TY - JOUR
PY - 2015//
TI - Effects of vestibular rehabilitation on balance control in older people with chronic dizziness: a randomized clinical trial
JO - American journal of physical medicine and rehabilitation
A1 - Ricci, Natalia Aquaroni
A1 - Aratani, Mayra Cristina
A1 - Caovilla, Heloisa Helena
A1 - Ganança, Fernando Freitas
SP - 256
EP - 269
VL - 95
IS - 4
N2 - 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.
Language: en
LA - en SN - 0894-9115 UR - http://dx.doi.org/10.1097/PHM.0000000000000370 ID - ref1 ER -