Vestibular Disease
Conditions
Keywords
Vestibular rehabilitation, Vestibular weakness, Whole Body Vibration, Biofeedback, Posturography
Brief summary
The aim of this study was to compare the efficacy of home based vestibular rehabilitation program, posturographic biofeedback training and whole body vibration therapy on balance, fall risk, functional mobility, vertigo symptom severity and functions in patients with unilateral vestibular weakness.
Detailed description
A total of 90 patients who were diagnosed as unilateral vestibular weakness were included in this prospective randomized controlled study. They were randomized into three groups each consisting of 30 patients. Home based vestibular rehabilitation program was given to all groups. Fall risk yielded by posturography, Berg balance scale, Timed Up-and-Go test, vertigo visual analogue scale and Dizziness Handicap Inventory were used for comparison.
Interventions
BEHAVIORALRehabilitation
Posturography, Whole body vibration
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Adult patients who had unilateral vestibular weakness and persistent dizziness at least two months after acute period were included Bithermal caloric test showing hyporesponsiveness higher than 30% or unresponsiveness of the horizontal canal of the affected ear accepted as unilateral vestibular weakness.
Exclusion criteria
Bilateral vestibular weakness, Recurrent vestibulopathy, Benign paroxysmal positional vertigo, Concomitant neurological or psychiatric disease, Severe visual or auditory impairments and orthopedic problems in the lower extremities
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| fall risk | 30 days | fall risk yielded by static posturography |
| Berg balance scale | 30 days | BBS consists of 14 tasks that are each scored on a scale of 0-4, for a total possible score of 56, indicating no identified balance difficulties. Scoring is on a 5-point ordinal scale with 0 indicating an inability to complete the task and 4 as independent in completing the task. |
| Timed Up-and-Go | 30 days | TUG is a balance and gait index which requires subjects to rise from an armchair, walk 3 m at a normal and safe pace, turn around, walk back to the chair and sit-down. The time required to complete this task is measured in seconds. |
| vertigo visual analogue scale | 30 days | A vertically oriented 10 cm line was used for VAS, where no vertigo corresponds to the bottom of the line and the worst vertigo that they could imagine corresponds to the top of the line. Patients were instructed to place a mark on the 10-cm vertical line according to severity of their vertigo. |
| Dizziness Handicap Inventory | 30 days | The DHI has 25 items, sub-grouped into three domains: functional, emotional, and physical. There are three closed-form answers where patients may check one of the following: yes, sometimes and no with the corresponding scored as 4/2/0. It is possible to use both the total score and the scores of the three subscales separately. |
Countries
Turkey (Türkiye)
Outcome results
None listed