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Published on: August 30, 2019
Patient-Reported and Performance Outcomes Significantly Improved in Elderly Patients with Vestibular Impairment
Daniel Héctor Verdecchia1,2, Agustina Maria Monzón1, Valentina Urbina Jaimes2
1Departamento de Ciencias de la Salud, Kinesiología y Fisiatría, Universidad Nacional de La Matanza, San Justo, Buenos Aires, Argentina.
Objective:
To describe the results of a vestibular rehabilitation (VR) program in the timed up and go (TUG), gait speed (GS), and dizziness handicap inventory (DHI) scores for elderly vestibular patients in a developing country.
Methods:
Descriptive study with retrospective data collected from the clinical records of vestibular patients. The following information was recorded: sex, age, type of vestibular disorder, DHI score, and performance in TUG and GS, before and after participation in a VR program taking place from January 1 to August 30, 2017. The VR program consisted of 10 twice weekly sessions in the clinic and daily exercises at the patient's home. We used Student's t-test for paired and Wilcoxon's test according to the data distribution. The level of significance was 5%.
Results:
Data from 57 patients (49 females; 78 ± 5.8 years old) were used. There were statistically significant differences in TUG (12.52 versus 11.56), GS (0.81 versus 0.90 m/s), DHI total handicap (46 versus 24), physical (14 versus 8), emotional (14 versus 6), and functional (18 versus 12) domains.
Conclusion:
The functional outcome measures reported, including TUG, gait speed, and DHI, reflect statistically significant improvements in elderly patients after vestibular rehabilitation; the DHI improvements are clinically relevant.
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