Pyykko, IlmariPyykko, NoraZou, JingManchaiah, Vinaya2022-09-022022-09-022021Pyykkö, I., Pyykkö, N., Zou, J., Manchaiah, V. Does the self-training in Ménière’s disease fit the disease characteristics and help alleviate the balance problems? Journal of International Advanced Otology 2022;18(1):25-31, doi : 10.5152/iao.2022.21205.2148-3817 (online)10.5152/iao.2022.21205https://repository.up.ac.za/handle/2263/87030BACKGROUND : To examine whether the self-initiated exercise in Ménière’s disease fits the characteristics of the balance problems. METHODS : This retrospective study included 539 people with Ménière’s disease belonging to the Finnish Ménière Federation. The mean age was 61.9 years with a mean history of Ménière’s disease of 15.6 years. The data were collected with an online questionnaire. RESULTS : In total, 30% of the patients did not do any training, 23% did training once a week, 22% did 2-3 times a week, and 26% did the training daily. The most common training exercises were different self-training exercises (26%) followed by walking (16%), guided training (15%), viewing plus balance training (10%), and viewing training (4%). Non-defined balance problems (18%) were associated with recent vertigo attacks. Swaying type of balance problems were present in 23% and they used all types of training programs. Rocking type of balance disorder was present in 8% and they preferred guided training exercises. Tripping off type of balance disorder was present in 25% and they preferred viewing plus balance training. CONCLUSIONS : The type of self-training used was related to the type of balance problems reported. When choosing the vestibular rehabilitation in Ménière’s disease , the type of balance disorder should be characterized and the rehabilitation program should be individually tailored.enContent of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.Eye movement trainingMal de debarquement syndromeMeniere’s diseaseSelf-administered balance rehabilitationSelfmanagementUncontrolled manifoldVestibular rehabilitationArticle