Skip to main content
Article
Balance, mobility and gaze stability deficits remain following surgical removal of vestibular schwanomma (acoustic neuroma): An observational study
Australian journal of physiotherapy (2006)
  • Nancy Low Choy
  • Natalie Johnson
  • Julia Treleaven
  • Gwendolen Jull
  • Benedict Panizza
  • David Brown-Rothwell
Abstract

Question
Are there residual deficits in balance, mobility, and gaze stability after surgical removal of vestibular schwannoma?

Design
Observational study.

Participants
Twelve people with a mean age of 52 years who had undergone surgical removal of vestibular schwannoma at least three months previously and had not undergone vestibular rehabilitation. Twelve age- and gender-matched healthy people who acted as controls.

Outcome measures
Handicap due to dizziness, balance, mobility, and gaze stability was measured.

Results
Handicap due to dizziness was moderate for the clinical group. They swayed significantly more than the controls in comfortable stance: firm surface eyes open and visual conflict (p < 0.05); foam surface eyes closed (p < 0.05) and visual conflict (p < 0.05); and feet together: firm surface, eyes closed (p < 0.05), foam surface, eyes open (p < 0.05) and eyes closed (p < 0.01). They displayed a higher rate of failure for timed stance and gaze stability (p < 0.05) than the controls. Step Test (p < 0.01), Tandem Walk Test (p < 0.05) and Dynamic Gait Index (p < 0.01) scores were also significantly reduced compared with controls. There was a significant correlation between handicap due to dizziness and the inability to maintain balance in single limb and tandem stance (r = 0.68, p = 0.02) and the ability to maintain gaze stability during passive head movement (r = 0.78; p = 0.02).

Conclusion
A prospective study is required to evaluate vestibular rehabilitation to ameliorate dizziness and to improve balance, mobility, and gaze stability for this clinical group.

© Copyright Australian Physiotherapy Association, 2006

Keywords
  • vestibular schwannoma,
  • acoustic neuroma,
  • balance,
  • dizziness,
  • gaze instability
Disciplines
Publication Date
September 1, 2006
Citation Information
Nancy Low Choy, Natalie Johnson, Julia Treleaven, Gwendolen Jull, et al.. "Balance, mobility and gaze stability deficits remain following surgical removal of vestibular schwanomma (acoustic neuroma): An observational study" Australian journal of physiotherapy Vol. 52 Iss. 3 (2006)
Available at: http://works.bepress.com/nancy_low_choy/11/