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4 results

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

  • A Soto-Varela, A Faraldo-García, M Del-Río-Valeiras, M Rossi-Izquierdo, I Vaamonde-Sánchez-Andrade, P Gayoso-Diz, A Lirola-Delgado, S Santos-Pérez
  • Journal:
    The Journal of Laryngology & Otology / Volume 131 / Issue 3 / March 2017
    Published online by Cambridge University Press:
    16 January 2017, pp. 232-238
    Print publication:
    March 2017
  • 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.

  • Vestibular substitution: comparative study

  • S Polat, A Uneri
  • Journal:
    The Journal of Laryngology & Otology / Volume 124 / Issue 8 / August 2010
    Published online by Cambridge University Press:
    20 April 2010, pp. 852-858
    Print publication:
    August 2010
  • Objective:

    To determine the efficacy of vestibular rehabilitation with the electrotactile vestibular substitution system, as a new treatment modality in patients with bilateral vestibular disorders.

    Study design and settings:

    Nineteen patients with bilateral, chronic, idiopathic vestibulopathy were studied prospectively. Patients were divided to two groups. Patients in the first group were rehabilitated with the electrotactile vestibular substitution system, while patients in the second group were treated with standard vestibular rehabilitation therapy. The sensory organisation test and dizziness handicap inventory were used to compare the pre- and post-training results of both rehabilitative treatments.

    Results:

    All group one patients in the standardised testing subset demonstrated improved results for both the composite sensory organisation test and for the functional transfer aspect of the dizziness handicap inventory, after five days' training with the electrotactile vestibular substitution system. In contrast, group two patients showed no significant improvement in their composite sensory organisation test or dizziness handicap inventory scores after eight weeks of therapy, compared with pre-treatment levels.

    Conclusion:

    These preliminary results indicate the efficacy of the electrotactile vestibular substitution system in improving patients' symptoms of vestibulopathy, and constitute evidence of successful sensory substitution.

  • 20 - Balance, vestibular and oculomotor dysfunction

  • from Section B1 - Sensory and motor dysfunctions
  • Edited by Michael Selzer, University of Pennsylvania, Stephanie Clarke, Université de Lausanne, Switzerland, Leonardo Cohen, National Institute of Mental Health, Bethesda, Maryland, Pamela Duncan, University of Florida, Fred Gage, Salk Institute for Biological Studies, San Diego
  • Book:
    Textbook of Neural Repair and Rehabilitation
    Published online:
    04 August 2010
    Print publication:
    16 February 2006, pp 298-314

  • Summary

    Vision, somatosensory, and vestibular inputs each contribute unique information regarding body position and motion contributing to postural control. This chapter focuses on vestibular contributions to postural stability, and discusses the effect of peripheral vestibular loss on balance and postural control. A method utilized to study the role of vestibular inputs is to directly stimulate the vestibular system. The effect of vestibular loss on the amplitude of muscle response at the ankle is related to several factors, the most important being the degree of deficit. Individuals with chronic unilateral vestibular hypofunction (UVH) have the largest amplitude of muscle response, followed by those with acute UVH and individuals with bilateral vestibular hypofunction (BVH) had the smallest amplitude of responses. The chapter discusses the effect of eye movements on balance, and describes the role of vestibular rehabilitation (VR) in the remediation of imbalance and gaze instability.