PosturoV1, Main, Exploration, bibRecord, 000504

Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.

Identifieur interne : 000504 ( Main/Exploration ); précédent : 000503; suivant : 000505

Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: 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 :

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.

RBID : pubmed:28251319

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Appréciation des risques (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 (méthodes), Équilibre postural (physiologie), Évaluation gériatrique (méthodes).
MESH :
- méthodes : Traitement par les exercices physiques, Épreuves vestibulaires, Évaluation gériatrique.
- physiologie : Équilibre postural.
- prévention et contrôle : Chutes accidentelles.
- rééducation et réadaptation : Maladies vestibulaires.
- Adulte d'âge moyen, Appréciation des risques, Femelle, Humains, Mâle, Sujet âgé, Techniques de physiothérapie.

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

Affiliations:

Espagne

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000563
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Le document en format XML

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<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>
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<term>Appréciation des risques (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 (méthodes)</term>
<term>Équilibre postural (physiologie)</term>
<term>Évaluation gériatrique (méthodes)</term>
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<term>Geriatric Assessment</term>
<term>Vestibular Function Tests</term>
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<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Traitement par les exercices physiques</term>
<term>Épreuves vestibulaires</term>
<term>Évaluation gériatrique</term>
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<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Chutes accidentelles</term>
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<term>Female</term>
<term>Humans</term>
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<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
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<term>Appréciation des risques</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
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<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>
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<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>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rossi-Izquierdo</LastName>
<ForeName>Marcos</ForeName>
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<AffiliationInfo><Affiliation>Department of Otolaryngology, University Hospital Lucus Augusti, Calle Dr. Ulises Romero, 1, 27003, Lugo, Spain. Marcos_Rossi@hotmail.com.</Affiliation>
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<Author ValidYN="Y"><LastName>Faraldo-García</LastName>
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<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation>
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<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>
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<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>
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<Author ValidYN="Y"><LastName>Soto-Varela</LastName>
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<Initials>A</Initials>
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<AffiliationInfo><Affiliation>Department of Otolaryngology, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain.</Affiliation>
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Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.

Short-term effectiveness of vestibular rehabilitation in elderly patients with postural instability: a randomized clinical trial.

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