Does the Self-training in Ménière’s Disease Fit the Disease Characteristics and Help Alleviate the Balance Problems?

Ilmari Pyykkö, Nora Pyykkö, Jing Zou, Vinaya Manchaiah

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    BACKGROUND: To examine whether the self-initiated exercise in Ménière’s disease fits the characteristics of the balance problems. METHODS: This retrospective study included 539 people with Ménière’s disease belonging to the Finnish Ménière Federation. The mean age was 61.9 years with a mean history of Ménière’s disease of 15.6 years. The data were collected with an online questionnaire. RESULTS: In total, 30% of the patients did not do any training, 23% did training once a week, 22% did 2-3 times a week, and 26% did the training daily. The most common training exercises 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 were 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. CONCLUSIONS: The type of self-training used was related to the type of balance problems reported. When choosing the vestibular rehabilitation in Ménière’s disease, the type of balance disorder should be characterized and the rehabilitation program should be individually tailored.

    Original languageEnglish
    Pages (from-to)25-31
    Number of pages7
    JournalThe Journal of International Advanced Otology
    Issue number1
    Publication statusPublished - Jan 2022
    Publication typeA1 Journal article-refereed


    • Eye movement training
    • Mal de debarquement syndrome
    • Ménière’s disease
    • Self-administered balance rehabilitation
    • Self-management
    • Uncontrolled manifold
    • Vestibular rehabilitation

    Publication forum classification

    • Publication forum level 1

    ASJC Scopus subject areas

    • Otorhinolaryngology


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