The Journal of International
Advanced Otology
Original Article

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


Hearing and Balance Research Unit, Field of Otolaryngology, Tampere University Faculty of Medicine and Health Technology, Tampere, Finland


University of Tartu Faculty of Medicine, Tartu, Estonia


Department of Otolaryngology-Head and Neck Surgery, Center for Otolaryngology-Head & Neck Surgery of the Chinese PLA, Changhai Hospital, Second Military Medical University, Shanghai, China


Tampere University Faculty of Information Technology and Communication Sciences, Tampere, Finland


Department of Otolaryngology-Head and Neck Surgery, University of Colorado School of Medicine, Aurora, Colorado, USA


UCHealth Hearing and Balance, University of Colorado Hospital, Aurora, Colorado, USA


Virtual Hearing La, Collaborative Initiative between University of Colorado School of Medicine and University of Pretoria, Aurora, Colorado, USA


Department of Speech-Language Pathology and Audiology, University of Pretoria, Gauteng, South Africa


Department of Speech and Hearing, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India

J Int Adv Otol 2022; 18: 25-31
DOI: 10.5152/iao.2022.21205
Read: 1425 Downloads: 702 Published: 01 January 2022

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.

Cite this article as: Pyykkö I, Pyykkö N, Zou J, Manchaiah V. Does the self-training in Ménière’s disease fit the disease characteristics and help alleviate the balance problems? J Int Adv Otol. 2022;18(1):25-31.

EISSN 2148-3817