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Adherence of older people with instability in vestibular rehabilitation programmes: prediction criteria

  • A Soto-Varela (a1) (a2), A Faraldo-García (a3), M Del-Río-Valeiras (a3), M Rossi-Izquierdo (a4), I Vaamonde-Sánchez-Andrade (a3), P Gayoso-Diz (a5), A Lirola-Delgado (a3) and S Santos-Pérez (a1) (a2)...



To determine whether demographic characteristics or balance examination findings can predict the adherence of older people with instability to a vestibular rehabilitation programme.


A prospective case–control study was conducted of 120 patients aged 65 years or more (mean age, 77.3 ± 6.33 years). Two groups were classified according to patients’ adherence with the follow-up post-rehabilitation protocol. Analysed variables included: age, sex, body mass index, Timed Up and Go test findings, computerised dynamic posturography, Dizziness Handicap Inventory scores and Short Falls Efficacy Scale – International questionnaire results, number of falls, and type of vestibular rehabilitation.


Two groups were established: adherents (99 individuals) and non-adherents (21 individuals). There were differences between the groups regarding: sex (female-to-male ratio of 4.8:1 in adherents and 1.63:1 in non-adherents), age (higher in non-adherents) and voluntary movement posturographic test results (non-adherents had poorer scores).


The patients most likely to abandon a vestibular rehabilitation programme are very elderly males with low scores for centre of gravity balancing and limits of stability.


Corresponding author

Address for correspondence: Dr Andrés Soto-Varela, Department of Otorhinolaryngology, Complexo Hospitario Universitario de Santiago, Travesía da Choupana, s/n. Postal Code: 15706, Santiago de Compostela, Spain Fax: 00 34 981 950 454 E-mail:


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  • EISSN: 1748-5460
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