Dynamic posturography after computerized vestibular retraining for stable unilateral vestibular deficits.
Balance deficits increase the risk of falls and compromise quality of life. Current treatment modalities do not resolve symptoms for many patients. To measure changes in objective posturography after a computerized vestibular retraining therapy protocol. This was a single-arm interventional study of...
| Publicado en: | Acta Oto-Laryngologica Vol. 143; no. 5; pp. 396 - 402 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2023
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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=163954003&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 163954003 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00016489 B6D jtl: Acta Oto-Laryngologica issn: 00016489 maglogo: Y pubinfo: dt: May2023 vid: 143 iid: 5 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 163954003 163954003 163954003 10.1080/00016489.2023.2208615 163954003 ppf: 396 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Dynamic posturography after computerized vestibular retraining for stable unilateral vestibular deficits. aug: au: David, Eytan A. Shahnaz, Navid affil: Department of Surgery, Otology, Neurotology, Skull Base Surgery, University of British Columbia, Vancouver, British Columbia, Canada sug: subj: Vestibular Diseases Therapy Vestibular Diseases Rehabilitation Posturography Vestibule, Labyrinth Human Male Female Adolescence Young Adult Adult Middle Age Aged Questionnaires Clinical Assessment Tools Descriptive Statistics Confidence Intervals Balance, Postural Accidental Falls Risk Factors Risk Assessment Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Balance deficits increase the risk of falls and compromise quality of life. Current treatment modalities do not resolve symptoms for many patients. To measure changes in objective posturography after a computerized vestibular retraining therapy protocol. This was a single-arm interventional study of individuals with a stable unilateral vestibular deficit present for greater than six months. Participants underwent 12 twice-weekly sessions of computerized vestibular retraining therapy. Objective response was measured by the Sensory Organization Test and questionnaires were administered to measure subjective changes. We enrolled 13 participants (5 females and 8 males) with a median age of 51 years (range 18 to 67). After retraining, the Sensory Organization Test composite score improved by 8.8 (95% CI 0.6 to 19.1) and this correlated with improvement in the Falls Efficacy Scale-International questionnaire (rs −0.6472; 95% CI −0.8872 to − 0.1316). Participants with moderate-to-severe disability at baseline (n = 7) demonstrated greater improvement in the composite score (14.6; 95% CI 7.0 to 36.9). Computerized vestibular retraining therapy for stable unilateral vestibular deficits is associated with improvement in dynamic balance performance. Posturography improvements correlated with a reduction in perceived fall risk. Trial Registration Information Clinicaltrials.gov registration NCT04875013; 04/27/2021 背景：平衡缺陷会增加跌倒风险并影响生活质量。 当前的治疗方式无法解决许多患者的症状。 目的：测量计算机化的前庭再训练治疗方案后客观姿势图的变化。 材料和方法：这是一项单臂干预研究, 针对患有稳定的单侧前庭功能障碍超过六个月的患者。 参与者接受了 12个每周两次的计算机化前庭再训练治疗阶段。 客观反应是通过感官组织测试来测量的, 通过问卷调查来测量主观的变化。 结果：我们招募了 13 名参与者（5 名女性和 8 名男性）, 中位年龄为 51 岁（范围18 至 67岁）。 通过再训练后, 感官组织测试综合得分提高了 8.8（95% CI 0.6 - 19.1）, 这与跌倒效能量表-国际调查问卷显示的改善（rs -0.6472；95% CI -0.8872 至 - 0.1316）相吻合。 中度至重度基线残疾参与者(n=7)表现出综合评分的较大改善 (14.6; 95% CI 7.0 - 36.9）。 结论和意义：针对稳定单侧前庭功能障碍的计算机化前庭再训练疗法与动态平衡表现的改善有关。 姿势图改善与感知跌倒风险的降低相关。 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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