Balance problems after vestibular schwannoma surgery are most apparent in the acute stage after tumor removal and usually improve gradually over time. Despite the trend for improvement of vestibular lesion, balance problems are reported by the majority of patients after vestibular schwannoma surgery and are associated with decreased quality of life.
There is evidence available to support the use of vestibular rehabilitation after surgery for vestibular schwannoma. In this prospective study, we compared results of two different strategies for early vestibular rehabilitation after vestibular schwannoma surgery using retrosigmoid-transmeatal video-endoscopy assisted approach: 1) visual feedback rehabilitation and 2) standard physiotherapy rehabilitation.
This study showed that after 2 weeks of exercises subjects receiving visual-based rehabilitation treatment had better postural control than those receiving only rehabilitation without feedback.