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Recent Advances in Diagnosis and Treatment of Vestibular Disorders—2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Otolaryngology".

Deadline for manuscript submissions: closed (25 October 2024) | Viewed by 1021

Special Issue Editors


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Guest Editor
Department of Otolaryngology, Head and Neck Surgery, Complejo Hospitalario Universitario Insular Materno Infantil de Gran Canaria, 35016 Las Palmas, Spain
Interests: oto-neurology; Ménière’s disease; BPPV; dizziness; cochlear implant; skull base
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Guest Editor
Department of Otorhinolaryngology, Clinica Universidad de Navarra, Madrid, Spain
Interests: otoneurology; Ménière’s disease; BPPV; vestibulo-ocular reflex; dizziness; posturography; otopathology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Vestibular medicine centers around the assessment, diagnosis, and treatment of patients with dizziness and vertigo, and, in all these fields, there has been an enormous expansion of research in recent years, the best of which we seek to collate in this Special Issue.

Treatment is now, on occasion, possible for specific diseases, but always by keeping in mind the natural history of the disorder. New methods of treatment, frequently administered at tertiary referral centers, include both common drugs and uncommon medications that have been demonstrated to be applicable to these types of disorder. Gene therapy appears to be possible thanks to the enormous efforts of the genetic mapping of some diseases. On the other hand, surgery, requiring precise anatomical knowledge, being applicable for disabling and unresponsive forms of disease, with new vestibular implants representing a way to solve the most disabling situations when both vestibular systems are nonfunctional. Vestibular rehabilitation by means of sensory substitution, adaptation, and habituation is based on the reweighting of the different sensory systems that allow for dynamic and static equilibrium.

Topics that are welcome in this Special Issue include, but are not limited to, the epidemiology of dizziness, the role of genetics in the development of vestibulopathy, diagnostic approaches, and interventions for patients with dizziness and vertigo, such as medical treatment, surgery, and vestibular rehabilitation.

Prof. Dr. Angel Ramos-Macias
Dr. Nicolas Perez-Fernandez
Guest Editors

Manuscript Submission Information

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Keywords

  • dizziness
  • vertigo
  • vestibulo-ocular reflex
  • Méniere’s disease
  • nystagmus
  • positional vertigo
  • vestibular implant

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Published Papers (1 paper)

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Research

12 pages, 1631 KiB  
Article
Limits of Stability during a Therapeutic Exercise Intervention for Instability: Progression, Responders’ and Non-Responders’ Analysis and Predictors
by Laura Flix-Díez, Melissa Blanco-Pareja and Nicolás Pérez-Fernández
J. Clin. Med. 2024, 13(17), 5036; https://doi.org/10.3390/jcm13175036 - 25 Aug 2024
Viewed by 755
Abstract
Background/Objectives: Instability is one of the main symptoms in patients with vestibular and neurological disorders and therapeutic exercise interventions are increasing in popularity as a form of treatment. Additionally, the limits of stability measurement are known to be a good tool for [...] Read more.
Background/Objectives: Instability is one of the main symptoms in patients with vestibular and neurological disorders and therapeutic exercise interventions are increasing in popularity as a form of treatment. Additionally, the limits of stability measurement are known to be a good tool for balance evaluation and monitoring of these interventions. The aim of this work is to better understand how a specific protocol provokes changes on this variable and to study the characteristics of those who do and do not respond to it. Methods: A retrospective study was developed with the data of 40 patients treated in the Otorhinolaryngology department in Clínica Universidad de Navarra (Madrid, Spain). They had an initial reduction in limits of stability, completed the proposed protocol with home-based and hospital-based exercises and with frequent limits of stability remeasurement, and were assisted to a follow-up retest after 1–2 months. Results: A progressive improvement in limits of stability measure was developed through the intervention and was partially retained at follow-up visit. Several differences were found between those patients who improved with the treatment (responders) and those who did not improve (non-responders). More specifically an initial measure of the limits of stability was able to differentiate those groups with a cut-off data of 56 cm2. Conclusions: The proposed protocol was able to induce motor learning in patients included in this study with good retention after 1–2 months. Furthermore, there is some variability in how patients respond to the treatment. Age and diagnosis should be considered and an interesting cut-off data for clinal decision making was found. Full article
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