Guidelines of the French Society of Otorhinolaryngology and Head and Neck Surgery (SFORL) for vestibular rehabilitation in children with vestibular dysfunction. A systematic review

IF 1.3 4区 医学 Q3 PEDIATRICS Archives De Pediatrie Pub Date : 2024-05-01 DOI:10.1016/j.arcped.2024.02.006
Pierre Reynard , José Ortega-Solís , Sophie Tronche , Vincent Darrouzet , Hung Thai-Van
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Abstract

Introduction

The consequence of complete or partial uncompensated vestibular dysfunction in children is usually balance disorders, with the risk of falls and increased fatigue, particularly during tasks requiring postural control. The aim of these recommendations is to establish guidelines for vestibular rehabilitation (VR) in children with vestibular impairment.

Material and methods

The guidelines were developed based on a systematic review of the international literature, validated by a multidisciplinary group of French-speaking otorhinolaryngologists, scientists, and physiotherapists. They are classified as grade A, B, C, or expert opinion according to a decreasing level of scientific evidence.

Results

A PubMed search of studies published between January 1990 and December 2021 was carried out using the keywords “vestibular,” “rehabilitation,” and “children”. After filtering and reviewing the articles, a total of 10 publications were included to establish the recommendations.

Conclusion

It is recommended that a vestibular assessment be carried out before VR, including a study of vestibulo-ocular reflex, otolithic function, and postural control. In cases of vestibular dysfunction, physiotherapy treatment is recommended from an early age to train different aspects of postural control, including anticipatory and reactive postural adjustments. VR adapted to the pediatric population is recommended for children whose vestibular dysfunction leads to functional disorders or symptoms of vertigo for those who have suffered head trauma. It is recommended that children with bilateral vestibular impairment be treated using gaze stabilization exercises for adaptation and substitution. Optokinetic stimulation and virtual reality are not recommended for children and young adolescents.

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法国耳鼻咽喉头颈外科协会(SFORL)关于前庭功能障碍儿童前庭康复治疗的指南。系统综述。
导言:儿童前庭功能完全或部分失调的后果通常是平衡失调,有跌倒的风险,并增加疲劳,特别是在需要姿势控制的任务中。这些建议旨在为前庭功能受损儿童的前庭康复(VR)制定指导方针:这些指南是在对国际文献进行系统回顾的基础上制定的,并由一个由讲法语的耳鼻喉科医生、科学家和物理治疗师组成的多学科小组进行验证。根据科学证据水平的递减,指南分为 A 级、B 级、C 级或专家意见:以 "前庭"、"康复 "和 "儿童 "为关键词,在 PubMed 上搜索了 1990 年 1 月至 2021 年 12 月间发表的研究文章。在对文章进行筛选和审查后,共纳入了 10 篇出版物,以确定建议:建议在进行 VR 前进行前庭评估,包括研究前庭眼反射、耳石功能和姿势控制。对于前庭功能障碍的病例,建议从小进行物理治疗,以训练不同方面的姿势控制能力,包括预测性和反应性姿势调整。对于前庭功能障碍导致功能紊乱或出现眩晕症状的儿童,建议采用适合儿科人群的 VR。建议对患有双侧前庭功能障碍的儿童采用凝视稳定练习进行适应和替代治疗。不建议对儿童和青少年使用光动力刺激和虚拟现实技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Archives De Pediatrie
Archives De Pediatrie 医学-小儿科
CiteScore
2.80
自引率
5.60%
发文量
106
审稿时长
24.1 weeks
期刊介绍: Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.
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