Advances in Vestibular Rehabilitation—in Memory of Doctor Giorgio Guidetti

A special issue of Audiology Research (ISSN 2039-4349).

Deadline for manuscript submissions: closed (31 March 2022) | Viewed by 5996

Special Issue Editors


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UOSD “Vestibologia E Otorinolaringoiatria” Presidio Ospedaliero “Giovanni Paolo II”, Policoro, Italy
Interests: tumors; neurotology; ear; otology; human balance; hearing
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ENT Clinic, Fondazione IRCCS. Policlinico S. Matteo, Università di Pavia, Pavia, Italy
Interests: otolaryngology; neurology; vestibular system; Meniere disease

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Otoneurological Functional Exploration Center, Paris, France
Interests: neurotology; otology; human balance; vestibular system

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Aix-Marseille University, Research Federation 3C, UMR CNRS 7260, Marseille, France
Interests: rehabilitation; cognitive neuroscience; neurorehabilitation; neuroscience; posture; behavioral neuroscience; postural balance; motion analysis; clinical neuroscience; posturography; otolith; reflex

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Department of Neuroscience, Imaging and Clinical Sciences, Otorhinolaryngology Unit, University of Chieti, Chieti, Italy
Interests: otolaryngology; vestibology; Meniere disease; magnetic resonance and vertigo; pharyngolaringeal reflux

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ENT Department, San Raffaele Scientific Institute, Vita-Salute San Raffaele University, Milan, Italy
Interests: tinnitus; vertigo; vestibular diseases; Meniere disease; otoneurology
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ENT Unit, Department of Surgery, Azienda USL—IRCCS di Reggio Emilia, Reggio Emilia, Italy
Interests: neurotology; inner ear; vestibular disease; BPPV; Meniere’s disease; vestibular migraine; acute vestibular loss; canal dehiscence; sudden hearing loss; video-HIT; VEMPs
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Vertigo Center - Poliambulatorio Chirurgico Modenese, Strada Morane 390, 41125 Modena, Italy
Interests: vestibular rehabilitation; vertigo; dizziness

Special Issue Information

Dear Colleagues,

This Special Issue of Audiology Research is dedicated to the memory of Doctor Giorgio Guidetti. Dr. Guidetti was a pioneer in promoting and developing vestibular rehabilitation in Italy.
Vestibular disorders result in symptoms with a high impact on quality of life. Vestibular rehabilitation (VR) is currently used as an effective means of treating patients and their vestibular-related symptoms. For clinicians, it is crucial to stay up to date with the current best evidence in VR to optimize patient management.
The goal of the issue is to present the latest achievements and trends for future development in vestibular rehabilitation.
I warmly invite colleagues and great scientists of international scientific repute to submit their original contributions to this Special Issue, especially those who personally knew Doctor Giorgio Guidetti.
This Special Issue of Audiology Research welcomes manuscripts describing original work as well as review articles. The Guest Editors will be pleased to accept and review manuscripts that address the topics listed below, but papers need not restricted to this list:

  • Vestibular rehabilitation
  • Spatial working memory
  • Vestibular system and cognitive processes
  • Techniques in vestibular rehabilitation
  • Neuromodulator drugs and recovery of vestibular loss
  • Anxiety, depression, and psychological conditions and recovery of vestibular loss
  • Vestibular rehabilitation training
  • BPPV and related problems in rehabilitation
  • Residual dizziness post-maneuver in BPPV and rehabilitation
  • Vestibular loss and co-morbidities in rehabilitation strategies
  • VR in chronic and acute dizziness
  • VR for specific impairments, presented with vestibular dysfunction
  • Effects of medication on VR outcomes
  • Effect of age on VR outcomes
  • Effects of customized and non-customized VR.

Special Statement:

Doctor Giorgio Guidetti, 67 years old, president of the Italian Society of Vestibology, passed away in Modena on March 14th after two months of hospitalization for COVID-19 infection. Dr Guidetti was born on September 28, 1953 in Reggio Emilia. He graduated in Medicine in 1978 at Modena University, where he specialized in ENT in 1981 and later, in 1985, in Audiology at Milan University.

