Rehabilitation in elderly patients with dizziness and balance unsteadiness

被引:3
作者
Krajewski, Krzysztof [1 ]
Rosiak, Oskar [2 ]
Szczepanik, Marcin [3 ]
Walak, Jaroslaw [3 ]
Woszczak, Marek [3 ]
Gawronska, Anna [2 ]
Jozefowicz-Korczynska, Magdalena [2 ]
机构
[1] Med Univ Lodz, Norbert Barlicki Mem Teaching Hosp 1, Balance Disorders Unit, Lodz, Poland
[2] Med Univ Lodz, Norbert Barlicki Mem Teaching Hosp 1, Rehabil Unit, Lodz, Poland
[3] Jan Kochanowski Univ Humanities & Sci, Inst Physioterapy, Kielce, Poland
来源
POLISH JOURNAL OF OTOLARYNGOLOGY | 2018年 / 72卷 / 01期
关键词
unsteadiness; dizziness; aging;
D O I
10.5604/01.3001.0011.5920
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Introduction: In elderly patients the dizziness and balance disorders may be elicited by the central nervous system dysfunction on various levels, caused be aging process and the coexisting diseases. The aim of the study was to assess the efficiency of rehabilitation in elderly patients with dizziness and balance unsteadiness. Material and methods: Out of the 84 patients over 65 years, with central vestibular impairment diagnosed in videonystagmography VNG, 31 with dizziness and balance unsteadiness, were enrolled to the study. Otolaryngological examination, Tinetti test, Time and Go test (TUG) and Functional Reach (FR) tests were conducted in all patients. They were assessed twice before and after 2 weeks of vestibular rehabilitation (VR). Training sessions took place five times a week. Results: Statistically significant improvement in total DHI and 3 subscale were observed after therapy. As many as 70% of patients presented better outcome in the gait and stability tests-in Time and Go test (TUG) an average score of 15.3 seconds, in Tinetti test an average of 22 points (low chance to fall) and in the FR test 27 cm were observed. Conclusion: In elderly patients, vestibular rehabilitation is a method that significantly improves posture and gait stability. In ageing patients with dizziness and unsteadiness clinical, functional and objective tests could confirm diagnosis and monitor VR therapy.
引用
收藏
页码:5 / 9
页数:5
相关论文
共 27 条
[1]   Vestibular Rehabilitation of Older Adults with Dizziness [J].
Alrwaily, Muhammad ;
Whitney, Susan L. .
OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA, 2011, 44 (02) :473-+
[2]   Physical therapy for central vestibular dysfunction [J].
Brown, KE ;
Whitney, SL ;
Marchetti, GF ;
Wrisley, DM ;
Furman, JM .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2006, 87 (01) :76-81
[3]  
Ciorba A, 2015, J HEARING SCI, V5, P9
[4]   Disability and rehabilitation in the dizzy patient [J].
Cohen, HS .
CURRENT OPINION IN NEUROLOGY, 2006, 19 (01) :49-54
[5]   A clinical test of stepping and change of direction to identify multiple falling older adults [J].
Dite, W ;
Temple, VA .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 2002, 83 (11) :1566-1571
[6]   FUNCTIONAL REACH - PREDICTIVE-VALIDITY IN A SAMPLE OF ELDERLY MALE VETERANS [J].
DUNCAN, PW ;
STUDENSKI, S ;
CHANDLER, J ;
PRESCOTT, B .
JOURNALS OF GERONTOLOGY, 1992, 47 (03) :M93-M98
[7]   Central causes of dizziness [J].
Furman, JM ;
Whitney, SL .
PHYSICAL THERAPY, 2000, 80 (02) :179-187
[8]  
Gebska M, 2014, FAM MED PRIM CARE RE, V16, P39
[9]   Vestibular rehabilitation - For whom and how? A systematic review [J].
Hansson, Eva Ekvall .
EUROPEAN JOURNAL OF PHYSIOTHERAPY, 2007, 9 (03) :106-116
[10]  
Jozefowicz-Korczynska M., 2010, OTOLARYNGOLOGIA, V9, P7