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Research Articles & Publications

Balance retraining outcomes in a 74-year-old adventitiously deafened adult with bilateral vestibulopathy: a case report

Int Phys Med Rehab J. 2020;5(5):198‒202. International Physical Medicine & Rehabilitation Journal Volume 5 Issue 5 – 2020 Steven E. Spinks, Brittany M. Fauble, Richard E. Gans Abstract Inner ear (audio-vestibular mechanism) dysfunction may result in comorbidities of; hearing impairment, dizziness, vertigo, and imbalance. Many times, these symptoms are not mutually exclusive, and a myriad of symptoms arise from acute pathologies or trauma to the inner ear. This system is vulnerable across an individual’s lifespan from infant to older adult. Read More

A multidisciplinary approach for a patient with neck pain & dizziness following a motor vehicle accident: a case report

International Physical Medicine & Rehabilitation Journal Volume 5 Issue 3 – 2020 Steven E Spinks, Joseph T Sakumura, Richard E Gans The American Institute of Balance, USA Abstract Following a motor vehicle accident, there is a cascade of mechanical, chemical, and psychological events that can occur.1,2 Many times this arduous process of assess-refer-assess can be detrimental to the physical and mental rehabilitation following this traumatic event. Efficient, streamlined processes in place may reduce the overall healthcare burden following a motor Read More

Mechanical and sensorineural vestibular dysfunction: a case study of “mixed” vestibulopathy

J Otolaryngol ENT Res. 2020;12(3):85‒89. Volume 12 Issue 3 – 2020 Joseph T Sakumura, Richard E Gans The American Institute of Balance, USA Abstract A diagnosis of hearing loss typically consists of categorizing the locus of involvement; conductive, sensorineural, retrocochlear, or mixed. It is this designation that provides guidance as to whether medical or a non-medical approach e.g. amplification is the preferred treatment. When a “mixed” loss occurs, a combination of medical and non-medical management strategies will be utilized. When Read More

Outcome of Gans Repositioning Maneuver in Patients with Posterior Canal Benign Paroxysmal Positional Vertigo with Cervical Spondylosis

Indian Journal of Otology ¦ Volume 25 ¦ Issue 4 ¦ October-December 2019 H. Gayathri, Gurushekar Rose Preethi, Paul Mary P. Christina Departments of ENT and Community Medicine, ACS Medical College and Hospital, Chennai, Tamil Nadu, India Abstract Background and Objectives: Cervical spondylosis and BPPV often co-exist in older population. As GRM doesn’t involve hyperextension of neck, which is better avoided among patients with cervical spine pathology, we decided to assess the outcome of GRM in patients with cervical spondylosis Read More

A multidisciplinary approach to the management of the adult balance – dizzy patient

ENT & Audiology News | MAY/JUNE 2020 | VOL 29 NO 2 | www.entandaudiologynews.com BY RICHARD GANS AND KIMBERLY RUTHERFORD Richard Gans and Kimberly Rutherford, renowned experts from The American Institute of Balance, give their team’s overview of the stages involved in reaching ‘diagnosis based strategies’. For the dizzy patient, this focuses on patient-centred clinical pathways for individualised therapy with an MDT approach. Download Article