Vestibular Rehabilitation Exercises in Acute Vertigo

2007 ◽  
Vol 117 (8) ◽  
pp. 1482-1487 ◽  
Author(s):  
Alessandra R. Venosa ◽  
Roseli S. Bittar
2018 ◽  
Vol 29 (01) ◽  
pp. 015-024
Author(s):  
Anne E. Hogan ◽  
Jonathan H. Spindel ◽  
Lincoln C. Gray

AbstractVestibular rehabilitation exercises have been proven to reduce symptoms and diminish the risk of falls in those with dizziness and balance impairments. The first purpose of this study is to investigate a new method of measuring head movements during habituation vestibular rehabilitation exercises. The second is to explore the relationship between head acceleration measurements during select traditional vestibular rehabilitation exercises and the variables of age, dizziness, and poor balance confidence.A descriptive, cross-sectional study, in a university setting.Fifty-two participants, ranging in age from 20 to 96 yr. All were volunteers, with the majority (34) reporting no history of dizziness or balance confidence.Head accelerations were calculated from linear and angular displacements as measured by magnetometry.Head accelerations decreased with increasing age, dizziness, and low balance confidence during four habituation exercises.Head acceleration varies as a function of age, dizziness, and low balance confidence during head movement–based vestibular and balance rehabilitation therapy (habituation) exercises. The magnetometry measurement method used could be applied across the course of treatment to establish predictive measures based on change in acceleration over time. More diverse participant sampling is needed to create normative data.


2016 ◽  
Vol 06 (04) ◽  
pp. 53-59
Author(s):  
Thota Malathi ◽  
A. Seethalakshmi ◽  
P. Akila

Abstract Objective: The current research aims to identify the effect of Vestibular rehabilitation exercises on the dizziness-handicap among patients with vertigo. Methods: The research design adopted is a pretest-posttest design. 30 patients with vertigo attending the ENT out Patient Department (OPD) who fulfilled the inclusion criteria were selected randomly by lottery method, 15 were assigned to the study and 15 to the control group respectively. Vestibular rehabilitation exercises which include eye, head, sitting, standing & st walking exercises were demonstrated to the study group patients on 1st consultation using a booklet for 20 minutes along with return demonstration. The patients were reinforced to perform the exercises twice daily for 7th days following which the posttest was carried out on the th 7 day. The control group received routine care. Results: The results showed that in the study group 86.7% had severe level of dizzinesshandicap during the pretest which was reduced after practicing vestibular rehabilitation to 13.3% during the posttest, whereas in the control group it was 66.7% and 73.3% who had severe level of dizziness-handicap during the pretest and the posttest respectively. The mean for dizziness handicap for the study group at pretest was 66.3±14.03 and at posttest it was 31.07 ±18.94. The control group showed that at pretest the mean was 61.33±15.24 and at posttest it was 63.87±22.35. This was found to be significant at p=0.0005. Conclusion: The study supported the hypothesis that vestibular rehabilitation exercises had an impact on the dizziness handicap.


2021 ◽  
pp. 1-10
Author(s):  
Fazıl Necdet Ardıç ◽  
Hakan Alkan ◽  
Funda Tümkaya ◽  
Füsun Ardıç

BACKGROUND: The efforts to achieve better functional results in vestibular rehabilitation have been continued by using different visual and somatosensory stimuli for a long time. Whole-body vibration (WBV) is a mechanical vertical stimulation that provides high frequency vibration stimulus to the proprioceptive receptors. Biofeedback provides continuous information to the subject regarding postural changes. These techniques may aid to improve vestibular rehabilitation. OBJECTIVE: We aimed to investigate the effect of adding WBV or biofeedback postural training (BPT) to standard rehabilitation exercises in patients with chronic unilateral vestibular weakness. METHODS: Ninety patients were randomized into three groups. Group 1 had WBV and Group 2 BPT in addition to the standard rehabilitation exercises. Group 3 only carried out the home-based exercises and served as the control. Outcome measures such as static posturography, Berg Balance Scale, Timed Up-and-Go test, Visual Analog Scale, and Dizziness Handicap Inventory (DHI) were used for comparison. RESULTS: Statistically significant gains were achieved in all groups with all parameters at the end of treatment when compared to baseline (p <  0.05). The patients in Group 1 (WBV), however, were significantly better than those in Groups 2 and 3 at the static posturographic stability score, Berg Balance Scale, and DHI (p <  0.05). CONCLUSION: Adding WBV to a rehabilitation program may be an effective strategy to improve postural stability and achieve better physical, functional and emotional outcomes.


2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Eva Ekvall Hansson ◽  
Hélène Pessah-Rasmussen ◽  
Annika Bring ◽  
Birgit Vahlberg ◽  
Liselott Persson

Abstract Background Dizziness is common among patients with first time stroke. It affects self-perceived health and is a risk factor for falls. Vestibular rehabilitation (VR) is effective for treating dizziness among various conditions, but the effect of dizziness with origin in the central nervous system is poorly studied. This pilot study of a randomized controlled trial aimed at investigating a vestibular rehabilitation programme among patients with first time stroke and concomitant dizziness. A second aim was to study the feasibility of performing the randomized controlled trial. Methods The participants were computer generated randomized to either an intervention or a control group. The intervention comprised of four different vestibular rehabilitation exercises, adapted for each patient and usual rehabilitation. The control group received usual rehabilitation without the vestibular rehabilitation exercises. Outcome measures used were The Activities-specific Balance Confidence Scale, the Berg Balance Scale, the Functional Gait Assessment Scale and the EuroQol-5D. Feasibility was studied in terms of recruitment, adherence and retention rates, also as the ability to collect primary and secondary outcomes as well as to find indications of treatment differences. Results Self-rated health improved for all participants. No other differences between baseline and follow-up were detected neither within nor between groups. Recruitment rate was 23%, adherence to the intervention 90%, retention rate 69% and ability to collect outcome measures 90%. No adverse events occurred. Conclusion Both the intervention and the control groups improved in self-perceived health. The measures of feasibility were satisfactory in this study, apart from a low recruitment rate.


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