Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness A Randomized Clinical Trial

Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness 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
Ganança, Fernando Freitas Autor UNIFESP Google Scholar
Abstract Objective The aim of this study was to compare the effects of vestibular rehabilitation protocols on balance control in elderly with dizziness. Design This is a randomized clinical trial with 3-mo follow-up period. The sample was composed of 82 older individuals with chronic dizziness from vestibular disorders. The control group was treated according to the Conventional Cawthorne & Cooksey protocol (n = 40), and the experimental group was submitted to a Multimodal Cawthorne & Cooksey protocol (n = 42). Measures included Dynamic Gait Index, fall history, hand grip strength, Time Up-and-Go Test, sit-to-stand test, multidirectional reach, and static balance tests. Results With the exception of history of falls, Forward Functional Reach, Unipedal Right and Left Leg Eyes Closed, and Sensorial Romberg Eyes Open, all outcomes improved after treatments. Such results persisted at follow-up period, with the exception of the Tandem Eyes Open and the Timed Up-and-Go manual. The between-group differences for Sensorial Romberg Eyes Closed (4.27 secs) and Unipedal Left Leg Eyes Open (4.08 secs) were significant after treatment, favoring the Multimodal protocol. Conclusions Both protocols resulted in improvement on elderly's balance control, which was maintained during a short-term period. The multimodal protocol presented better performance on specific static balance tests.
Keywords Dizziness
Rehabilitation
Aged
Postural Balance
xmlui.dri2xhtml.METS-1.0.item-coverage Philadelphia
Language English
Sponsor Sao Paulo Research Foundation (FAPESP, Sao Paulo, Brazil)
Grant number FAPESP: 2009/16908-6
Date 2016
Published in American Journal Of Physical Medicine & Rehabilitation. Philadelphia, v. 95, n. 4, p. 256-269, 2016.
ISSN 0894-9115 (Sherpa/Romeo, impact factor)
Publisher Lippincott Williams & Wilkins
Extent 256-269
Origin http://dx.doi.org/10.1097/PHM.0000000000000370
Access rights Closed access
Type Article
Web of Science ID WOS:000372214300004
URI https://repositorio.unifesp.br/handle/11600/56160

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