Sage Journals: Discover world-class research

Abstract

Objective

To systematically review the evidence on the effect of vestibular rehabilitation in patients with Ménière’s disease (MD) on balance and dizziness-related quality of life.

Data Sources

A literature search was conducted in the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, Web of Science, and CINAHL databases.

Review Methods

Articles were reviewed by 2 independent authors and data were compiled in tables for analysis regarding balance (ie, posturography) and dizziness-specific quality of life in patients with MD. A comprehensive search was performed up to November 2015. Studies on relevance and methodological quality were assessed by means of the Cochrane risk of bias tool. For outcome on balance and quality of life, we calculated mean differences and their 95% confidence intervals.

Results

A total of 986 unique studies were retrieved. Five studies, including a total of 498 patients, fulfilled the eligibility criteria, including 2 randomized controlled trials and 3 prospective cohort studies. There was no study with a low risk of bias. We found inconsistent evidence for the effect of vestibular rehabilitation on balance and dizziness-related quality of life.

Conclusion

Based on the low quality of the selected studies, it is inconclusive whether there is a positive effect of vestibular rehabilitation in patients with MD on balance and dizziness-related quality of life.

Keywords

Ménière’s disease physiotherapy vestibular rehabilitation vertigo

Get full access to this article

View all access options for this article.

References

Portmann

The old and new in Meniere’s disease—over 60 years in retrospect and a look to the future. Otolaryngol Clin North Am. 1980;13:567-575.

Committee on Hearing and Equilibrium. New and revised reporting guidelines from the Committee on Hearing and Equilibrium. American Academy of Otolaryngology—Head and Neck Surgery Foundation, Inc. Otolaryngol Head Neck Surg. 1995;113:176-178.

Clemmens

Ruckenstein

Characteristics of patients with unilateral and bilateral Meniere’s disease. Otol Neurotol. 2012;33:1266-1269.

Ruckenstein

Harris

. Cochlear pathology in Menière’s disease. In: Harris

, ed. Menière’s Disease. The Hague, The Netherlands: Kugler; 1999:195-202.

Burgess

Kundu

Diuretics for Ménière’s disease or syndrome. Cochrane Database Syst Rev. 2006;(3):CD003559.

James

Burton

MJ.

Betahistine for Meniere’s disease or syndrome. Cochrane Database Syst Rev. 2001;(1):CD001873.

Pullens

Verschuur

van Benthem

PP.

Surgery for Meniere’s disease. Cochrane Database Syst Rev. 2013;2:CD005395.

Katsarkas

Hearing loss and vestibular dysfunction in Meniere’s disease. Acta Otolaryngol (Stockh) Suppl. 1996;116:185-188.

Ricci

Aratani

Dona

Macedo

Caovilla

Gananca

FF.

A systematic review about the effects of the vestibular rehabilitation in middle-age and older adults. Rev Bras Fisioter. 2010;14:361-371.

10.

Herdman

. Vestibular Rehabilitation. 3rd ed. Philadelphia, PA: FA Davis Company; 2007.

11.

Herdman

SJ.

Role of vestibular adaptation in vestibular rehabilitation. Otolaryngol Head Neck Surg. 1998;119:49-54.

12.

Hillier

Hollohan

Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2007;(2):CD005397.

13.

Liberati

Altman

Tetzlaff

. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol. 2009;62:e1-e34.

14.

Higgins

JPT

Green

, eds. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration; 2011. Available from www.cochrane-handbook.org.

15.

Garcia

Ganaca

Cusin

. Vestibular rehabilitation with virtual reality in Ménière’s disease. Braz J Otorhinolaryngol. 2013;79:366-364.

16.

Gottshall

Hoffer

Moore

. The role of vestibular rehabilitation in the treatment of Meniere’s disease. Otolaryngol Head Neck Surg. 2005;133:326-328.

17.

Nyabenda

Briart

Deggou

. Benefit of rotational exercises for patients with Meniere’s syndrome, method used by the ENT department of St.-Luc university clinic. Ann Redapt Med Phys. 2003;45:607-614.

18.

Perez

Santandreu

Benitez

Improvement of postural control in patients with peripheral vestibulopathy. Eur Arch Otorhinolaryngol. 2006;263:414-420.

19.

Yardley

Kirby

Evaluation of booklet-based self-management of symptoms in Ménière’s disease; a randomized controlled trial. Psychosom Med. 2006;68:762-769.

20.

Fong

Aslakson

Agrawal

Systematic review of patients-reported outcome measures in clinical vestibular research. Arch Phys Med Rehabil. 2015;96:357-365.

21.

Martin

Silva

Basots

de Oliveira Sanchez

. Effect of vestibular rehabilitation in the elderly: a systematic review. Aging Clin Exp Res. 2016;28:599-606.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.07 MB