His main professional interest was to study vertigo, balance, vestibular rehabilitation, hearing disorders, and tinnitus. He spent many years studying and working in France, where he collaborated with Michel Toupet, Alain Semont, and Michel Lacour; in the early 1980s, he was the first one who presented Semont’s liberatory maneuver for BPPV in Italy. He was first Assistant at the Otolaryngology Clinic of the Modena Polyclinic from 1980 to 2003. He was Director of the Vestibology and Vestibular Rehabilitation Service at Modena University Polyclinic from 1996 to December 2003 and Director of the Vestibology and Vestibular Rehabilitation Service at Modena Azienda USL from 2004 to 2010. From 2010 to May 2015, he was the chief of the Audio-Vestibology Unit at the Ramazzini Hospital in Carpi near Modena. From 1982 to 2004, he taught as Professor of Otoneurology at the Specialization Schools in Otolaryngology, Neurology, and Neurosurgery of the University of Modena and Reggio Emilia. From 2004 to 2010, he taught “Therapy and vestibular rehabilitation” at the Specialization School in Audiology and Phoniatrics of the University of Ferrara. From 2007 to 2013, he was international coordinator of the advisory board of the CNS Innovator Foundation for the development of diagnostic methods and therapeutic strategies for vertigo and balance disorders. From 2013 and until his death, he was President of the Italian Society of Vestibology (VIS), which he co-founded.

He published a lot of scientific articles in international journals, and he was the author, co-author, and editor of several books on balance disorders, vestibular diagnosis, and on the relationship between the vestibular system and sports; he was an invited speaker and chairman in numerous national and international events, in Italy and all around the world in Europe, Asia, Africa, and America. He was an excellent organizer of a lot of national and international meetings in the vestibology and balance field and, since 2004, the national conference called “Updates in Vestibology”, where he no doubt had an indelible impression on all Italian vestibologists and foreign guests due to the high scientific content of the programs and Giorgio’s warm hospitality. In 2015, he actively collaborated in organizing the Level II Master in Clinical Vestibology at the University of Pavia. He was founder and coordinator of the Tinnitus Brainstorming, a periodic meeting of all the national experts on updating the tinnitus treatment.

He developed the computerized stabilometric system S.Ve.P. in collaboration with the Polytechnic of Modena. SVeP has been adopted in many European balance centers to evaluate and rehabilitate postural control deficits in patients with chronic vertigo and to improve sports performance and driving safety.

Giorgio Guidetti was Scientific Director of the Modena Autodrome, where he worked together with the Ferrari and Ducati teams. He also worked with the Maranello Driver Academy and collaborated with the Enzo Ferrari Department of Faculty of Engineering of the Modena University and the Technopole of Reggio Emilia. He developed Safe Driving Courses based on the visual fixation control method, collaborating with the Ferrari Department of the Faculty of Engineering of Modena University and the Technopole of Reggio Emilia. Since June 2015, he worked together with his son Dr. Riccardo at Vertigo Center in PCM Modena, coordinating a team of specialists dedicated to the diagnosis and rehabilitation of balance disorders.

He loved cycling and was the promoter of many projects to improve safety in cycling and hand-cycling. Giorgio loved spending his free time cycling around Modena hills, and he also loved horse riding, as well as painting, medieval history, and mainly Matilde di Canossa. He loved talking to his friends and he loved life, and we will miss him so much.

Dr. Giacinto Asprella Libonati
Prof. Dr. Eugenio Mira
Prof. Dr. Michel Toupet
Prof. Dr. Michel Lacoure
Prof. Dr. Giampiero Neri
Dr. Roberto Teggi
Dr. Andrea Castellucci
Dr. Riccardo Guidetti
Guest Editors

Manuscript Submission Information

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Keywords

  • vestibular rehabilitation
  • spatial working memory
  • vestibular system
  • cognitive processes
  • vertigo
  • dizziness
  • spatial navigation
  • BPPV
  • rehabilitation training

Published Papers (2 papers)

