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Effects of Vestibular Rehabilitation Therapy on Postural Control and Quality of Life in Patients after a Surgical Microvascular Decompression of the Cochleo-Vestibular Nerve| Abstract
ISSN: 2161-119X

Otolaryngology: Open Access
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  • Research Article   
  • Otolaryngol (Sunnyvale) 2017, Vol 7(4): 318
  • DOI: 10.4172/2161-119X.1000318

Effects of Vestibular Rehabilitation Therapy on Postural Control and Quality of Life in Patients after a Surgical Microvascular Decompression of the Cochleo-Vestibular Nerve

Bernard-Demanze L1,2*, Montava M1,3, Mattei A1, Lavieille JP1,3 and Lacour M4
1Hôpital de la Conception, Service d’Otolaryngologie, 147 Boulevard Baille, 13005 Marseille, , France
2Université Grenoble Alpes, 621 Avenue Central 38400 Saint-Martin-d’Hères, , France
3Aix Marseille université, IFSSTAR, LBA, UMR-T 24, 13344 Marseille, , France
4Fédération de recherche 3C, UMR7260, Laboratoire de Neurosciences Intégratives et Adaptatives, 3 place Victor Hugo, 13331 Marseille Cedex 3, , France
*Corresponding Author : Bernard-Demanze L Ph.D, Master in Health and Drug Engineering, Universite Grenoble Alpes, 621 Avenue Central 38400 Saint-Martin- D’Hères, France, Tel: +33 6 82 16 09 67, Email: [email protected]

Received Date: Jul 03, 2017 / Accepted Date: Aug 24, 2017 / Published Date: Aug 31, 2017

Abstract

Introduction: The purpose of this study was to evaluate the effectiveness of a vestibular rehabilitation therapy (VRT) on the static and dynamic postural control and on the quality of life in patients after a surgical microvascular decompression of the cochleo-vestibular nerve. Method: Eight patients with a neurovascular conflict were submitted to a surgical microvascular decompression at the Hospital (France). Four patients (G1 group) benefited from VRT whereas four other patients (G2 group) returned to their daily life functions and professional activities without VRT. VRT combined exercises on both rotary chair and dynamic post-urography platform and started 7 days after surgery. Evaluation of the postural performance with (EO) and without vision (EC) and during optokinetic stimulation, was carried out in the two groups before (REF), seven days (DAYS 7) and two months (DAYS 67) after the surgery. Questionnaires on the quality of life (SF-36) were administered on DAYS 67 in both groups. Results: The statistical test performed on the posturography data collected under static and dynamic conditions did not show any significant differences between the two groups in EO, EC and during optokinetic stimulation before surgery and on DAYS 7. By contrast, the postural performance in static and dynamic conditions was significantly improved (p<0.05) in the patients who benefited from the VRT with (EO) and without (EC) vision on DAYS 67. Maintaining balance on an unstable platform with optokinetic stimulation was impossible on DAYS 67 for the patients without VRT whereas the patients with VRT succeeded in this more challenging condition. The SF-36 questionnaire was also better in the patients who benefited from the VRT compared to the patients without VRT. Conclusion: This pilot study shows that VRT improves significantly the postural control and the quality of life as well after surgical microvascular decompression. This conclusion must be confirmed on a larger group of patients.

Keywords: Syndrome of compression of the cochleo-vestibular nerve; Microvascular decompression surgery; Vestibular rehabilitation therapy; Postural control; Quality of life

Citation: Bernard-Demanze L, Montava M, Mattei A, Lavieille JP, Lacour M (2017) Effects of Vestibular Rehabilitation Therapy on Postural Control and Quality of Life in Patients after a Surgical Microvascular Decompression of the Cochleo-Vestibular Nerve. Otolaryngol (Sunnyvale) 7:318. Doi: 10.4172/2161-119X.1000318

Copyright: © 2017 Bernard-Demanze L, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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