerud Goplen, Hans Jorgen Aarstad, Tobias Andre Storhaug, Stein Helge Glad Nordahl
Summary: Unsteadiness is associated with higher age, heart disease, diabetes, hypertension, and cerebrovascular dizziness. Unsteadiness is an independent predictor of mortality.
FRONTIERS IN NEUROLOGY
(2022)
Article
Clinical Neurology
Lien Van Laer, Ann Hallemans, Vincent Van Rompaey, Claudia De Valck, Paul van de Heyning, Luc Vereeck
Summary: A retrospective cohort study was conducted on 66 patients who underwent VS resection. It was found that patients with chronic dizziness after surgery had lower levels of physical activity and worse balance performance. Multiple regression analysis showed that physical activity level and balance performance significantly predicted the DHI score at 6 months.
FRONTIERS IN NEUROLOGY
(2022)
Article
Neurosciences
Phui Lin Se To, Devinder Kaur Ajit Singh, Susan L. Whitney
Summary: This study aimed to investigate the effectiveness of customized vestibular rehabilitation (VR) in addition to the standard canalith repositioning maneuver (CRM) on dynamic gait measures in adults with unilateral posterior canal BPPV. The results showed that customized VR plus standard CRM was more effective than standard CRM alone in improving balance and gait in adults with posterior canal BPPV.
JOURNAL OF VESTIBULAR RESEARCH-EQUILIBRIUM & ORIENTATION
(2022)
Article
Medicine, General & Internal
Carrie W. Hoppes, Karen H. Lambert, Brooke N. Klatt, Orlando D. Harvard, Susan L. Whitney
Summary: This article introduces the unique symptoms presented by individuals following suspected sonic attacks on U.S. Embassies, believed to be caused by exposure to directed energy. The authors provide evidence-based guidance for vestibular physical therapy to aid in the rehabilitation and return to duty of these individuals.
Article
Rehabilitation
Stanley J. Winser, Anne Y. Y. Chan, Raymond Chung, Susan Whitney, Priya Kannan
Summary: This study evaluated the validity and responsiveness of four balance measures in cerebellar ataxia patients. The results showed that the BBS and SARA-bal had strong criterion and convergent validity, while the SOT and LOS had lower validity. The BBS, SARA-bal, and MXE-LOS(R) demonstrated satisfactory ability to classify stable and worsened patients at 6 and 12 months.
Article
Medicine, General & Internal
Susan L. Whitney, Victoria Ou, Pedram Hovareshti, Claudia M. Costa, Amy R. Cassidy, Pamela M. Dunlap, Shamus Roeder, Lisa Holt, Devendra Tolani, Brooke N. Klatt, Carrie W. Hoppes
Summary: The VestAid application provides unique information about eye-gaze accuracy and detects eye movement abnormalities in participants with DE exposure, concussion, and vestibular neuritis. The objective metrics of eye-gaze stability correlate with participants' symptoms and perceived difficulty of the eye/head movements.
Article
Health Care Sciences & Services
Shahnaz Hasan, Amir Iqbal, Ahmad. H. H. Alghadir, Asma Alonazi, Danah Alyahya
Summary: This study evaluated the combined effect of lower trapezius muscle (LTr-M) strengthening and pectoralis minor muscle (PMi-M) stretching on correcting rounded shoulder postures and shoulder flexion range of motion (SFROM) in young Saudi females. The combined effect was found to be more beneficial than PMi-M stretching alone in correcting rounded shoulder posture by increasing PMi-M resting length.
Article
Medicine, General & Internal
Ahmad H. Alghadir, Hamayun Zafar, Masood Khan
Summary: This study found that there was no acute effect of 63 Hz and 42 Hz vibration of the biceps brachii muscle on active elbow joint position sense in healthy adults.
Article
Rehabilitation
Sonakshi Sehgal, Aksh Chahal, Vandana Esht, Mohammed M. Alshehri, Rashid Ali Beg, Mohammad Abu Shaphe, Ramzi Abdu Alajam, Faizan Z. Kashoo, Ahmad H. Alghadir, Masood Khan
Summary: This study investigated the impact of a four-week exercise program on the roller skating talent and overall physical fitness proficiency in young male roller skaters. The results showed that the exercise program significantly improved skating performance, agility, and speed compared to physical education classes activities. However, there was no significant difference in balance improvement between the two groups.
BMC SPORTS SCIENCE MEDICINE AND REHABILITATION
(2023)
Article
Cell Biology
Ahmad H. Alghadir, Sami A. Gabr, Amir Iqbal
Summary: The present study aimed to evaluate the levels of mineral elements and their correlation with oxidative stress markers and adiposity markers in adolescents with intellectual disabilities. The results showed that moderate intellectual disability was associated with obesity, increased levels of adipokines, increased oxidative stress, and alterations in specific mineral elements.
BMC MOLECULAR AND CELL BIOLOGY
(2023)
Article
Multidisciplinary Sciences
Hadeel A. Al-Rawaf, Sami A. Gabr, Ahmad H. Alghadir
Summary: This study demonstrates that active green tea polyphenols (GTPs) significantly improve diabetic wound healing. This improvement may be attributed to the ability of these polyphenols to regulate cellular apoptosis and angiogenesis processes.
Article
Medicine, General & Internal
Hadeel A. Al-Rawaf, Sami A. Gabr, Amir Iqbal, Ahmad H. Alghadir
Summary: High-intensity interval training (HIIT) has a positive impact on mitochondrial biogenesis and function, leading to improvements in patients with type 2 diabetes mellitus (T2DM).
MEDICINA-LITHUANIA
(2023)
Letter
Medicine, General & Internal
E. Al-Eisa, S. A. Gabr, A. H. Alghadir
JOURNAL OF THE PAKISTAN MEDICAL ASSOCIATION
(2023)
Article
Medicine, Research & Experimental
Hadeel A. Al-Rawaf, Sami A. Gabr, Amir Iqbal, Ahmad H. Alghadir
Summary: This study investigated the role of circulating microRNAs and hepcidin in controlling iron homeostasis in school children. The results showed that miR-146a, miR-125b, and miR-122 were significantly upregulated in adolescence with iron deficiency and iron deficiency anemia compared to iron-overloaded subjects. This study suggests that circulating microRNAs and serum hepcidin could be valuable markers for diagnosing and treating different iron deficiencies.
EUROPEAN JOURNAL OF MEDICAL RESEARCH
(2023)
Article
Medicine, General & Internal
Faten S. Obeidat, Alia A. Alghwiri, Susan L. Whitney
Summary: This study aimed to explore the presence and correlates of dizziness and hearing loss in individuals with long-COVID syndrome. The results showed that female sex and high fatigue severity were associated with an increased likelihood of reporting dizziness, while the severity of dizziness and neurological symptoms during the acute stage of COVID-19 were associated with an increased likelihood of reporting hearing loss.
MEDICINA-LITHUANIA
(2023)
Article
Otorhinolaryngology
R. G. Harrell, A. R. Cassidy, B. N. Klatt, P. Hovareshti, S. L. Whitney
Summary: This article describes a case of a CANVAS patient who showed improved eye gaze compliance and functional gait outcomes after vestibular physical therapy.
JOURNAL OF OTOLOGY
(2023)
Article
Medicine, General & Internal
Hadeel A. Al-Rawaf, Sami A. Gabr, Amir Iqbal, Ahmad H. Alghadir
Summary: The aim of this study was to investigate the effects of 12 weeks of high-intensity intermittent training (HIIT) on melatonin function, lymphocyte cell apoptosis, oxidative stress, and physical performance. The results showed that HIIT training significantly increased melatonin secretion, lymphocyte apoptosis, and physical performance. These findings suggest that HIIT training may have potential benefits for improving biological aging and enhancing physical performance.
MEDICINA-LITHUANIA
(2023)
