Informations générales (source: ClinicalTrials.gov)
Assessment of the Preoperative Vestibular Rehabilitation Effectiveness on Balance Control Compensation After Vestibular Schwannoma Surgery (ReveSTAN)
Interventional
N/A
Central Hospital, Nancy, France (Voir sur ClinicalTrials)
janvier 2015
avril 2019
29 juin 2024
Vestibular schwannoma (VS) is a benign tumour from Schwann cells surrounding the
vestibular nerve, which slowly grows within the internal auditory canal and then into the
cerebellopontine angle, leading to a gradual vestibular dysfunction. The slowly
progressive alteration of vestibular function allows the gradual implementation of
central adaptive mechanisms called vestibular compensation. The total unilateral
vestibular deafferentation induced by the surgical tumour removal suddenly leads to a
decompensation of this previously compensated situation, which explains why most patients
report severe vertigo immediately after surgery and which is responsible for
perturbations of the postural control (Parietti-Winkler et al., 2006, 2008, 2010, 2011).
Recently, Gauchard et al. (2013) suggested that preoperative and regular physical
activity would limit the adverse effects of surgical removal on balance control. Also,
patients benefited faster and better from the postoperative vestibular rehabilitation.
Thus, preoperative vestibular rehabilitation, including physical and balance exercises,
could help to limit postoperative balance disorders and promote postoperative balance
compensation. This could lead to a decrease in the duration and cost of the postoperative
management and faster improvement of quality of life.
Etablissements
| Les établissements hors Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| University Hospital of Nancy - 54000 - Nancy - France | Cécile Parietti-Winkler, MD, PhD | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Patients with unilateral vestibular schwannoma (stage I to IV according to the Koos
classification) with an indication for surgery.
- Patients gave their written informed consent
- Patients are affiliated to the french social welfare
- Patients with unilateral vestibular schwannoma (stage I to IV according to the Koos
classification) with an indication for surgery.
- Patients gave their written informed consent
- Patients are affiliated to the french social welfare
- Disorders from the motor and/or somesthetic systems (especially the lower limbs)
- Contraindications to the scheduled functional assessments: ear pathology different
from vestibular schwannoma such as cholesteatoma of the middle ear, tympanic
membrane perforation, etc.
- Refusal of the surgical procedure