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Changes in sleep performance and chronotype behaviour after vestibular rehabilitation in unilateral vestibular hypofunction

Published online by Cambridge University Press:  16 December 2022

A Micarelli Open the ORCID record for A Micarelli [Opens in a new window] ,
A Viziano ,
M Arena ,
I Misici ,
A Di Benedetto ,
V Carbini ,
B Micarelli  and
M Alessandrini
A Micarelli*
Affiliation:
Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Rome, Italy
A Viziano
Affiliation:
Department of Clinical Sciences and Translational Medicine, ENT Unit, University of Rome Tor Vergata, Italy
M Arena
Affiliation:
Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Rome, Italy
I Misici
Affiliation:
Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Rome, Italy
A Di Benedetto
Affiliation:
Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Rome, Italy Occupational Therapy Unit, IRCCS Santa Lucia Foundation, Rome, Italy
V Carbini
Affiliation:
Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Rome, Italy
B Micarelli
Affiliation:
Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Rome, Italy
M Alessandrini
Affiliation:
Department of Clinical Sciences and Translational Medicine, ENT Unit, University of Rome Tor Vergata, Italy
*
Author for correspondence: Dr A Micarelli, Unit of Neuroscience, Rehabilitation and Sensory Organs, Uniter Onlus, Piazza dell’ Emporio 11/A, Rome 00153, Italy E-mail: alessandromicarelli@uniteronlus.it
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Abstract

Objective

This study aimed to investigate changes in sleep parameters and self-perceived sleep quality in unilateral vestibular hypofunction participants after vestibular rehabilitation.

Method

Forty-six unilateral vestibular hypofunction participants (before and after vestibular rehabilitation) along with a control group of 60 healthy patients underwent otoneurological examination, a one-week actigraphy sleep analysis and a series of self-report and performance measures.

Results

After vestibular rehabilitation, unilateral vestibular hypofunction participants showed a significant score decrease in the Pittsburgh Sleep Quality Index, a self-rated reliable questionnaire depicting sleep quality during the last month, as well as a reduction in sleep onset latency and an increase in total sleep time, indicating an objective improvement in sleep quality as measured by actigraphy analysis. However, after vestibular rehabilitation, unilateral vestibular hypofunction participants still showed statistically significant differences with respect to the control group in both self-rated and objective measurements of sleep quality.

Conclusion

Vestibular rehabilitation may impact on sleep performance and chronotype behaviour, possibly by opposing long-term structural changes along neural pathways entangled in sleep activity because of the deafferentation of the vestibular nuclei.

Keywords

Sleep DisordersVestibular SystemActigraphySleep QualityVestibular Diseases
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 12 , December 2023 , pp. 1349 - 1358
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr A Micarelli takes responsibility for the integrity of the content of the paper

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