A Systematic Review of Interventions for Balance Dysfunction in Patients With Vestibular Schwannoma
| Autor: | Shilpa Ojha, Philip J Clamp |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
MEDLINE Acoustic neuroma Cochrane Library Dizziness law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Quality of life law Vertigo otorhinolaryngologic diseases Medicine Humans 030223 otorhinolaryngology Postural Balance Balance (ability) biology business.industry Neuroma Acoustic biology.organism_classification medicine.disease Sensory Systems Systematic review Otorhinolaryngology Physical therapy Quality of Life Neurology (clinical) business 030217 neurology & neurosurgery |
| Zdroj: | Otologyneurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 41(3) |
| ISSN: | 1537-4505 |
| Popis: | Objective Dizziness is a major contributing factor to poor quality of life for patients with vestibular schwannoma (acoustic neuroma). We wished to review the literature on interventions for balance dysfunction in these patients. Data sources A systematic literature review was performed identifying studies that measured balance function before and after treatment for vestibular schwannoma. Data sources include Medline (1950-present), EMBASE (1974-present), Cochrane Library (issue 3, 2008), NHS Centre of reviews and dissemination, Clinical Evidence, Cochrane central register of controlled trial, and CINAHL. Study selection A minimum follow-up of 6 months was required, to estimate long-term balance function. Eight articles were identified, including five studies with surgical intervention, two studies with stereotactic radiotherapy, and one comparing the two. Study design was generally poor with a high risk of bias. These studies all utilized the Dizziness Handicap Inventory (DHI) as a measure of pre- and postintervention balance function. Data extraction Results showed that overall DHI scores are not statistically affected by intervention irrespective of modality (surgery or stereotactic radiotherapy). Patients selected with severe dizziness, who undergo surgery, improved postoperatively. No other studies for severe dizziness were noted for comparison. Conclusions Age, sex, and tumor size have no statistically significant effect on DHI outcomes, and no evidence to suggest which treatment modality has better dizziness related outcomes.No specific treatment modality was superior in terms of long-term balance function. Patients with severe dizziness may benefit from surgery, although no comparator studies were identified. |
| Databáze: | OpenAIRE |
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