Durable improvement in participant-reported measures of disability and objective posturography after computerized vestibular retraining.
BACKGROUND: Unilateral vestibular deficits are associated with postural instability and loss of quality of life. Common treatments frequently fail to achieve satisfactory outcomes. OBJECTIVE: To assess the durability of changes in participant-reported disability and objective posturography after com...
| Publicado en: | NeuroRehabilitation Vol. 52; no. 2; pp. 279 - 288 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=162119949&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162119949 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2023 vid: 52 iid: 2 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 162119949 160925822 162119949 162119949 10.3233/NRE-220241 162119949 ppf: 279 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Durable improvement in participant-reported measures of disability and objective posturography after computerized vestibular retraining. aug: au: David, Eytan A. Shahnaz, Navid affil: Otology, Neurotology, and Skull Base Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada sug: subj: Disability Management Patient-Reported Outcomes Posturography Vestibular Diseases Human Questionnaires Confidence Intervals Dizziness Balance, Postural Quality of Life Scales ab: BACKGROUND: Unilateral vestibular deficits are associated with postural instability and loss of quality of life. Common treatments frequently fail to achieve satisfactory outcomes. OBJECTIVE: To assess the durability of changes in participant-reported disability and objective posturography after computerized vestibular retraining. METHODS: This was a single-group study. Individuals with persistent symptoms of an objectively determined unilateral vestibular deficit completed questionnaires and posturography assessments before and after twelve sessions of computerized retraining, and 4–6 months and 10–12 months after treatment. RESULTS: 13 participants completed the post-treatment assessments; 9 completed the follow up. Mean improvements in perceived disability at 4–6 months after retraining were: DHI 14.3 points (95% confidence interval 4.0 to 24.5), ABC scale 14.9 points (4.3 to 25.6), FES-I 11.6 points (–3.2 to 26.5). The SOT composite score increased by 11.4 points (95% CI 1.9 to 20.9; p = 0.0175) immediately after treatment, 8.9 points (–2.9 to 20.7; p = 0.1528) at 4–6 months, and 10.6 points (2.2 to 19.0; p = 0.0162) after 10–12 months. At the 10–12 month time point, the areas of the functional stability region increased significantly for both endpoint excursion (p = 0.0086) and maximum excursion (p = 0.0025). CONCLUSION: Computerized vestibular retraining was associated with improved participant reported disability and objective measures of postural stability. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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