Pyykkö, N., Pyykkö, I., Zou, J., & Manchaiah, V.
International Journal of Advanced Otology, In Press.
Publication year: 2021

Objective: To examine whether the self-initiated exercise in Ménière’s disease (MD) fit the characteristics of the balance problems.

Materials and Methods: This retrospective study included 539 people with MD belonging to Finnish Ménière Federation (FMA). The mean age was 61.9 years with a mean history of MD of 15.6 years. The data was collected with an online questionnaire.

Results: 30% of patients did not do any training, 23% did training once a week, 22% did 2-3 times in a week, and 26% did the training daily. The most common training were different self-training exercises (26%) followed by walking (16%), guided training (15%), viewing plus balance training (10%), and viewing training (4%). Non-defined balance problems (18%) were associated with recent vertigo attacks. Swaying type of balance problems was present in 23% and they used all types of training programs. Rocking type of balance disorder was present in 8% and they preferred guided training exercises. Tripping off type of balance disorder was present in 25% and they preferred viewing plus balance training.

Conclusion: The type of self-training used was related to the type of balance problems reported. When choosing the vestibular rehabilitation in MD, the type of balance disorder should be characterized and rehabilitation program individually tailored.