Outcome analysis of individualized vestibular rehabilitation protocols.
Identifieur interne : 001345 ( Main/Exploration ); précédent : 001344; suivant : 001346Outcome analysis of individualized vestibular rehabilitation protocols.
Auteurs : F O Black [États-Unis] ; C R Angel ; S C Pesznecker ; C. GiannaSource :
- The American journal of otology [ 0192-9763 ] ; 2000.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Maladie chronique (MeSH), Maladies vestibulaires (diagnostic), Maladies vestibulaires (physiopathologie), Maladies vestibulaires (psychologie), Maladies vestibulaires (rééducation et réadaptation), Maladies vestibulaires (étiologie), Mâle (MeSH), Orientation vers un spécialiste (MeSH), Personnes handicapées (MeSH), Planification des soins du patient (MeSH), Protocoles cliniques (MeSH), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Épreuves vestibulaires (MeSH), Études cas-témoins (MeSH), Études prospectives (MeSH).
- MESH :
- diagnostic : Maladies vestibulaires.
- physiopathologie : Maladies vestibulaires.
- psychologie : Maladies vestibulaires.
- rééducation et réadaptation : Maladies vestibulaires.
- étiologie : Maladies vestibulaires.
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Enquêtes et questionnaires, Femelle, Humains, Indice de gravité de la maladie, Maladie chronique, Mâle, Orientation vers un spécialiste, Personnes handicapées, Planification des soins du patient, Protocoles cliniques, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Épreuves vestibulaires, Études cas-témoins, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Case-Control Studies (MeSH), Chronic Disease (MeSH), Clinical Protocols (MeSH), Disabled Persons (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Care Planning (MeSH), Prospective Studies (MeSH), Referral and Consultation (MeSH), Severity of Illness Index (MeSH), Surveys and Questionnaires (MeSH), Treatment Outcome (MeSH), Vestibular Diseases (diagnosis), Vestibular Diseases (etiology), Vestibular Diseases (physiopathology), Vestibular Diseases (psychology), Vestibular Diseases (rehabilitation), Vestibular Function Tests (MeSH).
- MESH :
- diagnosis : Vestibular Diseases.
- etiology : Vestibular Diseases.
- physiopathology : Vestibular Diseases.
- psychology : Vestibular Diseases.
- rehabilitation : Vestibular Diseases.
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Case-Control Studies, Chronic Disease, Clinical Protocols, Disabled Persons, Female, Humans, Male, Middle Aged, Patient Care Planning, Prospective Studies, Referral and Consultation, Severity of Illness Index, Surveys and Questionnaires, Treatment Outcome, Vestibular Function Tests.
Abstract
OBJECTIVE
To determine the outcome of vestibular rehabilitation protocols in subjects with peripheral vestibular disorders compared with normal and abnormal control subjects.
STUDY DESIGN
Prospective study using repeated measure, matched control design. Subjects were solicited consecutively according to these criteria: vestibular disorder subjects who had abnormal results of computerized dynamic posturography (CDP) sensory organization tests (SOTs) 5 and 6 and underwent rehabilitation; vestibular disorder subjects who had abnormal results of SOTs 5 and 6 and did not undergo rehabilitation; and normal subjects (normal SOTs).
SETTING
Tertiary neurotology clinic.
SUBJECTS
Men and women over age 18 with chronic vestibular disorders and chief complaints of unsteadiness, imbalance, and/or motion intolerance, and normal subjects.
INTERVENTIONS
Pre- and post-rehabilitation assessment included CDP, vestibular disability, and activities of daily living questionnaires. Individualized rehabilitation plans were designed and implemented to address the subject's specific complaints and functional deficits. Supervised sessions were held at weekly intervals, and self-administered programs were devised for daily home use.
MAIN OUTCOME MEASURES
CDP composite and SOT scores, number of falls on CDP, and self-assessment questionnaire results.
RESULTS
Subjects who underwent rehabilitation (Group A) showed statistically significant improvements in SOTs, overall composite score, and reduction in falls compared with abnormal (Group B) control groups. Group A's performances after rehabilitation were not significantly different from those of normal subjects (Group C) in SOTs 3 through 6, and close to normal on SOTs 1 and 2. Subjects in Group A also reported statistically significant symptomatic improvement.
CONCLUSIONS
Outcome measures of vestibular protocol physical therapy confirmed objective and subjective improvement in subjects with chronic peripheral vestibular disorders. These findings support results reported by other investigators.
