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Les effets des differents types de reeducation vestibulaire sur les symptomes et la qualite de vie d'un patient suite a l'ablation d'un neurinome de l'acoustique (Effects of the different types of vestibular rehabilitation on symptoms and quality of life of a patient after surgical ablation of an acoustic neuroma) [French]
Guerin J, Savet O, Tecchio C
Kinesitherapie La Revue 2012 Nov;12(131):37-41
systematic review

CONTEXT: This article is a revue of bibliographique synthesis. STUDY'S AIM: Determine the effects of different type of vestibular rehabilitation on symptoms and the life's quality of a patient after a surgical ablation of an acoustic neuroma. METHOD AND EQUIPMENT: The research of articles was carried out in the months of October, November and December 2011 using the database PubMed. The keywords used were acoustic, neuroma rehabilitation physiotherapy, syndrom vestibular. On all results, 41 articles were retained. RESULTS: Overall there isn't or few significant differences between patients following a vestibular re-education after a surgical ablation of an acoustic neuroma, but studys aren't unanimous. Some studies show some improvement on specific populations, like an improvement of postural control in patients over 50 years old, and a recovery faster and better of a postoperative deficit of the facial nerve function for patients of class 4 and 5 according to the classification of House and Brackman. As regards the quality's life, the majority of patients reported no change, however, some note a decline of this life's quality. CONCLUSION: Results found can't justify effects of re-education vestibular on symptoms and the life's quality of a patient after a surgical ablation of an acoustic neuroma, but studies aren't unanimous. LEVEL OF EVIDENCE: Non applicable.

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