Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.
Identifieur interne : 000563 ( Main/Corpus ); précédent : 000562; suivant : 000564Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.
Auteurs : Marcos Rossi-Izquierdo ; Pilar Gayoso-Diz ; Sofía Santos-Pérez ; María Del-Río-Valeiras ; Ana Faraldo-García ; Isabel Vaamonde-Sánchez-Andrade ; Antonio Lirola-Delgado ; Andrés Soto-VarelaSource :
- European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery [ 1434-4726 ] ; 2017.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Aged (MeSH), Exercise Therapy (methods), Female (MeSH), Geriatric Assessment (methods), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Physical Therapy Modalities (MeSH), Postural Balance (physiology), Risk Assessment (MeSH), Vestibular Diseases (rehabilitation), Vestibular Function Tests (methods).
- MESH :
- methods : Exercise Therapy, Geriatric Assessment, Vestibular Function Tests.
- physiology : Postural Balance.
- prevention & control : Accidental Falls.
- rehabilitation : Vestibular Diseases.
- Aged, Female, Humans, Male, Middle Aged, Physical Therapy Modalities, Risk Assessment.
Abstract
Balance becomes more precarious with age, and even without pathological disorders, the physiological decline in balance that occurs with age is a factor that also favors falls. So the aim of the present study is to assess the short-term effectiveness of three different methods of vestibular rehabilitation, compared to a control group, in improving balance in elderly patients with postural instability. 139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computer dynamic posturography (CDP) training, optokinetic stimulus, exercises at home, or control group. Patients were assessed with objective and subjective outcome measures. The individuals that trained using CDP improved significantly more than the control group on the average balance score (p < 0.001) and reducing the number of falls in the sensorial organization test (p < 0.001). In addition, the analysis showed a statistically significant effect in the limits of stability only with the CDP training in comparison with the control group (p < 0.001). In our present study, supervised and customized exercises with CDP were more effective than the control group in the posturographic short-term assessment. An increased age did not affect the potential for improvement after training. So we conclude that elderly patients with high risk of falling should begin vestibular rehabilitation as soon as possible in order to avoid the potential harm of falls, mainly injuries and psychological consequences due to fear of falling again.
DOI: 10.1007/s00405-017-4472-4
PubMed: 28251319
Links to Exploration step
pubmed:28251319Le document en format XML
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Marcos_Rossi@hotmail.com.</nlm:affiliation></affiliation></author><author><name sortKey="Gayoso Diz, Pilar" sort="Gayoso Diz, Pilar" uniqKey="Gayoso Diz P" first="Pilar" last="Gayoso-Diz">Pilar Gayoso-Diz</name><affiliation><nlm:affiliation>Clinical Epidemiology Unit, Hospital Clínico Universitario. Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Santos Perez, Sofia" sort="Santos Perez, Sofia" uniqKey="Santos Perez S" first="Sofía" last="Santos-Pérez">Sofía Santos-Pérez</name><affiliation><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Del Rio Valeiras, Maria" sort="Del Rio Valeiras, Maria" uniqKey="Del Rio Valeiras M" first="María" last="Del-Río-Valeiras">María Del-Río-Valeiras</name><affiliation><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Faraldo Garcia, Ana" sort="Faraldo Garcia, Ana" uniqKey="Faraldo Garcia A" first="Ana" last="Faraldo-García">Ana Faraldo-García</name><affiliation><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Vaamonde Sanchez Andrade, Isabel" sort="Vaamonde Sanchez Andrade, Isabel" uniqKey="Vaamonde Sanchez Andrade I" first="Isabel" last="Vaamonde-Sánchez-Andrade">Isabel Vaamonde-Sánchez-Andrade</name><affiliation><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Lirola Delgado, Antonio" sort="Lirola Delgado, Antonio" uniqKey="Lirola Delgado A" first="Antonio" last="Lirola-Delgado">Antonio Lirola-Delgado</name><affiliation><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author><author><name sortKey="Soto Varela, Andres" sort="Soto Varela, Andres" uniqKey="Soto Varela A" first="Andrés" last="Soto-Varela">Andrés Soto-Varela</name><affiliation><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation></affiliation></author></analytic><series><title level="j">European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</title><idno type="eISSN">1434-4726</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Aged (MeSH)</term><term>Exercise Therapy (methods)</term><term>Female (MeSH)</term><term>Geriatric Assessment (methods)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Postural Balance (physiology)</term><term>Risk Assessment (MeSH)</term><term>Vestibular Diseases (rehabilitation)</term><term>Vestibular Function Tests (methods)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term><term>Geriatric Assessment</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Physical Therapy Modalities</term><term>Risk Assessment</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Balance becomes more precarious with age, and even without pathological disorders, the physiological decline in balance that occurs with age is a factor that also favors falls. So the aim of the present study is to assess the short-term effectiveness of three different methods of vestibular rehabilitation, compared to a control group, in improving balance in elderly patients with postural instability. 