Vestibular rehabilitation in elderly patients with postural instability: reducing the number of falls-a randomized clinical trial.
Identifieur interne : 000361 ( Main/Curation ); précédent : 000360; suivant : 000362Vestibular rehabilitation in elderly patients with postural instability: reducing the number of falls-a randomized clinical trial.
Auteurs : Marcos Rossi-Izquierdo [Espagne] ; Pilar Gayoso-Diz [Espagne] ; Sofía Santos-Pérez [Espagne] ; María Del-Río-Valeiras [Espagne] ; Ana Faraldo-García [Espagne] ; Isabel Vaamonde-Sánchez-Andrade [Espagne] ; Antonio Lirola-Delgado [Espagne] ; Andrés Soto-Varela [Espagne]Source :
- Aging clinical and experimental research [ 1720-8319 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Chutes accidentelles (prévention et contrôle), Femelle (MeSH), Humains (MeSH), Maladies vestibulaires (rééducation et réadaptation), Mâle (MeSH), Sujet âgé (MeSH), Techniques de physiothérapie (MeSH), Traitement par les exercices physiques (méthodes), Épreuves vestibulaires (MeSH), Équilibre postural (MeSH).
- MESH :
- méthodes : Traitement par les exercices physiques.
- prévention et contrôle : Chutes accidentelles.
- rééducation et réadaptation : Maladies vestibulaires.
- Adulte d'âge moyen, Femelle, Humains, Mâle, Sujet âgé, Techniques de physiothérapie, Épreuves vestibulaires, Équilibre postural.
English descriptors
- KwdEn :
- Accidental Falls (prevention & control), Aged (MeSH), Exercise Therapy (methods), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Outcome Assessment, Health Care (MeSH), Physical Therapy Modalities (MeSH), Postural Balance (MeSH), Vestibular Diseases (rehabilitation), Vestibular Function Tests (MeSH).
- MESH :
- methods : Exercise Therapy.
- prevention & control : Accidental Falls.
- rehabilitation : Vestibular Diseases.
- Aged, Female, Humans, Male, Middle Aged, Outcome Assessment, Health Care, Physical Therapy Modalities, Postural Balance, Vestibular Function Tests.
Abstract
BACKGROUND
Our previous study had shown the effectiveness of vestibular rehabilitation (VR) in improving balance in elderly patients, assessed immediately afterwards.
AIMS
The main goal of the present study is to consider whether this improvement in balance assessment turns out in a reduction of the number of falls.
METHODS
139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computerized dynamic posturography (CDP) training, optokinetic stimulus, exercises at home or control group. Patients were assessed with objective outcome measures (sensorial organization test and limits of stability of CDP, number of falls and number of hospital admissions due to falls) and subjective outcome measures (dizziness handicap inventory and short falls efficacy scale-international) during a 12-month follow-up period.
RESULTS
Average number of falls significantly declined from 10.96 (before VR) to 3.03 (12-month follow-up) in the intervention group (p < 0.001); meanwhile, in the control group, the average number of falls changed from 3.36 to 2.61 during a 12-month follow-up period (p = 0.166).
DISCUSSION
The present study provides evidence that VR can decisively improve balance in elderly patients with instability, which can lead in turn to a significant reduction of falls.
CONCLUSION
We recommend performing VR in any older person with high risk of falls.
DOI: 10.1007/s40520-018-1003-0
PubMed: 30008159
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elderly patients with postural instability: reducing the number of falls-a randomized clinical trial.</title><author><name sortKey="Rossi Izquierdo, Marcos" sort="Rossi Izquierdo, Marcos" uniqKey="Rossi Izquierdo M" first="Marcos" last="Rossi-Izquierdo">Marcos Rossi-Izquierdo</name><affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, University Hospital Lucus Augusti, Calle Dr. Ulises Romero, 1, 27003, Lugo, Spain. Marcos_Rossi@hotmail.com.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otolaryngology, University Hospital Lucus Augusti, Calle Dr. Ulises Romero, 1, 27003, Lugo</wicri:regionArea></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 wicri:level="1"><nlm:affiliation>Clinical Epidemiology Unit, Hospital Clínico Universitario, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Clinical Epidemiology Unit, Hospital Clínico Universitario, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela</wicri:regionArea></affiliation></author><author><name sortKey="Santos Perez, Sofia" sort="Santos Perez, Sofia" uniqKey="Santos Perez S" first="Sofía" last="Santos-Pérez">Sofía 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Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela</wicri:regionArea></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 wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela</wicri:regionArea></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 wicri:level="1"><nlm:affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela</wicri:regionArea></affiliation></author></analytic><series><title level="j">Aging clinical and experimental research</title><idno type="eISSN">1720-8319</idno><imprint><date when="2018" type="published">2018</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>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Outcome Assessment, Health Care (MeSH)</term><term>Physical Therapy Modalities (MeSH)</term><term>Postural Balance (MeSH)</term><term>Vestibular Diseases (rehabilitation)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Chutes accidentelles (prévention et contrôle)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Maladies vestibulaires (rééducation et réadaptation)</term><term>Mâle (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Techniques de physiothérapie (MeSH)</term><term>Traitement par les exercices physiques (méthodes)</term><term>Épreuves vestibulaires (MeSH)</term><term>Équilibre postural (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Traitement par les exercices physiques</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladies vestibulaires</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>Outcome Assessment, Health Care</term><term>Physical Therapy Modalities</term><term>Postural Balance</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Sujet âgé</term><term>Techniques de physiothérapie</term><term>Épreuves vestibulaires</term><term>Équilibre postural</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Our previous study had shown the effectiveness of vestibular rehabilitation (VR) in improving balance in elderly patients, assessed immediately afterwards.