Tag: vestibular rehabilitation

Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial

Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas

Ahmed Said Abd Elwahed, Wadida Hassan Abd Elkader, Soheir Shehata Rezkallah, Ehab Shaker Belal, Ahmed Ismaeil Abbas – Effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients: A randomized controlled trial. Fizjoterapia Polska 2021; 21(5); 172-181

Abstract
Background. Postural stability after anterior circulation stroke is considered a major cause of falling and functional dependence. Recently, special attention regarding mechanisms about standing balance recovery following stroke has been grown. Evidence supports the effectiveness of vestibular rehabilitation therapy for patients with central vestibular disorders. Objective. A randomized controlled trial was designed to investigate the effects of vestibular rehabilitation on postural stability in anterior circulation stroke patients. Methods. Thirty-six patients (27 males, 9 females) their age range from (44 to 72 years) diagnosed with anterior circulation stroke were enrolled and assigned randomly into two similar groups: experimental group (A) received vestibular rehabilitation therapy in addition to conventional treatment 3 sessions per week for six consecutive weeks, but the conventional group received only conventional treatment. All patients were assessed for postural stability using sensory organization test and berg balance scale and for gait performance using time up and go test at baseline and after 6 weeks at end of the rehabilitation process. Results. Statistical analyses using mixed design MANOVA showed that there was statistical significant difference (p < 0.05) in all outcome variables for both groups in favor to VR group especially in SOT5, SOT6 while there were non-significant differences between groups in SOT1 variable. Conclusion. Vestibular rehabilitation may be a promising approach if it is integrated as standard in the rehabilitation program for improving postural control after anterior circulation stroke affecting parieto insular region.
Key words:
vestibular rehabilitation, postural stability, anterior circulation stroke, parieto insular cortex
Pobierz/Download/下載/Cкачиваете Besplatno preuzmi članak na engleskom jeziku

Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction

Joanna Jaczewska, Witold Rongies, Marek Zaleski

Joanna Jaczewska, Witold Rongies, Marek Zaleski – Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction. Fizjoterapia Polska 2012; 12(3); 201-212

Abstract
The aim of this study was to evaluate the effectiveness of physical exercises used in the treatment of vertigo and balance disorders caused by vestibular dysfunction. The study group consisted of 30 patients (22 women and 8 men, aged 30-84) with vertigo and/or balance disorders of vestibular origin. Half of the patients (10 women and 5 men, aged 30-79) took the medicine. All patients attended in an individually selected programme of exercises dependent on diagnosis. The control group consisted of 15 patients (10 women and 5 men, aged 30-74) treated only pharmacologically. In order to investigate the effect of rehabilitation, a modified DHI questionnaire was used. For statistical evaluation, an analysis of variance with repeated measurements was performed. Statistical significance was assumed at a level of 0.05.In the group of patients who participated only in the programme of vestibular rehabilitation, an improvement of the questionnaire score was on average 48%. The result in the group performing exercises and additionally taking medication improved on average by 45%. In the control group only 15% of improvement was achieved. The difference in the results is statistically significant. 1. Vestibular rehabilitation has proved to be an effective treatment approach for vertigo and balance disorders caused by diseases of the vestibular system. 2. The age had no significant effect on the result of rehabilitation. 3. An improvement was noted, both in structural, functional and emotional aspects.
Key words:
vestibular system, vertigo, dizziness, balance, vestibular rehabilitation
Invalid download ID. Pobierz bezpłatnie artykuł w j. angielskim

Influence of Vestibular Rehabilitation on Balance and Dual-Task Cost of Walking in Patients with Multiple Sclerosis: A Randomized Controlled Trial

Bassam A. El-Nassag, Amina Awad

Bassam A. El-Nassag, Amina Awad – Influence of Vestibular Rehabilitation on Balance and Dual-Task Cost of Walking in Patients with Multiple Sclerosis: A Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(3); 84-89

DOI: https://doi.org/10.56984/8ZG1406E7

Abstract
Background. Balance dysfunction and high dual-task costs are eminent features in multiple sclerosis (MS). Vestibular rehabilitation therapy (VRT) proved to promote functional outcomes; yet, its influence on dynamic balance and dual-task cost of walking (DTCW) in MS needs further research.
Objective. To investigate the effect of adding VRT to aerobic training on dynamic balance and DTCW in people with MS.
Design. Single blinded, parallel randomized controlled trial.
Settings. Out-Patient Clinic at Faculty of Physical Therapy and Kasr Al-Ainy Multiple Sclerosis Unit, Cairo University, Egypt.
Participants. 40 patients with remitting-relapsing multiple sclerosis.
Intervention. Patients were randomized to a control (n = 20) and intervention (n = 20) groups. Over four successive weeks, all patients received stationary bicycle aerobic training. Intervention group received an additional VRT program.
Outcomes measures. Berg Balance Scale (BBS), walking speed tested by the 10 meters timed walk test (10 m-TWT), (DTCW), and overall stability index (SI).
Results. Intervention group showed a remarkable improvement in BBS (p = 0.02), SI at levels four (p = 0.002) and seven (p = 0.03), and DTCW (p = 0.03) compared with control group. Walking speed did not show significant changes post-treatment within or between groups comparison (P > 0.05).
Conclusion. Adding VRT to aerobic training has a positive effect on dynamic balance and dual-task cost of walking in MS.
Key words:
Multiple sclerosis, vestibular rehabilitation, dynamic balance, dual task cost of walking
Pobierz/Download/下載/Cкачиваете Besplatno preuzmi članak na engleskom jeziku