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Research

11 pages, 3009 KiB  
Article
The Navigation Ability Test (NAT 2.0): From Football Player Performance to Balance Rehabilitation in Chronic Unilateral Vestibular Loss
by Paolo Gamba, Riccardo Guidetti, Cristiano Balzanelli, Maurizio Bavazzano and Andrea Laborai
Audiol. Res. 2022, 12(3), 249-259; https://0-doi-org.brum.beds.ac.uk/10.3390/audiolres12030026 - 10 May 2022
Cited by 1 | Viewed by 2083
Abstract
Aim of the Study: in humans, spatial orientation consists of the ability to move around the environment through memorized and pre-programmed movements, according to the afferent sensory information of the body and environmental analysis of the Central Nervous System (CNS). The purpose of [...] Read more.
Aim of the Study: in humans, spatial orientation consists of the ability to move around the environment through memorized and pre-programmed movements, according to the afferent sensory information of the body and environmental analysis of the Central Nervous System (CNS). The purpose of this study is to analyze the abilities of professional athletes, such as footballers, to use mental navigation systems, cognitive maps, and memorized motor patterns in order to obtain better physical performance and to obtain useful information for training both non-sports subjects and vestibular patients for rehabilitation purposes. Materials and Methods: all the motor performances of sportsmen, healthy non-sporting subjects, or vestibular patients are based on the acquisition of visual–spatial and training information. In this study, we analyzed the visual–spatial performance of 60 trained sportsmen (professional footballers), 60 healthy non-sports subjects, and 48 patients affected by chronic unilateral vestibular loss by means of the Navigation Ability Test 2.0. A score based on the number of targets correctly reached in the various tests quantifies the degree of performance of the subjects. Results: NAT 2.0 scores progressively improve from vestibular subjects to healthy non-sporting subjects to footballers. NAT 2.0 scores improve in all three subject groups as the number of tasks performed in all patient groups increases, regardless of gender and age. Conclusions: the analysis of performance data through NAT 2.0 in athletes (footballers) opens new perspectives for rehabilitation purposes, regardless of age, sex, and training conditions, both in healthy non-sporting subjects to improve their sporting potential and in patients affected by chronic vestibular dysfunction, in order to optimize their motor skills and prevent falls. Full article
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10 pages, 566 KiB  
Article
Sport as a Factor in Improving Visual Spatial Cognitive Deficits in Patients with Hearing Loss and Chronic Vestibular Deficit
by Giorgio Guidetti, Riccardo Guidetti and Silvia Quaglieri
Audiol. Res. 2021, 11(2), 291-300; https://0-doi-org.brum.beds.ac.uk/10.3390/audiolres11020027 - 19 Jun 2021
Cited by 3 | Viewed by 2540
Abstract
Hearing loss and chronic vestibular pathologies require brain adaptive mechanisms supported by a cross-modal cortical plasticity. They are often accompanied by cognitive deficits. Spatial memory is a cognitive process responsible for recording information about the spatial environment and spatial orientation. Visual-spatial working memory [...] Read more.
Hearing loss and chronic vestibular pathologies require brain adaptive mechanisms supported by a cross-modal cortical plasticity. They are often accompanied by cognitive deficits. Spatial memory is a cognitive process responsible for recording information about the spatial environment and spatial orientation. Visual-spatial working memory (VSWM) is a kind of short-term working memory that allows spatial information to be temporarily stored and manipulated. It can be conditioned by hearing loss and also well-compensated chronic vestibular deficit. Vestibular rehabilitation and hearing aid devices or training are able to improve the VSWM. We studied 119 subjects suffering from perinatal or congenital hearing loss, compared with 532 healthy subjects and 404 patients with well-compensated chronic vestibular deficit (CVF). VSWM was evaluated by the eCorsi test. The subjects suffering from chronic hearing loss and/or unilateral or bilateral vestibular deficit showed a VSWM less efficient than healthy people, but much better than those with CVF, suggesting a better multimodal adaptive strategy, probably favored by a cross-modal plasticity which also provides habitual use of lip reading. The sport activity cancels the difference with healthy subjects. It is therefore evident that patients with this type of deficit since childhood should be supported and advised on a sport activity or repeated vestibular stimulation. Full article
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