</p></div><div type="abstract" xml:lang="en"><p><b>AIMS</b></p><p>The main goal of the present study is to consider whether this improvement in balance assessment turns out in a reduction of the number of falls.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computerized dynamic posturography (CDP) training, optokinetic stimulus, exercises at home or control group. Patients were assessed with objective outcome measures (sensorial organization test and limits of stability of CDP, number of falls and number of hospital admissions due to falls) and subjective outcome measures (dizziness handicap inventory and short falls efficacy scale-international) during a 12-month follow-up period.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Average number of falls significantly declined from 10.96 (before VR) to 3.03 (12-month follow-up) in the intervention group (p < 0.001); meanwhile, in the control group, the average number of falls changed from 3.36 to 2.61 during a 12-month follow-up period (p = 0.166).</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>The present study provides evidence that VR can decisively improve balance in elderly patients with instability, which can lead in turn to a significant reduction of falls.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>We recommend performing VR in any older person with high risk of falls.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30008159</PMID><DateCompleted><Year>2019</Year><Month>04</Month><Day>03</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>10</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1720-8319</ISSN><JournalIssue CitedMedium="Internet"><Volume>30</Volume><Issue>11</Issue><PubDate><Year>2018</Year><Month>Nov</Month></PubDate></JournalIssue><Title>Aging clinical and experimental research</Title><ISOAbbreviation>Aging Clin Exp Res</ISOAbbreviation></Journal><ArticleTitle>Vestibular rehabilitation in elderly patients with postural instability: reducing the number of falls-a randomized clinical trial.</ArticleTitle><Pagination><MedlinePgn>1353-1361</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s40520-018-1003-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Our previous study had shown the effectiveness of vestibular rehabilitation (VR) in improving balance in elderly patients, assessed immediately afterwards.</AbstractText><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">The main goal of the present study is to consider whether this improvement in balance assessment turns out in a reduction of the number of falls.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computerized dynamic posturography (CDP) training, optokinetic stimulus, exercises at home or control group. Patients were assessed with objective outcome measures (sensorial organization test and limits of stability of CDP, number of falls and number of hospital admissions due to falls) and subjective outcome measures (dizziness handicap inventory and short falls efficacy scale-international) during a 12-month follow-up period.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Average number of falls significantly declined from 10.96 (before VR) to 3.03 (12-month follow-up) in the intervention group (p < 0.001); meanwhile, in the control group, the average number of falls changed from 3.36 to 2.61 during a 12-month follow-up period (p = 0.166).</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">The present study provides evidence that VR can decisively improve balance in elderly patients with instability, which can lead in turn to a significant reduction of falls.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">We recommend performing VR in any older person with high risk of falls.</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><GrantList CompleteYN="Y"><Grant><GrantID>PI11/01328</GrantID><Agency>Instituto de Salud Carlos III</Agency><Country></Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2018</Year><Month>07</Month><Day>14</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Aging Clin Exp Res</MedlineTA><NlmUniqueID>101132995</NlmUniqueID><ISSNLinking>1594-0667</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="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="D017063" MajorTopicYN="N">Outcome Assessment, Health Care</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="N">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="Y">Postural Balance</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></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Computerized dynamic posturography</Keyword><Keyword MajorTopicYN="N">Elderly</Keyword><Keyword MajorTopicYN="N">Falls</Keyword><Keyword MajorTopicYN="N">Optokinetic</Keyword><Keyword MajorTopicYN="N">Vestibular rehabilitation</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>04</Month><Day>19</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>07</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2018</Year><Month>7</Month><Day>17</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>4</Month><Day>4</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2018</Year><Month>7</Month><Day>16</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">30008159</ArticleId><ArticleId IdType="doi">10.1007/s40520-018-1003-0</ArticleId><ArticleId IdType="pii">10.1007/s40520-018-1003-0</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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