PubMed: 10912701
Affiliations:
Links toward previous steps (curation, corpus...)
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(diagnosis)</term><term>Vestibular Diseases (etiology)</term><term>Vestibular Diseases (physiopathology)</term><term>Vestibular Diseases (psychology)</term><term>Vestibular Diseases (rehabilitation)</term><term>Vestibular Function Tests (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de gravité de la maladie (MeSH)</term><term>Maladie chronique (MeSH)</term><term>Maladies vestibulaires (diagnostic)</term><term>Maladies vestibulaires (physiopathologie)</term><term>Maladies vestibulaires (psychologie)</term><term>Maladies vestibulaires (rééducation et réadaptation)</term><term>Maladies vestibulaires (étiologie)</term><term>Mâle (MeSH)</term><term>Orientation vers un spécialiste (MeSH)</term><term>Personnes handicapées (MeSH)</term><term>Planification des soins du patient (MeSH)</term><term>Protocoles cliniques (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Épreuves vestibulaires (MeSH)</term><term>Études cas-témoins (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Vestibular Diseases</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Vestibular Diseases</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" qualifier="étiologie" xml:lang="fr"><term>Maladies vestibulaires</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Case-Control Studies</term><term>Chronic Disease</term><term>Clinical Protocols</term><term>Disabled Persons</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Care Planning</term><term>Prospective Studies</term><term>Referral and Consultation</term><term>Severity of Illness Index</term><term>Surveys and Questionnaires</term><term>Treatment Outcome</term><term>Vestibular Function Tests</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Femelle</term><term>Humains</term><term>Indice de gravité de la maladie</term><term>Maladie chronique</term><term>Mâle</term><term>Orientation vers un spécialiste</term><term>Personnes handicapées</term><term>Planification des soins du patient</term><term>Protocoles cliniques</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Épreuves vestibulaires</term><term>Études cas-témoins</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine the outcome of vestibular rehabilitation protocols in subjects with peripheral vestibular disorders compared with normal and abnormal control subjects.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Prospective study using repeated measure, matched control design. Subjects were solicited consecutively according to these criteria: vestibular disorder subjects who had abnormal results of computerized dynamic posturography (CDP) sensory organization tests (SOTs) 5 and 6 and underwent rehabilitation; vestibular disorder subjects who had abnormal results of SOTs 5 and 6 and did not undergo rehabilitation; and normal subjects (normal SOTs).</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Tertiary neurotology clinic.</p></div><div type="abstract" xml:lang="en"><p><b>SUBJECTS</b></p><p>Men and women over age 18 with chronic vestibular disorders and chief complaints of unsteadiness, imbalance, and/or motion intolerance, and normal subjects.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>Pre- and post-rehabilitation assessment included CDP, vestibular disability, and activities of daily living questionnaires. Individualized rehabilitation plans were designed and implemented to address the subject's specific complaints and functional deficits. Supervised sessions were held at weekly intervals, and self-administered programs were devised for daily home use.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>CDP composite and SOT scores, number of falls on CDP, and self-assessment questionnaire results.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Subjects who underwent rehabilitation (Group A) showed statistically significant improvements in SOTs, overall composite score, and reduction in falls compared with abnormal (Group B) control groups. Group A's performances after rehabilitation were not significantly different from those of normal subjects (Group C) in SOTs 3 through 6, and close to normal on SOTs 1 and 2. Subjects in Group A also reported statistically significant symptomatic improvement.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Outcome measures of vestibular protocol physical therapy confirmed objective and subjective improvement in subjects with chronic peripheral vestibular disorders. These findings support results reported by other investigators.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">10912701</PMID><DateCompleted><Year>2000</Year><Month>11</Month><Day>13</Day></DateCompleted><DateRevised><Year>2015</Year><Month>11</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0192-9763</ISSN><JournalIssue CitedMedium="Print"><Volume>21</Volume><Issue>4</Issue><PubDate><Year>2000</Year><Month>Jul</Month></PubDate></JournalIssue><Title>The American journal of otology</Title><ISOAbbreviation>Am J Otol</ISOAbbreviation></Journal><ArticleTitle>Outcome analysis of individualized vestibular rehabilitation protocols.</ArticleTitle><Pagination><MedlinePgn>543-51</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine the outcome of vestibular rehabilitation protocols in subjects with peripheral vestibular disorders compared with normal and abnormal control subjects.