Vestibular rehabilitation and 6-month follow-up using objective and subjective measures

被引:53
作者
Meli, A [1 ]
Zimatore, G [1 ]
Badaracco, C [1 ]
De Angelis, E [1 ]
Tufarelli, D [1 ]
机构
[1] San Raffaele Res Inst, ENT Rehabil Unit, I-00163 Rome, Italy
关键词
disability; dizziness; quality of life; vestibular rehabilitation;
D O I
10.1080/00016480500388885
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Conclusions. Vestibular rehabilitation improves quality of life by reducing the degree of handicap, improving the ability to perform everyday tasks and providing long-term rehabilitation stability ( at 6 months). Recovery of the vestibulo-ocular reflex and the vestibulo-spinal reflex efficiency was proven by the objective results obtained in this study. Vestibular rehabilitation improves both subjective and objective parameters, although no significant correlation between these two indices was found. Objective. To determine the outcome of subjective and objective parameters and long-term rehabilitation stability after vestibular rehabilitation in 43 patients with vestibular disorders. Material and methods. The subjective tests used were the Medical Outcomes Study 36-item Short Form, the Dizziness Handicap Inventory and the Activity-specific Balance Confidence scale. The objective tests used were video-oculoscopy, dynamic visual acuity, the Equitest and the Dynamic Gait Index. All indices were evaluated before and after rehabilitation and at follow-up. Results. All patients showed an improvement in quality of life and a reduction in handicap due to dizziness. Improvement in objective test results was also seen. These results were stable at follow-up. A correlation was found between different subjective measures, but there was no correlation between subjective and objective measures.
引用
收藏
页码:259 / 266
页数:8
相关论文
共 24 条
[1]   Outcomes after rehabilitation for adults with balance dysfunction [J].
Badke, MB ;
Shea, TA ;
Miedaner, JA ;
Grove, CR .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2004, 85 (02) :227-233
[2]   Outcomes in vestibular ablative procedures [J].
Badke, MB ;
Pyle, GM ;
Shea, T ;
Miedaner, J .
OTOLOGY & NEUROTOLOGY, 2002, 23 (04) :504-509
[3]  
Black FO, 2000, AM J OTOL, V21, P543
[4]   Physical therapy outcomes for persons with bilateral vestibular loss [J].
Brown, KE ;
Whitney, SL ;
Wrisley, DM ;
Furman, JM .
LARYNGOSCOPE, 2001, 111 (10) :1812-1817
[5]  
Cass SP, 1996, AM J OTOL, V17, P581
[6]   Decreased ataxia and improved balance after vestibular rehabilitation [J].
Cohen, HS ;
Kimball, KT .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2004, 130 (04) :418-425
[7]   Increased independence and decreased vertigo after vestibular rehabilitation [J].
Cohen, HS ;
Kimball, KT .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 2003, 128 (01) :60-70
[8]   Efficacy of vestibular rehabilitation [J].
Cowand, JL ;
Wrisley, DM ;
Walker, M ;
Strasnick, B ;
Jacobson, JT .
OTOLARYNGOLOGY-HEAD AND NECK SURGERY, 1998, 118 (01) :49-54
[9]   Evaluation of health-related quality of life in individuals with vestibular disease using disease-specific and general outcome measures [J].
Enloe, LJ ;
Shields, RK .
PHYSICAL THERAPY, 1997, 77 (09) :890-903
[10]   Relationship among balance impairments, functional performance, and disability in people with peripheral vestibular hypofunction [J].
Gill-Body, KM ;
Beninato, M ;
Krebs, DE .
PHYSICAL THERAPY, 2000, 80 (08) :748-758