scholarly journals LIMITATIONS OF VESTIBULAR REHABILITATION THERAPY USING DYNAMIC COMPUTERIZED POSTUROGRAPHY IN PATIENTS WITH CENTRAL VESTIBULAR SYNDROME

2015 ◽  
Vol 14 (3) ◽  
pp. 140-144
Author(s):  
Anamaria Andreia Ulmeanu ◽  
◽  
Andreea Didilescu ◽  
Raluca Enache ◽  
Gabriela Musat ◽  
...  
Keyword(s):  
Postural Stability ◽  
Maximum Amplitude ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Time Interval ◽  
Dynamic Posturography ◽  
Computerized Posturography ◽  
Risk Of Falls ◽  
Anterior Posterior

Objectives. To evaluate the importance of computerized dynamic posturography in vestibular rehabilitation (VR) of patients with central vestibular syndrome. Methods. The study included 30 patients with central vestibular syndrome with mean age (± SD) = 72.96 ± 11.97 which benefited from VR on a posturography platform between 2012-2014. All patients were evaluated using sensory integration tests. The parameters studied were: Romberg coefficient, statokinesigram (SKG), maximum amplitude of the degree of deviation in anterior-posterior and medial-lateral planes, SKG and the time interval of the rehabilitation program. Results. All of the analyzed parameters showed statistically significant results (p <0.05). The anterior-posterior and medio-lateral balance improved significantly at the end of the vestibular rehabilitation program and the parameters decreased to values close to normal. Conclusions. For patients with central vestibular syndrome, the vestibular rehabilitation improves postural stability and quality of life by reducing the risk of falls.

scholarly journals The importance of computerized dynamic posturography in vestibular rehabilitation of patients with unilateral peripheral vestibular deficiency

2015 ◽  
Vol 5 (19) ◽  
pp. 173-178
Author(s):  
Anamaria Andreia Ulmeanu ◽  
Andreea Didilescu ◽  
Raluca Enache ◽  
Gabriela Musat ◽  
Codrut Sarafoleanu
Keyword(s):  
Maximum Amplitude ◽  
Vestibular Rehabilitation ◽  
Deficiency Syndrome ◽  
Rehabilitation Program ◽  
Time Interval ◽  
Dynamic Posturography ◽  
Eyes Closed ◽  
Computerized Dynamic Posturography ◽  
Before And After ◽  
Eyes Open

Abstract OBJECTIVE. To evaluate the importance of computerized dynamic posturography in vestibular rehabilitation of patients with unilateral peripheral vestibular deficiency syndrome. MATERIAL AND METHODS. The study was conducted on a group of 30 patients (33-78 years; mean age (± SD) = 55.8 ± 12.12) diagnosed with unilateral peripheral vestibular deficiency syndrome, which benefited from VR on a posturography platform. Assessment of the patients was made using the Sensory Organization Test before and after eight sessions of rehabilitation. We analyzed the results obtained with eyes open (EO) and eyes closed (EC) on static and foam platform. The following variables were evaluated: Romberg coefficient, statokinesigram (SKG), maximum amplitude of the degree of deviation in anterior/posterior and medial/lateral planes, SKG and the time interval of the game rehabilitation program. RESULTS. The statistical analysis of the data revealed a strong correlation (p<0.05) for the studied parameters, especially when the test was performed with the eyes closed on foam platform. The analysis of the Romberg coefficient did not show statistically significant results (p>0.05) and the measured values were outside the range of normality even at the end of the rehabilitation program. SKG and the time interval reference of the game showed significant improvement of the parameters (p<0.05); at the end of the rehabilitation sessions, 93.33% of the patients showed full recovery of their deficit. CONCLUSION. Computerized dynamic posturography has a particularly important role in the evaluation, monitoring and rehabilitation of the patients with peripheral vestibular deficiency.

R438 – Medication Effects on Vestibular Rehabilitation in PTMAD

2008 ◽  
Vol 139 (2_suppl) ◽  
pp. P191-P191
Author(s):  
Chadwick J Donaldson ◽  
Michael E Hoffer ◽  
Kim R Gottshall ◽  
David Y Healy ◽  
Ben J Balough
Keyword(s):  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Dynamic Posturography ◽  
Mild Tbi ◽  
Diverse Range ◽  
Migraine Headaches ◽  
Medication Effects ◽  
Specific Objective ◽  
Blunt Head Trauma ◽  
Post Traumatic