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective study using repeated measure, matched control design. Subjects were solicited consecutively according to these criteria: vestibular disorder subjects who had abnormal results of computerized dynamic posturography (CDP) sensory organization tests (SOTs) 5 and 6 and underwent rehabilitation; vestibular disorder subjects who had abnormal results of SOTs 5 and 6 and did not undergo rehabilitation; and normal subjects (normal SOTs).</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Tertiary neurotology clinic.</AbstractText><AbstractText Label="SUBJECTS" NlmCategory="METHODS">Men and women over age 18 with chronic vestibular disorders and chief complaints of unsteadiness, imbalance, and/or motion intolerance, and normal subjects.</AbstractText><AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Pre- and post-rehabilitation assessment included CDP, vestibular disability, and activities of daily living questionnaires. Individualized rehabilitation plans were designed and implemented to address the subject's specific complaints and functional deficits. Supervised sessions were held at weekly intervals, and self-administered programs were devised for daily home use.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">CDP composite and SOT scores, number of falls on CDP, and self-assessment questionnaire results.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Subjects who underwent rehabilitation (Group A) showed statistically significant improvements in SOTs, overall composite score, and reduction in falls compared with abnormal (Group B) control groups. Group A's performances after rehabilitation were not significantly different from those of normal subjects (Group C) in SOTs 3 through 6, and close to normal on SOTs 1 and 2. Subjects in Group A also reported statistically significant symptomatic improvement.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Outcome measures of vestibular protocol physical therapy confirmed objective and subjective improvement in subjects with chronic peripheral vestibular disorders. These findings support results reported by other investigators.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Black</LastName><ForeName>F O</ForeName><Initials>FO</Initials><AffiliationInfo><Affiliation>Legacy Holladay Park Clinical Research & Technology Center, Portland, Oregon 97208-3950, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Angel</LastName><ForeName>C R</ForeName><Initials>CR</Initials></Author><Author ValidYN="Y"><LastName>Pesznecker</LastName><ForeName>S C</ForeName><Initials>SC</Initials></Author><Author ValidYN="Y"><LastName>Gianna</LastName><ForeName>C</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>DC00205</GrantID><Acronym>DC</Acronym><Agency>NIDCD NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D018848">Controlled Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013486">Research Support, U.S. Gov't, Non-P.H.S.</PublicationType><PublicationType UI="D013487">Research Support, U.S. Gov't, P.H.S.</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Am J Otol</MedlineTA><NlmUniqueID>7909513</NlmUniqueID><ISSNLinking>0192-9763</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CitationSubset>S</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000203" MajorTopicYN="N">Activities of Daily Living</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016022" MajorTopicYN="N">Case-Control Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002908" MajorTopicYN="N">Chronic Disease</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002985" MajorTopicYN="N">Clinical Protocols</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006233" MajorTopicYN="N">Disabled Persons</DescriptorName></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="D010347" MajorTopicYN="N">Patient Care Planning</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012017" MajorTopicYN="N">Referral and Consultation</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012720" MajorTopicYN="N">Severity of Illness Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015837" MajorTopicYN="N">Vestibular Diseases</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014724" MajorTopicYN="N">Vestibular Function Tests</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NASA"><Keyword MajorTopicYN="N">NASA Discipline Neuroscience</Keyword><Keyword MajorTopicYN="N">Non-NASA Center</Keyword></KeywordList><InvestigatorList><Investigator ValidYN="Y"><LastName>Black</LastName><ForeName>F O</ForeName><Initials>FO</Initials><AffiliationInfo><Affiliation>Legacy Holladay Park Clin Res & Tech Ctr, Portland, OR</Affiliation></AffiliationInfo></Investigator></InvestigatorList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2000</Year><Month>7</Month><Day>27</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2001</Year><Month>2</Month><Day>28</Day><Hour>10</Hour><Minute>1</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2000</Year><Month>7</Month><Day>27</Day><Hour>11</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">10912701</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Angel, C R" sort="Angel, C R" uniqKey="Angel C" first="C R" last="Angel">C R Angel</name><name sortKey="Gianna, C" sort="Gianna, C" uniqKey="Gianna C" first="C" last="Gianna">C. Gianna</name><name sortKey="Pesznecker, S C" sort="Pesznecker, S C" uniqKey="Pesznecker S" first="S C" last="Pesznecker">S C Pesznecker</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Black, F O" sort="Black, F O" uniqKey="Black F" first="F O" last="Black">F O Black</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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