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The value of close monitoring in vestibular rehabilitation therapy

  • M Itani (a1), Y Koaik (a2) and A Sabri (a3)

Abstract

Background:

Vestibular rehabilitation therapy is a well-established treatment modality for patients with vestibular problems.

Hypothesis:

Performing vestibular rehabilitation therapy in a closely monitored setting may result in a better outcome than a home exercise programme.

Methods:

A retrospective study was conducted of patients undergoing vestibular rehabilitation therapy between June 2005 and November 2012 in a tertiary university hospital. The Dynamic Gait Index, the main outcome measure, was utilised before and after the rehabilitation programme. The magnitude of improvement for all patients was analysed, mainly to compare the home exercise group with the closely monitored therapy group.

Results:

Only 32 patients underwent the vestibular rehabilitation therapy programme. In all patients, there was significant improvement in the mean Dynamic Gait Index score (from 11.75 to 17.38; p < 0.01). Dynamic Gait Index improvement was significantly higher with closely monitored therapy (mean improvement of 7.83 vs 2.79; p < 0.01).

Conclusion:

The small sample size is a major limitation; nevertheless, closely monitored vestibular rehabilitation therapy resulted in improved performance status. More studies are needed to establish the efficiency of vestibular rehabilitation therapy and compare closely monitored therapy with tailored home exercise rehabilitation.

Copyright

Corresponding author

Address for correspondence: Dr Malak Itani, Department of Radiology, University of Washington Medical Center, 1959 NE Pacific St, Box 357115, Seattle, WA 98195, USA E-mail: mitani9@uw.edu

References

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1 Chen, EW, Fu, AS, Chan, KM, Tsang, WW. Balance control in very old adults with and without visual impairment. Eur J Appl Physiol 2012;112:1631–6
2 Whitney, SL, Wrisley, DM, Marchetti, GF, Furman, JM. The effect of age on vestibular rehabilitation outcomes. Laryngoscope 2002;112:1785–90
3 Pothula, VB, Chew, F, Lesser, TH, Sharma, AK. Falls and vestibular impairment. Clin Otolaryngol Allied Sci 2004;29:179–82
4 Carter, ND, Kannus, P, Khan, KM. Exercise in the prevention of falls in older people: a systematic literature review examining the rationale and the evidence. Sports Med 2001;31:427–38
5 Herdman, SJ, Schubert, MC, Tusa, RJ. Strategies for balance rehabilitation: fall risk and treatment. Ann N Y Acad Sci 2001;942:394412
6 Badke, MB, Shea, TA, Miedaner, JA, Grove, CR. Outcomes after rehabilitation for adults with balance dysfunction. Arch Phys Med Rehabil 2004;85:227–33
7 Moreira Bittar, RS, Simoceli, L, Bovino Pedalini, ME, Bottino, MA. The treatment of diseases related to balance disorders in the elderly and the effectiveness of vestibular rehabilitation. Braz J Otorhinolaryngol 2007;73:295–8
8 Cohen, HS, Kimball, KT. Increased independence and decreased vertigo after vestibular rehabilitation. Otolaryngol Head Neck Surg 2003;128:6070
9 Browning, GG. A positive review supporting vestibular rehabilitation for unilateral vestibular dysfunction. Clin Otolaryngol 2011;36:250–1
10 Tavares Fda, S, Santos, MF, Knobel, KA. Vestibular rehabilitation in a university hospital. Braz J Otorhinolaryngol 2008;74:241–7
11 Wrisley, DM, Marchetti, GF, Kuharsky, DK, Whitney, SL. Reliability, internal consistency, and validity of data obtained with the functional gait assessment. Phys Ther 2004;84:906–18
12 Meretta, BM, Whitney, SL, Marchetti, GF, Sparto, PJ, Muirhead, RJ. The five times sit to stand test: responsiveness to change and concurrent validity in adults undergoing vestibular rehabilitation. J Vestib Res 2006;16:233–43
13 Brown, KE, Whitney, SL, Wrisley, DM, Furman, JM. Physical therapy outcomes for persons with bilateral vestibular loss. Laryngoscope 2001;111:1812–17
14 Vereeck, L, Truijen, S, Wuyts, FL, Van de Heyning, PH. The dizziness handicap inventory and its relationship with functional balance performance. Otol Neurotol 2007;28:8793
15 Wetmore, SJ, Eibling, DE, Goebel, JA, Gottshall, KR, Hoffer, ME, Magnusson, M et al. Challenges and opportunities in managing the dizzy older adult. Otolaryngol Head Neck Surg 2011;144:651–6
16 Segarra-Maegaki, JA, Taguchi, CK. Study about the benefits of vestibular rehabilitation in peripheral vestibular disorders [in Portuguese]. Pro Fono 2005;17:310
17 Meli, A, Zimatore, G, Badaracco, C, De Angelis, E, Tufarelli, D. Vestibular rehabilitation and 6-month follow-up using objective and subjective measures. Acta Otolaryngol 2006;126:259–66
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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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