The Journal of International
Advanced Otology
Original Article

Associations Among Medical Therapy, SelfAdministered Exercise, and Characteristics of Ménière’s Disease


Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland


University of Tartu, Faculty of Medicine, Tartu, Estonia


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 Lab, 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, Pretoria, South Africa


Department of Speech and Hearing, Manipal University, School of Allied Health Sciences, Manipal, Karnataka, India

J Int Adv Otol 2023; 19: 323-332
DOI: 10.5152/iao.2023.21559
Read: 703 Downloads: 369 Published: 01 August 2023

BACKGROUND: The aim of the current study was to explore the associations among different therapeutic procedures, self-administered exercise, and characteristics of Ménière’s disease.

METHODS: The study used a retrospective design and included 539 people with Ménière’s disease who were focusing on self-administered exercise. The mean age and history of Ménière’s disease among these participants were 61.9 years and 15.6 years, respectively. Of the participants, 79.5% were female. The data were collected by an electronic questionnaire that focused on symptoms of Ménière’s disease, exercise and training habits, balance problems, impacts of the complaints, quality of life, medical treatment, physiotherapy, and psychotherapy.

RESULTS: Of the participants, 79.3% used medical treatment. Betahistine (56.8%) was the most popular followed by periodical anti-emetic use (41.0%) and diuretics (22.4%). Of the participants 70% were doing some self-administered training. The frequency of training depended on age, severity of balance problems, vestibular drop attacks, and gait problems. The type of training depended on age, quality of life, vestibular drop attacks, and gait problems. No association was found between vertigo and frequency/type of balance training.

CONCLUSION: The use or effect of therapeutic procedures for Ménière’s disease patients was not related to symptoms experienced. Most participants with Ménière’s disease used training programs that aimed to alleviate their condition, especially balance-, gait-, and vestibular drop attack-associated problems. Patient support organizations should be working to help characterize the types of balance disorders people are dealing with in order to individually tailor a rehabilitation program to the patient’s needs.

Cite this article as: Pyykkö I, Pyykkö, N, Manchaiah V. Associations among medical therapy, self-administered exercise, and characteristics of Ménière’s disease. J Int Adv Otol. 2023;19(4):323-332.

EISSN 2148-3817