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Importance of High-Frequency Vestibular Function in the Prognosis of Bilateral Vestibulopathy
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논문 기본 정보

Type
Academic journal
Author
BAE SEONG HOON (연세대학교) Gi-Sung Nam (연세대학교 의과대학) Sang Hyun Kwak (연세대학교 의과대학) sung huhn Kim (연세대학교)
Journal
대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제14권 제2호 KCI Accredited Journals
Published
2021.1
Pages
192 - 199 (8page)

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Importance of High-Frequency Vestibular Function in the Prognosis of Bilateral Vestibulopathy
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Abstract· Keywords

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Objectives. The aim of this study was to investigate whether preserved vestibular function in the high-frequency range influences the prognosis of patients with bilateral vestibulopathy (BVP) after vestibular rehabilitation. Methods. Twenty-four patients followed up with vestibular rehabilitation were recruited. The enrolled patients were divided into two groups according to the preservation of the high-frequency vestibulo-ocular reflex (VOR) based on the video head impulse test (vHIT). The results of computerized dynamic posturography and the Dizziness Handicap Inventory (DHI) survey collected at baseline and at the 6-month follow-up after vestibular rehabilitation therapy were analyzed. Results. Both groups showed significantly increased composite and DHI scores after follow-up with vestibular rehabilitation. The group with preserved high-frequency VOR showed a better composite score (P=0.064) and vestibular score (P=0.008) than the group with lost high-frequency VOR at the 6-month follow up. The DHI score significantly decreased only in the group with lost high-frequency VOR (P=0.047). Among the three vestibular function tests (caloric test, rotary chair test, and vHIT) used to diagnose BVP, only vHIT showed a significant correlation (P=0.015) with a favorable prognosis (composite score ≥70). Conclusion. Better treatment outcomes are likely in patients with BVP with preserved vestibular function in response to high-frequency stimulation, as measured by the vHIT.
#Keywords. Bilateral Vestibulopathy #Head Impulse Test #Vestibular Function Tests #Semicircular Canals #Rehabilitation

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References (24)

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Zingler VC / 2008 / Follow-up of vestibular function in bilateral vestibulopathy / J Neurol Neurosurg Psychiatry 79(3):284~288 google schola Minor LB / 1990 / Influence of static head position on the horizontal nystagmus evoked by caloric, rotational and optokinetic stimulation in the squirrel monkey / Exp Brain Res 82(1):1~13 google schola Alhabib SF / 2017 / Video head impulse test: a review of the literature / Eur Arch Otorhinolaryngol 274(3):1215~1222 google schola Halmagyi GM / 2017 / The video head impulse test / Front Neurol 8:258 google schola Gillespie MB / 1999 / Prognosis in bilateral vestibular hypofunction / Laryngoscope 109(1):35~41 google schola

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