The effectiveness of wedge shoes in patients with insufficient vestibular compensation.

Auris Nasus Larynx

Department of Otolaryngology, Faculty of Medicine, University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.

Published: June 2007

Objectives: Patients who fail to achieve sufficient vestibular compensation after acute vestibular deafferentation show a tendency to deviate toward the affected side. This study evaluated the effectiveness of wedge shoes specially manufactured with a 4mm inclination on the affected side to patients with chronic vestibular insufficiency.

Methods: Subjects comprised 13 patients with chronic vestibular insufficiency for >6 months after acute unilateral vestibular dysfunction and 9 healthy volunteers. Subjects underwent vestibular tests wearing wedge shoes and regular shoes. Differences in results were compared.

Results: Patients showed significant improvements in the straight gait test (p<0.01), Unterberger-Fukuda stepping test (p<0.01) and posturography test (p=0.015) when wearing wedge shoes compared with wearing regular shoes.

Conclusion: Our results suggested that raising the lateral sole of shoes on the affected side could effectively ameliorate the effects of chronic vestibular insufficiency.

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http://dx.doi.org/10.1016/j.anl.2006.09.004DOI Listing

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