Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness A Randomized Clinical Trial

Autor(es)

Ricci, Natalia Aquaroni ^{[1, 2, 3]} ; Aratani, Mayra Cristina ^[2] ; Caovilla, Heloisa Helena ^[2] ; Gananca, Fernando Freitas ^[2]

Afiliação do(s) autor(es)

^[1] Univ Cidade Sao Paulo, Masters Program Phys Therapy, Sao Paulo - Brazil

^[2] Univ Fed Sao Paulo, Otoneurol Discipline, Dept Otorhinolaryngol & Head & Neck Surg, Sao Paulo - Brazil

^[3] Univ Cidade Sao Paulo, Doctoral Program Phys Therapy, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION; v. 95, n. 4, p. 256-269, APR 2016.
• Citações Web of Science: 3

Resumo

Objective The aim of this study was to compare the effects of vestibular rehabilitation protocols on balance control in elderly with dizziness. Design This is a randomized clinical trial with 3-mo follow-up period. The sample was composed of 82 older individuals with chronic dizziness from vestibular disorders. The control group was treated according to the Conventional Cawthorne \& Cooksey protocol (n = 40), and the experimental group was submitted to a Multimodal Cawthorne \& Cooksey protocol (n = 42). Measures included Dynamic Gait Index, fall history, hand grip strength, Time Up-and-Go Test, sit-to-stand test, multidirectional reach, and static balance tests. Results With the exception of history of falls, Forward Functional Reach, Unipedal Right and Left Leg Eyes Closed, and Sensorial Romberg Eyes Open, all outcomes improved after treatments. Such results persisted at follow-up period, with the exception of the Tandem Eyes Open and the Timed Up-and-Go manual. The between-group differences for Sensorial Romberg Eyes Closed (4.27 secs) and Unipedal Left Leg Eyes Open (4.08 secs) were significant after treatment, favoring the Multimodal protocol. Conclusions Both protocols resulted in improvement on elderly's balance control, which was maintained during a short-term period. The multimodal protocol presented better performance on specific static balance tests. (AU)

• Processo FAPESP: 09/16908-6 - Efeitos da reabilitação vestibular no equilíbrio corporal de idosos vestibulopatas crônicos: ensaio clínico randomizado
• Beneficiário: Natalia Aquaroni Ricci
• Modalidade de apoio: Bolsas no Brasil - Doutorado