Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control
Objectives/Hypothesis To investigate balance, community mobility, gaze instability, and dizziness handicap and assess falls risk in people who are conservatively managed with small vestibular schwannoma (VS). Study Design Cross‐sectional study with controls. Methods The study involved 18 people (mea...
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| Veröffentlicht in: | The Laryngoscope 2017-05, Vol.127 (5), p.1147-1152 |
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| container_title | The Laryngoscope |
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| creator | Low Choy, Nancy L. Lucey, Mary‐Therese M. Lewandowski, Susan L. Panizza, Benedict J. |
| description | Objectives/Hypothesis
To investigate balance, community mobility, gaze instability, and dizziness handicap and assess falls risk in people who are conservatively managed with small vestibular schwannoma (VS).
Study Design
Cross‐sectional study with controls.
Methods
The study involved 18 people (mean age 58.7 ± 12.2 years) diagnosed with VS ( |
| doi_str_mv | 10.1002/lary.26105 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1859715494</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1859715494</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4515-de372ec1bf7d973d0b4634c41c9fe192b058154edfc547fd3245ce2834a2c5403</originalsourceid><addsrcrecordid>eNp9kV1L5TAQhoOs6Fn1xh-wBPZmEauZfLTNpci6KxwQREFBCGmaYiUfZ5tWOf_e1ON64YVXAzPPPAzzInQI5AQIoadOD-sTWgIRW2gBgkHBpRTf0CIPWVELereLvqf0RAhUTJAdtEsrATIvLNDDpV9pMyYcO5y8dg4_2zT2zZSlOJnHFx1C9BrHgE30fgr9uMbaz_Oxj-EYr2Iap0G7Y6xDi6N5WzQxjEN0-2i70y7Zg_e6h24vft-c_y2WV38uz8-WheECRNFaVlFroOmqVlasJQ0vGTccjOwsSNoQUYPgtu2M4FXXMsqFsbRmXNPcIWwP_dp4V0P8N-X7le-Tsc7pYOOUFNRCVtkgeUZ_fkKf4jSEfJ2ijJVSlLysv6Kgrqv56zC7jjaUGWJKg-3Uauh9DkMBUTOj5mTUWzIZ_vGunBpv2w_0fxQZgA3w0ju7_kKllmfX9xvpK5Q0mCs</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1887100214</pqid></control><display><type>article</type><title>Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Low Choy, Nancy L. ; Lucey, Mary‐Therese M. ; Lewandowski, Susan L. ; Panizza, Benedict J.</creator><creatorcontrib>Low Choy, Nancy L. ; Lucey, Mary‐Therese M. ; Lewandowski, Susan L. ; Panizza, Benedict J.</creatorcontrib><description><![CDATA[Objectives/Hypothesis
To investigate balance, community mobility, gaze instability, and dizziness handicap and assess falls risk in people who are conservatively managed with small vestibular schwannoma (VS).
Study Design
Cross‐sectional study with controls.
Methods
The study involved 18 people (mean age 58.7 ± 12.2 years) diagnosed with VS (<12 mm) and 22 age‐matched controls (mean age 56.9 ± 8.0 years). Measures included standing on firm and foam surfaces with feet apart, then together with eyes open and closed, Timed Up and Go (TUG) test and dual TUG test, Dynamic Gait Index, 6‐Minute Walk Test, Halmagyi Impulse Test, Dynamic Visual Acuity Test, and the Dizziness Handicap Inventory.
Results
The clinical group failed more trials standing feet together on foam with eyes closed (P < .05); had inferior mobility and walked more slowly with divided attention (P < .05); had more difficulty walking with head movement, negotiating obstacles, and using stairs (P < .01); and walked shorter distances (P < .001) than controls. Reduced gaze stability (P < .01) and higher total (P = .007) and subcategory dizziness handicap scores (P < .05) were revealed compared to age‐matched controls.
Conclusions
Although outcomes for the clinical group are inferior to the control group across all measures and the dizziness impact is higher, the results fall in the low‐risk category for falls. Preliminary data (level 4 evidence) support using a suite of clinical measures to monitor people with VS during conservative management.
