Feasibility of a Prescribed Walking Program in Older Adults with Dizziness: Challenges and Recommendations from a Pilot Pragmatic Randomized Controlled Trial.
Purpose: Walking for endurance is a component of vestibular rehabilitation (VR); however, there is no study on increasing the physical activity of older adults with peripheral vestibular hypofunction through a prescribed walking program. This pilot study aimed to assess the feasibility of conducting...
| Publicado en: | Internet Journal of Allied Health Sciences & Practice Vol. 23; no. 2; pp. 1 - 14 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Nova Southeastern University, College of Allied Health
Apr2025
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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=184935825&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 184935825 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1540580X 1D4F jtl: Internet Journal of Allied Health Sciences & Practice issn: 1540580X maglogo: N pubinfo: dt: Apr2025 vid: 23 iid: 2 pid: 24875 pub: Nova Southeastern University, College of Allied Health place: Fort Lauderdale, Florida artinfo: ui: 184935825 184935825 184935825 184935825 ppf: 1 ppct: 13 formats: tig: atl: Feasibility of a Prescribed Walking Program in Older Adults with Dizziness: Challenges and Recommendations from a Pilot Pragmatic Randomized Controlled Trial. aug: au: Jasper, Amie Blackinton, Mary T. Gallichio, Joann Galgon, Anne affil: University of St. Augustine for Health Sciences, United States sug: subj: Walking Prescriptions, Non-Drug Dizziness Prevention and Control Vestibular Diseases Rehabilitation Vestibular Diseases Physiopathology Health Facility Environment Randomized Controlled Trials Research Subject Recruitment Data Collection Research Subject Retention Patient Compliance Treatment Outcomes Rehabilitation, Geriatric Human Pilot Studies Random Assignment Male Female Aged Aged, 80 and Over Rehabilitation Patients Pedometers Clinical Assessment Tools Questionnaires Pretest-Posttest Control Group Design Descriptive Statistics Prospective Studies Comparative Studies Outpatients Ambulatory Care Facilities Confidence Intervals Convenience Sample Funding Source Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: Walking for endurance is a component of vestibular rehabilitation (VR); however, there is no study on increasing the physical activity of older adults with peripheral vestibular hypofunction through a prescribed walking program. This pilot study aimed to assess the feasibility of conducting a pragmatic randomized controlled trial on a prescribed walking program in a clinical environment; specifically, to determine recruitment, data collection retention, and adherence, and to estimate the variances of treatment outcomes. Method: Seventeen patients were randomly assigned into vestibular rehabilitation with walking with pedometer (VRWP), vestibular rehabilitation with walking without pedometer (VRW), and VR only. Recruitment, data collection retention, and adherence were assessed. Timed-up and Go (TUG) test, Dizziness Handicap Inventory (DHI), modified Clinical Test of Sensory Integration of Balance (mCTSIB), and Dynamic Gait Index were taken at baseline and discharge. The International Physical Activity Questionnaire (IPAQ) was completed at baseline, discharge, and four-week follow-up. Results: The recruitment rate was 58.6% and data collection retention rate was 88% and 76% for vestibular and physical activity outcomes respectively. High adherence to walking goals was observed in 67% of the VRW group but not in the VRWP group. High adherence in completing walking logs was demonstrated in 75% of the VRWP group and 83% of the VRW group. Subject recruitment, data collection retention, adherence to walking goals, time constraints in clinical practice, and need for research and support staff were among the challenges identified from this pilot study. Conclusions: It is feasible to implement a prescribed walking program with substantial modifications. Future definitive trial is needed to support the effects of a prescribed walking program in older adults with peripheral vestibular hypofunction. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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