Problem Do migraine prophylactic medications effect the vestibular rehabilitation of individuals with Post-Traumatic Migraine Associated Dizziness (PTMAD)? Methods Traumatic Brain Injury (TBI) is a common cause of neurologic disorders with a reported incidence in the literature between 180 to 500 per 100000. Individuals affected by mild TBI have a diverse range of symptoms that include but are not limited to dizziness, concentration difficulty, migraine headaches, emotional lability, nausea, anosmia, sensitivity to light and sounds. Evidence of post-traumatic migraine associated dizziness (PTMAD), following mild TBI, have been described and characterized previously by our group. In this retrospective review, we looked at 90 males with blast exposure or blunt head trauma suffered in combat and a diagnosis of PTMAD who were placed on Elavil, Verapamil, or Topamax medications for migraine prophylaxis. These patients, while on these medications, actively participated in a vestibular rehabilitation program over a 6–12 week period of time. We compared those individuals at the completion of their rehabilitation to determine the effectiveness of these specific medications on resolution of symptoms and returning to work. Patients were subjected to specific objective neurovestibular tests which included computerized dynamic posturography (CDP), dynamic visual acuity (DVA), and dynamic gait index (DGI). Results Comparisons between drug regimens and resolution of symptoms will be discussed. Conclusion Although subjectively, physicians have had success in our group on PTMAD, a thorough evaluation of the best medication for this condition and its relationship to expedite recovery has not been characterized. These results will guide selection of migraine prophylactic drug therapy in PTMAD. Significance The significance of our study will help guide the treatment of patients with trauma related migraines and dizziness during their rehabilitation. Support United States Navy.

scholarly journals Vestibular Rehabilitation in Isolated Otolith Dysfunction After Covid-19: A Case Report

2021 ◽  
Vol 19 (4) ◽  
pp. 473-480
Author(s):  
Parisa Jalilzadeh Afshar ◽  
Keyword(s):  
Pure Tone Audiometry ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Vestibular Evoked Myogenic Potentials ◽  
The Novel ◽  
Integrity Assessment ◽  
Computerized Posturography ◽  
Chief Complaints ◽  
Visual Vertical ◽  
Novel Coronavirus

A 56-year-old female with dizziness, imbalance, and a slight floating sensation was evaluated. Her symptoms started after infection with the novel coronavirus (SARS-CoV-2). Routine auditory test (pure tone audiometry), vestibular assessment (videonystagmography), and neurologic test results were in the normal range, but the otolith evaluations, such as cervical vestibular evoked myogenic potentials (cVEMP) and subjective visual vertical tests, showed abnormal findings. The patient underwent a ten-session individualized vestibular rehabilitation program (one session per week). After completing rehabilitation sessions, her chief complaints were alleviated, the performance on computerized posturography was improved, and the abnormal cVEMP amplitude asymmetry between ears disappeared. In conclusion, vestibular disorders can happen after COVID-19 infection, presenting exclusively with isolated otolith dysfunction. In these patients, functional integrity assessment of the whole vestibular system is crucial, and vestibular rehabilitation may be beneficial.

scholarly journals Vitamin D Supplementation Improves the Effects of the Rehabilitation Program on Balance and Pressure Distribution in Patients after Anterior Cervical Interbody Fusion-Randomized Control Trial

Nutrients ◽  
2020 ◽  
Vol 12 (12) ◽  
pp. 3874
Author(s):  
Wojciech Skrobot ◽  
Ewelina Perzanowska ◽  
Katarzyna Krasowska ◽  
Damian J. Flis ◽  
Katarzyna P. Dzik ◽  
...  
Keyword(s):  
Vitamin D ◽  
Pressure Distribution ◽  
Postural Stability ◽  
Interbody Fusion ◽  
Rehabilitation Program ◽  
Vitamin D Supplementation ◽  
Cervical Disc ◽  
Foot Pressure ◽  
Risk Of Falls ◽  
Romberg Test

Study Design: A double-blinded, randomized controlled trial. Background: Surgery is effective in reducing pain intensity in patients with cervical disc disease. However, functional measurements demonstrated that the results have been not satisfactory enough. Thus, rehabilitation programs combined with the supplementation of vitamin D could play an essential role. Methods. The study recruited 30 patients, aged 20 to 70 years, selected for anterior cervical interbody fusion (ACIF). The patients were randomly divided into the placebo (Pl) and vitamin D (3200 IU D3/day) supplemented groups. The functional tests limits of stability (LOS), risk of falls (RFT), postural stability (PST), Romberg test, and foot pressure distribution were performed before supplementation (BS—week 0), five weeks after supplementation (AS—week 5), four weeks after surgery (BSVR—week 9), and 10 weeks after supervising rehabilitation (ASVR—week 19). Results. The concentration of 25(OH)D3 in the serum, after five weeks of supplementation, was significantly increased, while the Pl group maintained the same. The RFT was significantly reduced after five weeks of vitamin D supplementation. Moreover, a further significant decrease was observed following rehabilitation. In the Pl group, no changes in the RFT were observed. The overall postural stability index (OSI), LOS, and the outcomes of the Romberg test significantly improved in both groups; however, the effects on the OSI were more pronounced in the D3 group at the end of the rehabilitation program. Conclusions. Our data suggest that vitamin D supplementation positively affected the rehabilitation program in patients implemented four weeks after ACIF by reducing the risk of falls and improving postural stability.

scholarly journals Stabilometric assessment of static balance and postural stability in multicanal vertigo post vestibular rehabilitation: a clinical case report

