Objective: This study aims to evaluate vestibular function by instrumental assessment of the angular vestibulo-ocular reflex (aVOR) in survivors from severe traumatic brain injury (sTBI) and analyze related clinical characteristics and functional balance scales.
Setting: This study was conducted on inpatients accepted at Santa Lucia Foundation-Neurorehabilitation Hospital for Research and Healthcare (Rome, Italy), from January to September 2023.
Participants: Twenty-one survivors from sTBI with a median age of 48 years (IQR = 27) were included in this study, recruited through the neurorehabilitation services. Participants were included if they had a Glasgow Coma Scale Score ≤ 8 at the time of injury, Level of Cognitive Functioning ≥ 7, static and dynamic balance impairments, ability to understand verbal commands, and Functional Ambulation Classification > 3.
Design: Cross-sectional study.
Main Measures: Two expert physiotherapists performed an aVOR assessment using the video Head ImpulseTest by both head impulse and suppression paradigms. Furthermore, all participants completed a balance assessment using the Berg Balance Scale and the Mini-Balance Evaluation Systems Test (Mini-BESTest) scale. Descriptive statistical analyses were performed, and the relationship between aVOR function and balance outcomes was investigated.
Results: Nineteen participants (90%) displayed aVOR with an abnormal gain at least in 1 canal. Thirty percent of all canals analyzed had abnormal gains, with a clear prevalence of the right posterior canal (71%), which presents aVOR gain lower than the functional threshold on average (mean 0.70; CI, 0.62-0.78). No correlations were found between the aVOR gain and the clinical outcome measure scores.
Conclusion: Low aVOR gains were evident in people who experienced sTBI. A comprehensive evaluation of the vestibular peripheral system may detect vestibular impairments in these patients that may otherwise be unrecognized.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/HTR.0000000000001044 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Using HINTS in acute vestibular syndrome: A practical guide for the acute care physician.
J R Coll Physicians Edinb
March 2025
Consultant in Stroke Medicine, Queens Medical Centre, Nottingham, UK.
Acute vestibular syndrome (AVS) is a common clinical presentation. Common causes include peripheral, self-limiting labyrinthine disorders, but a significant proportion are caused by posterior circulation stroke (PoCS). Delineating between a peripheral versus central cause in AVS is challenging for acute care physicians, but a simple, three-step bedside test known collectively as the HINTS examination may be useful.
View Article and Find Full Text PDFTinnitus Retraining Therapy: In Person Versus Mobile Application Based - Two Case Scenarios.
Indian J Otolaryngol Head Neck Surg
February 2025
Acute Speech and Language Therapy Department, Wexford General Hospital, Carricklawn, Co. Wexford, Y35Y17D Ireland.
This study compares the outcomes of traditional face-to-face tinnitus retraining therapy (TRT) with mobile-based TRT in India. TRT, comprising directive counseling and sound therapy, aims to help patients habituate to tinnitus. Traditional TRT involves extensive in-person sessions, whereas mobile-based TRT employs interactive applications for weekly video counseling.
View Article and Find Full Text PDFComparison of Lateral Semicircular Canal Dysfunction in Chronic Otitis Media Patients using Air Caloric Test and Video Head Impulse Test.
Indian J Otolaryngol Head Neck Surg
February 2025
Department of ENT, SRM Medical College Hospital and Research Centre, Kanchipuram, Tamil Nadu India.
In developing nations like India, chronic otitis media (COM) is a common middle ear ailment that has serious ramifications for both hearing and quality of life. Long-term inflammation of middle ear cavity and tympanic membrane are the hallmarks of COM, which can result in consequences like facial paralysis, labyrinthitis, hearing loss, and potentially fatal cerebral abscesses. The effect of COM on vestibular function is still unknown.
View Article and Find Full Text PDFIncidental Thyroid Goiter with Large Posterior Mediastinal Extension: A Case Report.
Indian J Otolaryngol Head Neck Surg
February 2025
ENT Department, Wrightingtington, Wigan and Leigh NHS Foundation Trust, Wigan, UK.
Mediastinal goiters represent descent of thyroid tissue from the neck to the intra thoracic cavity most commonly in the anterior mediastinal compartment. Posterior mediastinal extension is uncommon, comprising only 10-15% of all mediastinal goiters. Thyroid masses within mediastinum may present with range of symptoms from being asymptomatic to severe compressive symptoms according to size and location.
View Article and Find Full Text PDFAcid Assault: Unmasking the Toll of Laryngopharyngeal Reflux Disease on Vocal Health - A Literature Review.
Indian J Otolaryngol Head Neck Surg
February 2025
Department of ENT, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pillaiyarkuppam, Pondicherry, 607402 India.
Laryngopharyngeal reflux disease (LPRD) is characterized by the backflow of gastric contents into the laryngopharynx, distinct from gastroesophageal reflux disease (GERD). Prevalence among otolaryngology patients ranges from 4 to 30% and being the major cause for hoarseness of voice. Common symptoms include hoarseness, chronic coughing, globus sensation, throat clearing and endoscopic evaluation reveals signs like posterior commissure hypertrophy and vocal fold edema.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!