139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computer dynamic posturography (CDP) training, optokinetic stimulus, exercises at home, or control group. Patients were assessed with objective and subjective outcome measures. The individuals that trained using CDP improved significantly more than the control group on the average balance score (p < 0.001) and reducing the number of falls in the sensorial organization test (p < 0.001). In addition, the analysis showed a statistically significant effect in the limits of stability only with the CDP training in comparison with the control group (p < 0.001). In our present study, supervised and customized exercises with CDP were more effective than the control group in the posturographic short-term assessment. An increased age did not affect the potential for improvement after training. So we conclude that elderly patients with high risk of falling should begin vestibular rehabilitation as soon as possible in order to avoid the potential harm of falls, mainly injuries and psychological consequences due to fear of falling again.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">28251319</PMID><DateCompleted><Year>2018</Year><Month>01</Month><Day>09</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1434-4726</ISSN><JournalIssue CitedMedium="Internet"><Volume>274</Volume><Issue>6</Issue><PubDate><Year>2017</Year><Month>Jun</Month></PubDate></JournalIssue><Title>European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery</Title><ISOAbbreviation>Eur Arch Otorhinolaryngol</ISOAbbreviation></Journal><ArticleTitle>Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.</ArticleTitle><Pagination><MedlinePgn>2395-2403</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s00405-017-4472-4</ELocationID><Abstract><AbstractText>Balance becomes more precarious with age, and even without pathological disorders, the physiological decline in balance that occurs with age is a factor that also favors falls. So the aim of the present study is to assess the short-term effectiveness of three different methods of vestibular rehabilitation, compared to a control group, in improving balance in elderly patients with postural instability. 139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computer dynamic posturography (CDP) training, optokinetic stimulus, exercises at home, or control group. Patients were assessed with objective and subjective outcome measures. The individuals that trained using CDP improved significantly more than the control group on the average balance score (p < 0.001) and reducing the number of falls in the sensorial organization test (p < 0.001). In addition, the analysis showed a statistically significant effect in the limits of stability only with the CDP training in comparison with the control group (p < 0.001). In our present study, supervised and customized exercises with CDP were more effective than the control group in the posturographic short-term assessment. An increased age did not affect the potential for improvement after training. So we conclude that elderly patients with high risk of falling should begin vestibular rehabilitation as soon as possible in order to avoid the potential harm of falls, mainly injuries and psychological consequences due to fear of falling again.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rossi-Izquierdo</LastName><ForeName>Marcos</ForeName><Initials>M</Initials><Identifier Source="ORCID">http://orcid.org/0000-0003-4526-5814</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology, University Hospital Lucus Augusti, Calle Dr. Ulises Romero, 1, 27003, Lugo, Spain. Marcos_Rossi@hotmail.com.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Gayoso-Diz</LastName><ForeName>Pilar</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Clinical Epidemiology Unit, Hospital Clínico Universitario. Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Santos-Pérez</LastName><ForeName>Sofía</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Del-Río-Valeiras</LastName><ForeName>María</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Faraldo-García</LastName><ForeName>Ana</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Vaamonde-Sánchez-Andrade</LastName><ForeName>Isabel</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lirola-Delgado</LastName><ForeName>Antonio</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Soto-Varela</LastName><ForeName>Andrés</ForeName><Initials>A</Initials><Identifier Source="ORCID">http://orcid.org/0000-0001-6763-329X</Identifier><AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>03</Month><Day>01</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Eur Arch Otorhinolaryngol</MedlineTA><NlmUniqueID>9002937</NlmUniqueID><ISSNLinking>0937-4477</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015577" MajorTopicYN="N">Geriatric Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Computer dynamic posturography</Keyword><Keyword MajorTopicYN="N">Elderly</Keyword><Keyword MajorTopicYN="N">Optokinetic</Keyword><Keyword MajorTopicYN="N">Postural instability</Keyword><Keyword MajorTopicYN="N">Vestibular rehabilitation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2016</Year><Month>09</Month><Day>04</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2017</Year><Month>01</Month><Day>18</Day></PubMedPubDate><PubMedPubDate 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| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Corpus/biblio.hfd \
| NlmPubMed2Wicri -a PosturoV1
| This area was generated with Dilib version V0.6.37. |  |