Level of Evidence
4 Laryngoscope, 127:1147–1152, 2017]]></description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.26105</identifier><identifier>PMID: 27519610</identifier><language>eng</language><publisher>United States: Wiley Subscription Services, Inc</publisher><subject>Accidental Falls ; Adult ; Age ; Aged ; Balance ; Case-Control Studies ; conservative management ; Cross-Sectional Studies ; Disability Evaluation ; dizziness ; Dizziness - etiology ; Dizziness - physiopathology ; Falls ; Female ; Fixation, Ocular ; Humans ; Magnetic Resonance Imaging ; Male ; Middle Aged ; mobility ; Mobility Limitation ; Neuroma, Acoustic - complications ; Neuroma, Acoustic - physiopathology ; Ocular Motility Disorders - etiology ; Ocular Motility Disorders - physiopathology ; Postural Balance ; quality of life ; Risk Assessment ; Risk factors ; Vertigo ; Vestibular ; vestibular schwannoma ; vestibulo‐ocular control</subject><ispartof>The Laryngoscope, 2017-05, Vol.127 (5), p.1147-1152</ispartof><rights>2016 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2017 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4515-de372ec1bf7d973d0b4634c41c9fe192b058154edfc547fd3245ce2834a2c5403</citedby><cites>FETCH-LOGICAL-c4515-de372ec1bf7d973d0b4634c41c9fe192b058154edfc547fd3245ce2834a2c5403</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.26105$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.26105$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27519610$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Low Choy, Nancy L.</creatorcontrib><creatorcontrib>Lucey, Mary‐Therese M.</creatorcontrib><creatorcontrib>Lewandowski, Susan L.</creatorcontrib><creatorcontrib>Panizza, Benedict J.</creatorcontrib><title>Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control</title><title>The Laryngoscope</title><addtitle>Laryngoscope</addtitle><description><![CDATA[Objectives/Hypothesis
To investigate balance, community mobility, gaze instability, and dizziness handicap and assess falls risk in people who are conservatively managed with small vestibular schwannoma (VS).
Study Design
Cross‐sectional study with controls.
Methods
The study involved 18 people (mean age 58.7 ± 12.2 years) diagnosed with VS (<12 mm) and 22 age‐matched controls (mean age 56.9 ± 8.0 years). Measures included standing on firm and foam surfaces with feet apart, then together with eyes open and closed, Timed Up and Go (TUG) test and dual TUG test, Dynamic Gait Index, 6‐Minute Walk Test, Halmagyi Impulse Test, Dynamic Visual Acuity Test, and the Dizziness Handicap Inventory.
Results
The clinical group failed more trials standing feet together on foam with eyes closed (P < .05); had inferior mobility and walked more slowly with divided attention (P < .05); had more difficulty walking with head movement, negotiating obstacles, and using stairs (P < .01); and walked shorter distances (P < .001) than controls. Reduced gaze stability (P < .01) and higher total (P = .007) and subcategory dizziness handicap scores (P < .05) were revealed compared to age‐matched controls.
Conclusions
Although outcomes for the clinical group are inferior to the control group across all measures and the dizziness impact is higher, the results fall in the low‐risk category for falls. Preliminary data (level 4 evidence) support using a suite of clinical measures to monitor people with VS during conservative management.
Level of Evidence
4 Laryngoscope, 127:1147–1152, 2017]]></description><subject>Accidental Falls</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Balance</subject><subject>Case-Control Studies</subject><subject>conservative management</subject><subject>Cross-Sectional Studies</subject><subject>Disability Evaluation</subject><subject>dizziness</subject><subject>Dizziness - etiology</subject><subject>Dizziness - physiopathology</subject><subject>Falls</subject><subject>Female</subject><subject>Fixation, Ocular</subject><subject>Humans</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Middle Aged</subject><subject>mobility</subject><subject>Mobility Limitation</subject><subject>Neuroma, Acoustic - complications</subject><subject>Neuroma, Acoustic - physiopathology</subject><subject>Ocular Motility Disorders - etiology</subject><subject>Ocular Motility Disorders - physiopathology</subject><subject>Postural Balance</subject><subject>quality of life</subject><subject>Risk Assessment</subject><subject>Risk factors</subject><subject>Vertigo</subject><subject>Vestibular</subject><subject>vestibular schwannoma</subject><subject>vestibulo‐ocular control</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1L5TAQhoOs6Fn1xh-wBPZmEauZfLTNpci6KxwQREFBCGmaYiUfZ5tWOf_e1ON64YVXAzPPPAzzInQI5AQIoadOD-sTWgIRW2gBgkHBpRTf0CIPWVELereLvqf0RAhUTJAdtEsrATIvLNDDpV9pMyYcO5y8dg4_2zT2zZSlOJnHFx1C9BrHgE30fgr9uMbaz_Oxj-EYr2Iap0G7Y6xDi6N5WzQxjEN0-2i70y7Zg_e6h24vft-c_y2WV38uz8-WheECRNFaVlFroOmqVlasJQ0vGTccjOwsSNoQUYPgtu2M4FXXMsqFsbRmXNPcIWwP_dp4V0P8N-X7le-Tsc7pYOOUFNRCVtkgeUZ_fkKf4jSEfJ2ijJVSlLysv6Kgrqv56zC7jjaUGWJKg-3Uauh9DkMBUTOj5mTUWzIZ_vGunBpv2w_0fxQZgA3w0ju7_kKllmfX9xvpK5Q0mCs</recordid><startdate>201705</startdate><enddate>201705</enddate><creator>Low Choy, Nancy L.