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Influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss.
Clin Rehabil. 2006 Feb; 20(2):142-8.CR

Abstract

OBJECTIVE

To evaluate the influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss.

DESIGN

Prospective study.

SETTING

Ear, nose and throat departments in three hospitals.

SUBJECTS

Fifty-four patients (mean age 52 years) with acute unilateral vestibular loss participating in a randomized controlled training study were included.

MAIN MEASURES

Electronystagmography testing was performed within one week after onset of symptoms and after 10 weeks. The outcome measures clinical static balance tests (sharpened Romberg's test with eyes closed, standing on foam with eyes closed, and standing on one leg with eyes open and closed) and subjective symptom ratings on a visual analogue scale were done after one week, 10 weeks and six months. The correlation between age and asymmetry of vestibular caloric response, respectively, and the outcome measures were analysed.

RESULTS

Greater caloric asymmetry correlated with poorer performance at the sharpened Romberg's test and standing on one leg with eyes closed at all three follow-ups (rho = -0.31 to -0.54), and with higher symptom ratings at the 10-week and six-month follow-ups (rho = 0.30-0.60). Higher age was associated with poorer performance on the sharpened Romberg's test and standing on one leg at all three follow-ups (rho = 0.31-0.64), but did not change over time. Higher age was also associated with higher ratings of vertigo at the six-month follow-up, and less reduction of vertigo between the 10-week and six-month follow-ups (rho = 0.29-0.48).

CONCLUSIONS

A higher degree of asymmetry of vestibular caloric response and high age seem to be associated with poor outcome in balance and perceived symptoms after acute unilateral vestibular loss.

Authors+Show Affiliations

Division of Physical Therapy, Department of Health and Society, Linköping University, Sweden. ankam@ihs.liu.seNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16541934

Citation

Kammerlind, Ann-Sofi C., et al. "Influence of Asymmetry of Vestibular Caloric Response and Age On Balance and Perceived Symptoms After Acute Unilateral Vestibular Loss." Clinical Rehabilitation, vol. 20, no. 2, 2006, pp. 142-8.
Kammerlind AS, Ledin TE, Odkvist LM, et al. Influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss. Clin Rehabil. 2006;20(2):142-8.
Kammerlind, A. S., Ledin, T. E., Odkvist, L. M., & Skargren, E. I. (2006). Influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss. Clinical Rehabilitation, 20(2), 142-8.
Kammerlind AS, et al. Influence of Asymmetry of Vestibular Caloric Response and Age On Balance and Perceived Symptoms After Acute Unilateral Vestibular Loss. Clin Rehabil. 2006;20(2):142-8. PubMed PMID: 16541934.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss. AU - Kammerlind,Ann-Sofi C, AU - Ledin,Torbjörn E A, AU - Odkvist,Lars M, AU - Skargren,Elisabeth I B, PY - 2006/3/18/pubmed PY - 2006/7/14/medline PY - 2006/3/18/entrez SP - 142 EP - 8 JF - Clinical rehabilitation JO - Clin Rehabil VL - 20 IS - 2 N2 - OBJECTIVE: To evaluate the influence of asymmetry of vestibular caloric response and age on balance and perceived symptoms after acute unilateral vestibular loss. DESIGN: Prospective study. SETTING: Ear, nose and throat departments in three hospitals. SUBJECTS: Fifty-four patients (mean age 52 years) with acute unilateral vestibular loss participating in a randomized controlled training study were included. MAIN MEASURES: Electronystagmography testing was performed within one week after onset of symptoms and after 10 weeks. The outcome measures clinical static balance tests (sharpened Romberg's test with eyes closed, standing on foam with eyes closed, and standing on one leg with eyes open and closed) and subjective symptom ratings on a visual analogue scale were done after one week, 10 weeks and six months. The correlation between age and asymmetry of vestibular caloric response, respectively, and the outcome measures were analysed. RESULTS: Greater caloric asymmetry correlated with poorer performance at the sharpened Romberg's test and standing on one leg with eyes closed at all three follow-ups (rho = -0.31 to -0.54), and with higher symptom ratings at the 10-week and six-month follow-ups (rho = 0.30-0.60). Higher age was associated with poorer performance on the sharpened Romberg's test and standing on one leg at all three follow-ups (rho = 0.31-0.64), but did not change over time. Higher age was also associated with higher ratings of vertigo at the six-month follow-up, and less reduction of vertigo between the 10-week and six-month follow-ups (rho = 0.29-0.48). CONCLUSIONS: A higher degree of asymmetry of vestibular caloric response and high age seem to be associated with poor outcome in balance and perceived symptoms after acute unilateral vestibular loss. SN - 0269-2155 UR - https://www.unboundmedicine.com/medline/citation/16541934/Influence_of_asymmetry_of_vestibular_caloric_response_and_age_on_balance_and_perceived_symptoms_after_acute_unilateral_vestibular_loss_ L2 - https://journals.sagepub.com/doi/10.1191/0269215506cr886oa?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -