Effects of conventional versus multimodal vestibular rehabilitation on functional capacity and balance control in older people with chronic dizziness from vestibular disorders: design of a randomized clinical trial

Effects of conventional versus multimodal vestibular rehabilitation on functional capacity and balance control in older people with chronic dizziness from vestibular disorders: design of a randomized clinical trial

Author Ricci, Natalia Aquaroni Autor UNIFESP Google Scholar
Aratani, Mayra Cristina Autor UNIFESP Google Scholar
Caovilla, Heloisa Helena Autor UNIFESP Google Scholar
Gananca, Fernando Freitas Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Background: There are several protocols designed to treat vestibular disorders that focus on habituation, substitution, adaptation, and compensation exercises. However, protocols that contemplate not only vestibular stimulation but also other components that are essential to the body balance control in older people are rare. This study aims to compare the effectiveness of two vestibular rehabilitation protocols (conventional versus multimodal) on the functional capacity and body balance control of older people with chronic dizziness due to vestibular disorders.Methods/design: A randomized, single-blind, controlled clinical trial with a 3 months follow-up period will be performed. the sample will be composed of older individuals with a clinical diagnosis of chronic dizziness resulting from vestibular disorders. the subjects will be evaluated at baseline, post-treatment and follow-up. Primary outcomes will be determined in accordance with the Dizziness Handicap Inventory (functional capacity) and the Dynamic Gait Index (body balance). Secondary outcomes include dizziness features, functional records, body balance control tests, and psychological information. the older individuals (minimum sample n = 68) will be randomized to either the conventional or multimodal Cawthorne&Cooksey protocols. the protocols will be performed during individual 50-minute sessions, twice a week, for 2 months (a total of 16 sessions). the outcomes of both protocols will be compared according to the intention-to-treat analysis.Discussion: Vestibular rehabilitation through the Cawthorne&Cooksey protocol has already proved to be effective. However, the addition of other components related to body balance control has been proposed to improve the rehabilitation of older people with chronic dizziness from vestibular disorders.
Keywords Dizziness
Rehabilitation
Vestibular diseases
Aged
Postural balance
Disability evaluation
Language English
Sponsor Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
Grant number FAPESP: 2009/16908-6
Date 2012-12-31
Published in Trials. London: Biomed Central Ltd, v. 13, 8 p., 2012.
ISSN 1745-6215 (Sherpa/Romeo, impact factor)
Publisher Biomed Central Ltd
Extent 8
Origin http://dx.doi.org/10.1186/1745-6215-13-246
Access rights Open access Open Access
Type Article
Web of Science ID WOS:000314112600001
URI http://repositorio.unifesp.br/handle/11600/35628

Show full item record




File

Name: WOS000314112600001.pdf
Size: 1.737Mb
Format: PDF
Description:
Open file

This item appears in the following Collection(s)

Search


Browse

Statistics

My Account