</creator><creator>Lucey, Mary‐Therese M.</creator><creator>Lewandowski, Susan L.</creator><creator>Panizza, Benedict J.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201705</creationdate><title>Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control</title><author>Low Choy, Nancy L. ; Lucey, Mary‐Therese M. ; Lewandowski, Susan L. ; Panizza, Benedict J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4515-de372ec1bf7d973d0b4634c41c9fe192b058154edfc547fd3245ce2834a2c5403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accidental Falls</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Balance</topic><topic>Case-Control Studies</topic><topic>conservative management</topic><topic>Cross-Sectional Studies</topic><topic>Disability Evaluation</topic><topic>dizziness</topic><topic>Dizziness - etiology</topic><topic>Dizziness - physiopathology</topic><topic>Falls</topic><topic>Female</topic><topic>Fixation, Ocular</topic><topic>Humans</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Middle Aged</topic><topic>mobility</topic><topic>Mobility Limitation</topic><topic>Neuroma, Acoustic - complications</topic><topic>Neuroma, Acoustic - physiopathology</topic><topic>Ocular Motility Disorders - etiology</topic><topic>Ocular Motility Disorders - physiopathology</topic><topic>Postural Balance</topic><topic>quality of life</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Vertigo</topic><topic>Vestibular</topic><topic>vestibular schwannoma</topic><topic>vestibulo‐ocular control</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Low Choy, Nancy L.</creatorcontrib><creatorcontrib>Lucey, Mary‐Therese M.</creatorcontrib><creatorcontrib>Lewandowski, Susan L.</creatorcontrib><creatorcontrib>Panizza, Benedict J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Low Choy, Nancy L.</au><au>Lucey, Mary‐Therese M.</au><au>Lewandowski, Susan L.</au><au>Panizza, Benedict J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control</atitle><jtitle>The Laryngoscope</jtitle><addtitle>Laryngoscope</addtitle><date>2017-05</date><risdate>2017</risdate><volume>127</volume><issue>5</issue><spage>1147</spage><epage>1152</epage><pages>1147-1152</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract><![CDATA[Objectives/Hypothesis
To investigate balance, community mobility, gaze instability, and dizziness handicap and assess falls risk in people who are conservatively managed with small vestibular schwannoma (VS).
Study Design
Cross‐sectional study with controls.
Methods
The study involved 18 people (mean age 58.7 ± 12.2 years) diagnosed with VS (<12 mm) and 22 age‐matched controls (mean age 56.9 ± 8.0 years). Measures included standing on firm and foam surfaces with feet apart, then together with eyes open and closed, Timed Up and Go (TUG) test and dual TUG test, Dynamic Gait Index, 6‐Minute Walk Test, Halmagyi Impulse Test, Dynamic Visual Acuity Test, and the Dizziness Handicap Inventory.
Results
The clinical group failed more trials standing feet together on foam with eyes closed (P < .05); had inferior mobility and walked more slowly with divided attention (P < .05); had more difficulty walking with head movement, negotiating obstacles, and using stairs (P < .01); and walked shorter distances (P < .001) than controls. Reduced gaze stability (P < .01) and higher total (P = .007) and subcategory dizziness handicap scores (P < .05) were revealed compared to age‐matched controls.
Conclusions
Although outcomes for the clinical group are inferior to the control group across all measures and the dizziness impact is higher, the results fall in the low‐risk category for falls. Preliminary data (level 4 evidence) support using a suite of clinical measures to monitor people with VS during conservative management.
Level of Evidence
4 Laryngoscope, 127:1147–1152, 2017]]></abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>27519610</pmid><doi>10.1002/lary.26105</doi><tpages>6</tpages></addata></record> |
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| subjects | Accidental Falls Adult Age Aged Balance Case-Control Studies conservative management Cross-Sectional Studies Disability Evaluation dizziness Dizziness - etiology Dizziness - physiopathology Falls Female Fixation, Ocular Humans Magnetic Resonance Imaging Male Middle Aged mobility Mobility Limitation Neuroma, Acoustic - complications Neuroma, Acoustic - physiopathology Ocular Motility Disorders - etiology Ocular Motility Disorders - physiopathology Postural Balance quality of life Risk Assessment Risk factors Vertigo Vestibular vestibular schwannoma vestibulo‐ocular control |
| title | Impacts of small vestibular schwannoma on community ambulation, postural, and ocular control |
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