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Published on: August 30, 2019
Exercise with visual feedback improves postural stability after vestibular schwannoma surgery
Ondrej Cakrt1, Martin Chovanec, Tomás Funda
1Department of Rehabilitation and Exercise Medicine, 2nd Faculty of Medicine, Faculty Hospital Motol, Charles University, V Uvalu 84, 150 06, Prague 5, Czech Republic. ondrej.cakrt@lf2.cuni.cz
Summary
Visual feedback balance training improved postural control in patients after vestibular schwannoma surgery. This specific rehabilitation enhanced vestibulospinal compensation, particularly on unstable surfaces with eyes closed.
Area of Science:
- Neuroscience
- Rehabilitation Medicine
- Vestibular System Research
Background:
- Vestibular schwannoma surgery can impair postural control.
- Post-surgical rehabilitation is crucial for recovery of balance.
- Vestibulospinal compensation mechanisms are key to regaining stability.
Purpose of the Study:
- To evaluate the efficacy of visual feedback-based balance training.
- To assess the impact on postural control after retrosigmoid surgery for vestibular schwannoma.
- To determine if specific exercises improve vestibulospinal compensation.
Main Methods:
- Prospective evaluation of 17 patients undergoing vestibular schwannoma removal.
- Comparison between a visual feedback group and a standard physiotherapy group.
- Posturography using a force platform and the modified Clinical Test for Sensory Interaction of Balance.
Main Results:
- No significant difference in postural control on firm surfaces between groups.
- The visual feedback group showed significantly better compensation on foam surfaces with eyes closed (p < 0.05).
- Center of pressure (CoP) parameters improved more in the feedback group under challenging sensory conditions.
Conclusions:
- Individualized visual feedback-based balance training enhances vestibulospinal compensation post-surgery.
- This targeted rehabilitation approach can improve postural stability and quality of life for patients.
- Visual feedback is a valuable tool in the rehabilitation of balance deficits after vestibular schwannoma resection.
