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

Published online by Cambridge University Press:  16 January 2017

A Soto-Varela*
Affiliation:
Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain Department of Dermatology and Otorhinolaryngology, University of Santiago de Compostela, Spain
A Faraldo-García
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
M Del-Río-Valeiras
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
M Rossi-Izquierdo
Affiliation:
Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain
I Vaamonde-Sánchez-Andrade
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
P Gayoso-Diz
Affiliation:
Clinical Epidemiology Unit, Complexo Hospitalario Universitario, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
A Lirola-Delgado
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
S Santos-Pérez
Affiliation:
Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain Department of Dermatology and Otorhinolaryngology, University of Santiago de Compostela, Spain
*
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: andres.soto@usc.es
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Abstract

Objective:

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

Methods:

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.

Results:

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).

Conclusion:

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.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 2017 

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