Skip to main content

Advertisement

SpringerLink
Log in

Exercise with visual feedback improves postural stability after vestibular schwannoma surgery

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

We analyzed the effect of 2-week individualized visual feedback-based balance training on the postural control of patients undergoing retrosigmoid microsurgical removal of vestibular schwannoma. We performed prospective evaluation of 17 patients allocated into two groups: feedback group (9 patients, mean age 37 years) and standard physiotherapy group (8 patients, mean age 44 years). Patients in both the groups were treated once per day by intensive rehabilitation from 5th to 14th postoperative day. Rehabilitation of patients in the feedback group was performed using the visual feedback and force platform. Results were evaluated on the beginning and at the end of rehabilitation program (e.g. 5th and 14th postoperative day). Outcome measures included posturography during quiet stance under four different conditions by the modified Clinical Test for Sensory Interaction of Balance. Body sway was evaluated from center of foot pressure. Compensation of Center of pressure (CoP) parameters in stance on firm surface was similar in the control and feedback groups. However, in stance on foam surface with eyes closed the patients from the feedback group were better compensated and CoP parameters differed significantly (p < 0.05). This prospective clinical study suggests that specific exercises with visual feedback improve vestibulospinal compensation in patients after vestibular schwannoma surgery and thus can improve their quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Samii M, Gerganov V, Samii A (2008) Hearing preservation after complete microsurgical removal in vestibular schwannomas. Prog Neurol Surg 21:136–141

    Article  CAS  PubMed  Google Scholar 

  2. Skrivan J, Zverina E, Betka J, Kluh J, Kraus J (2004) Our surgical experience with large vestibular schwannomas. Otolaryngol Pol 58:69–72

    CAS  PubMed  Google Scholar 

  3. Lynn SG, Driscoll CL, Harner SG, Beatty CW, Atkinson EJ (1999) Assessment of dysequilibrium after acoustic neuroma removal. Am J Otol 20:484–494

    CAS  PubMed  Google Scholar 

  4. Saman Y, Bamiou DE, Gleeson M (2009) A contemporary review of balance dysfunction following vestibular schwannoma surgery. Laryngoscope 119:2085–2093

    Article  PubMed  Google Scholar 

  5. Levo H, Blomstedt G, Pyykko I (2004) Postural stability after vestibular schwannoma surgery. Ann Otol Rhinol Laryngol 113:994–999

    PubMed  Google Scholar 

  6. Perez N, Santandreu E, Benitez J, Rey-Martinez J (2006) Improvement of postural control in patients with peripheral vestibulopathy. Eur Arch Otorhinolaryngol 263:414–420

    Article  PubMed  Google Scholar 

  7. Enticott JC, O’Leary SJ, Briggs RJ (2005) Effects of vestibulo-ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery. Otol Neurotol 26:265–269

    Article  PubMed  Google Scholar 

  8. Herdman SJ, Clendaniel RA, Mattox DE, Holliday MJ, Niparko JK (1995) Vestibular adaptation exercises and recovery: acute stage after acoustic neuroma resection. Otolaryngol Head Neck Surg 113:77–87

    Article  CAS  PubMed  Google Scholar 

  9. Shumway-Cook A, Horak FB (1986) Assessing the influence of sensory interaction of balance. Suggestion from the field. Phys Ther 66:1548–1550

    CAS  PubMed  Google Scholar 

  10. Wrisley DM, Whitney SL (2004) The effect of foot position on the modified clinical test of sensory interaction and balance. Arch Phys Med Rehabil 85:335–338

    Article  PubMed  Google Scholar 

  11. Prieto TE, Myklebust JB, Hoffmann RG, Lovett EG, Myklebust BM (1996) Measures of postural steadiness: differences between healthy young and elderly adults. IEEE Trans Biomed Eng 43:956–966

    Article  CAS  PubMed  Google Scholar 

  12. Hlavacka F, Kundrat J, Krizkova M, Bacova E (1990) Physiologic range of stabilometry values obtained in the upright posture using a computer. Cesk Neurol Neurochir 53:107–113

    CAS  PubMed  Google Scholar 

  13. Andersson G, Ekvall L, Kinnefors A, Nyberg G, Rask-Andersen H (1997) Evaluation of quality of life and symptoms after translabyrinthine acoustic neuroma surgery. Am J Otol 18:421–426

    CAS  PubMed  Google Scholar 

  14. Wiegand DA, Ojemann RG, Fickel V (1996) Surgical treatment of acoustic neuroma (vestibular schwannoma) in the United States: report from the Acoustic Neuroma Registry. Laryngoscope 106:58–66

    Article  CAS  PubMed  Google Scholar 

  15. Fahy C, Nikolopoulos TP, O’Donoghue GM (2002) Acoustic neuroma surgery and tinnitus. Eur Arch Otorhinolaryngol 259:299–301

    PubMed  Google Scholar 

Download references

Acknowledgments

This study was supported by the research project of Internal Grant Agency of the Ministry of Health of Czech Republic no. NS/9909-3. The authors thank Pavla Polechová for her contribution to this study.

Author information

Authors and Affiliations

  1. Department of Rehabilitation and Exercise Medicine, 2nd Faculty of Medicine, Faculty Hospital Motol, Charles University, V Úvalu 84, 150 06, Prague 5, Czech Republic

    Ondřej Čakrt & Pavel Kolář

  2. Joint Centre for Biomedical Engineering, Faculty of Biomedical Engineering, Czech Technical University and Charles University, Prague, Czech Republic

    Ondřej Čakrt, Tomáš Funda & Jaroslav Jeřábek

  3. Department of Otorhinolaryngology, Head and Neck Surgery, 1st Faculty of Medicine, Faculty Hospital Motol, Charles University, Prague, Czech Republic

    Martin Chovanec, Petra Kalitová, Jan Betka & Eduard Zvěřina

  4. Institute of Anatomy, 1st Faculty of Medicine, Charles University, Prague, Czech Republic

    Martin Chovanec

  5. Center for Cell Therapy and Tissue Repair, 2nd Faculty of Medicine, Charles University, Prague, Czech Republic

    Martin Chovanec

  6. Department of Neurosurgery, 3rd Faculty of Medicine, Faculty Hospital Kralovske Vinohrady, Charles University, Prague, Czech Republic

    Eduard Zvěřina

  7. Department of Neurology, 2nd Faculty of Medicine, Faculty Hospital Motol, Charles University, Prague, Czech Republic

    Jaroslav Jeřábek

Authors
  1. Ondřej Čakrt
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martin Chovanec
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tomáš Funda
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Petra Kalitová
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jan Betka
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Eduard Zvěřina
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Pavel Kolář
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Jaroslav Jeřábek
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ondřej Čakrt.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Čakrt, O., Chovanec, M., Funda, T. et al. Exercise with visual feedback improves postural stability after vestibular schwannoma surgery. Eur Arch Otorhinolaryngol 267, 1355–1360 (2010). https://doi.org/10.1007/s00405-010-1227-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00405-010-1227-x

Keywords

Search

Navigation