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Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction
BACKGROUND: Chronic vestibular dysfunction is a frustrating problem in the elderly and can have a tremendous impact on their life, but only a few studies are available. Vestibular rehabilitation therapy (VRT) is an important therapeutic option for the neuro-otologist in treating patients with signif...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Kowsar
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560539/ https://www.ncbi.nlm.nih.gov/pubmed/23396380 http://dx.doi.org/10.5812/ircmj.3507 |
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author | Bayat, Arash Pourbakht, Akram Saki, Nader Zainun, Zuraida Nikakhlagh, Soheila Mirmomeni, Golshan |
author_facet | Bayat, Arash Pourbakht, Akram Saki, Nader Zainun, Zuraida Nikakhlagh, Soheila Mirmomeni, Golshan |
author_sort | Bayat, Arash |
collection | PubMed |
description | BACKGROUND: Chronic vestibular dysfunction is a frustrating problem in the elderly and can have a tremendous impact on their life, but only a few studies are available. Vestibular rehabilitation therapy (VRT) is an important therapeutic option for the neuro-otologist in treating patients with significant balance deficits. OBJECTIVES: The purpose of this study was to assess the effect of vestibular rehabilitation on dizziness in elderly patients with chronic vestibular dysfunction. MATERIALS AND METHODS: A total of 33 patients older than 60 years with chronic vestibular dysfunction were studied. Clinical and objective vestibular tests including videonystagmography (VNG) and dizziness handicap inventory (DHI) were carried out at their first visit, 2 weeks, and 8 weeks post-VRT. The VRT exercises were performed according to Cawthorne and Cooksey protocols. RESULTS: Oculomotor assessments were within normal limits in all patients. Nineteen patients (57.57%) showed abnormal canal paralysis on caloric testing which at follow-up sessions; CP values were decreased remarkably after VRT exercises. We found a significant improvement between pre-VRT and post-VRT total DHI scores (P < 0.001). This improvement was most prominent in functional subscore. CONCLUSIONS: Our study demonstrated that VRT is an effective therapeutic method for elderly patients with chronic vestibular dysfunction. |
format | Online Article Text |
id | pubmed-3560539 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Kowsar |
record_format | MEDLINE/PubMed |
spelling | pubmed-35605392013-02-09 Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction Bayat, Arash Pourbakht, Akram Saki, Nader Zainun, Zuraida Nikakhlagh, Soheila Mirmomeni, Golshan Iran Red Crescent Med J Research Article BACKGROUND: Chronic vestibular dysfunction is a frustrating problem in the elderly and can have a tremendous impact on their life, but only a few studies are available. Vestibular rehabilitation therapy (VRT) is an important therapeutic option for the neuro-otologist in treating patients with significant balance deficits. OBJECTIVES: The purpose of this study was to assess the effect of vestibular rehabilitation on dizziness in elderly patients with chronic vestibular dysfunction. MATERIALS AND METHODS: A total of 33 patients older than 60 years with chronic vestibular dysfunction were studied. Clinical and objective vestibular tests including videonystagmography (VNG) and dizziness handicap inventory (DHI) were carried out at their first visit, 2 weeks, and 8 weeks post-VRT. The VRT exercises were performed according to Cawthorne and Cooksey protocols. RESULTS: Oculomotor assessments were within normal limits in all patients. Nineteen patients (57.57%) showed abnormal canal paralysis on caloric testing which at follow-up sessions; CP values were decreased remarkably after VRT exercises. We found a significant improvement between pre-VRT and post-VRT total DHI scores (P < 0.001). This improvement was most prominent in functional subscore. CONCLUSIONS: Our study demonstrated that VRT is an effective therapeutic method for elderly patients with chronic vestibular dysfunction. Kowsar 2012-11-15 2012-11 /pmc/articles/PMC3560539/ /pubmed/23396380 http://dx.doi.org/10.5812/ircmj.3507 Text en Copyright © 2012, Iranian Red Crescent Medical Journal http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Bayat, Arash Pourbakht, Akram Saki, Nader Zainun, Zuraida Nikakhlagh, Soheila Mirmomeni, Golshan Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction |
title | Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction |
title_full | Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction |
title_fullStr | Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction |
title_full_unstemmed | Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction |
title_short | Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction |
title_sort | vestibular rehabilitation outcomes in the elderly with chronic vestibular dysfunction |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3560539/ https://www.ncbi.nlm.nih.gov/pubmed/23396380 http://dx.doi.org/10.5812/ircmj.3507 |
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