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Research Articles & Publications

Gans repositioning maneuver for the posterior canal BPPV patients: systematic review and meta‑analysis

European Archives of Oto-Rhino-Laryngology Published: April 6, 2022 Authors Deepika Joshi1 · Vyom Gyanpuri2 · Abhishek Pathak1 · Rameshwar Nath Chaurasia1 · Vijay Nath Mishra1 · Anand Kumar1 · Varun Kumar Singh1 · Dharma Raj3 · Neetu Rani Dhiman1 Background/Objectives BPPV (benign paroxysmal positional vertigo) is a syndrome marked by brief bouts of vertigo accompanied by rapid changes in head position. Recent ongoing therapeutic approaches used are vestibular rehabilitation exercises and physical maneuvers like the Epley maneuver, Semont maneuver. Gans Read More

Association of cognitive impairment and fall risk in older adults: an analytical cross-sectional study

Association of cognitive impairment and fall risk in older adults: an analytical cross-sectional study
Journal of Otolaryngology-ENT Research Published: March 17, 2022 Authors Kenneth Chua, Brittany Fauble, Richard Gans Background/Objectives Falling affects up to one-third of older adults each year and poses as a major public health concern. It is one of the main causes of morbidity and mortality in the geriatric population. Many studies have suggested that poorer cognition increases fall risks but there is currently no consensus on implementing cognitive assessment routinely for patients at risk of falls. This may be due Read More

Cognitive functioning in Deaf children using Cochlear implants

BMC Pediatrics (2021) 21:71 Authors: Fidaa Almomani, Murad O. Al-momani, Soha Garadat, Safa Alqudah, Manal Kassab, Shereen Hamadneh, Grant Rauterkus, and Richard Gans Read Article Background: Cognitive abilities like language, memory, reasoning, visualization, and perceptual functioning shape human action and are considered critical to the successful interaction with the environment. Alternatively, hearing loss can disrupt a child’s ability to communicate, and negatively impact cognitive development. Cochlear implants (CI) restore auditory input thereby supporting communication and may enhance cognitive performance. Read More

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