2021 ◽  
Vol 10 (11) ◽  
pp. e92101110188
Author(s):  
Lucas Marques Fortunato ◽  
Lucelia Luna Melo-Diaz
Keyword(s):  
Case Report ◽  
Postural Stability ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Mean Deviation ◽  
Static Balance ◽  
Eyes Closed ◽  
Significant Difference ◽  
Eyes Open ◽  
The Mean

Introduction: Multicanal vertigo is a rare disorder and vestibular rehabilitation is one of the treatment methods, aiming to stimulate the neuroplasticity of the central nervous system. Objective: To examine the effect of a vestibular rehabilitation program on static balance and postural stability in an individual with vertigo. Case report: Male patient, 58 years old, with clinical diagnosis of benign paroxysmal positional vertigo for 12 years, with frequent episodes of vertigo, loss of balance and falls. The assessment of balance and postural stability were performed using the Romberg test with eyes open and closed, on a S-Plate v.14 – Medicapteurs – France, force platform, analysing data at a risk of p<0.05 level. After the Epley´s Maneuver, the vestibular rehabilitation program was started. It consisted of Cawthorne-Cooksey vestibular exercises, the Brandt-Daroff modified maneuver, and the Norre´s vestibular habituation training, twice a week, for a total of 10 sessions. Results: The tests performed with eyes open, did not show a statistically significant difference between   pre and post treatment. However, in the stabilometric analysis, the wave width, the mean deviation, and the mean speed in the anteroposterior (A/P) and latero-lateral (L/L) displacements in mm/s, as well as the postural stability for the eyes closed tests had a statistically significant improvement.  Conclusion: Vestibular rehabilitation was effective in improving static balance and postural stability in this case report, scientifically corroborating the importance of the chosen rehabilitation method as a viable option for the treatment of peripheral vestibulopathy.

Use of Vestibular Rehabilitation in the Pediatric Population

2019 ◽  
Vol 4 (6) ◽  
pp. 1399-1405 ◽  
Author(s):  
Jennifer Christy
Keyword(s):  
Pediatric Population ◽  
Dynamic Balance ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Program ◽  
Gross Motor ◽  
Gaze Stabilization ◽  
Motor Delay ◽  
Rehabilitation Programs ◽  
Motor Practice ◽  
Balance Exercises

Purpose The purpose of this article was to provide a perspective on vestibular rehabilitation for children. Conclusion The developing child with vestibular dysfunction may present with a progressive gross motor delay, sensory disorganization for postural control, gaze instability, and poor perception of motion and verticality. It is important that vestibular-related impairments be identified early in infancy or childhood so that evidence-based interventions can be initiated. A focused and custom vestibular rehabilitation program can improve vestibular-related impairments, enabling participation. Depending on the child's age, diagnosis, severity, and quality of impairments, vestibular rehabilitation programs may consist of gaze stabilization exercises, static and dynamic balance exercises, gross motor practice, and/or habituation exercises. Exercises must be modified for children, done daily at home, and incorporated into the daily life situation.

Statistical Management of Food Production Processes

2020 ◽  
pp. 30-35
Author(s):  
N.A. Jurk ◽  
Keyword(s):  
Production Process ◽  
Control Chart ◽  
Food Production ◽  
Time Interval ◽  
Bakery Products ◽  
Shewhart Control ◽  
Manufactured Products ◽  
Mnemonic Technique ◽  
The Stability

The article presents scientific research in the field of statistical controllability of the food production process using the example of bakery products for a certain time interval using statistical methods of quality management. During quality control of finished products, defects in bakery products were identified, while the initial data were recorded in the developed form of a checklist for registering defects. It has been established that the most common defect is packaging leakage. For the subsequent statistical assessment of the stability of the production process and further analysis of the causes of the identified defect, a Shewhart control chart (p-card by an alternative feature) was used, which allows you to control the quality of manufactured products by the number of defects detected. Analyzing the control chart, it was concluded that studied process is conditionally stable, and the emerging defects are random. At the last stage of the research, the Ishikawa causal diagram was used, developed using the 6M mnemonic technique, in order to identify the most significant causes that affect the occurrence of the considered defect in bakery products. A more detailed study will allow the enterprise to produce food products that meet the established requirements.

scholarly journals What’s going on following acute covid-19? Clinical characteristics of patients in an out-patient rehabilitation program

2021 ◽  
pp. 1-12
Author(s):  
Sergiu Albu ◽  
Nicolas Rivas Zozaya ◽  
Narda Murillo ◽  
Alberto Garcia-Molina ◽  
Cristian Andres Figueroa Chacón ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cognitive Impairment ◽  
Acute Infection ◽  
Rehabilitation Program ◽  
Neuropsychological Impairment ◽  
Outpatient Rehabilitation ◽  
Screening Process ◽  
Icu Patients ◽  
Persistent Symptoms

BACKGROUND: Coronavirus disease 2019 (COVID-19) patients present long-lasting physical and neuropsychological impairment, which may require rehabilitation. OBJECTIVES: The current cross-sectional study characterizes post COVID-19 sequelae and persistent symptoms in patients in an outpatient rehabilitation program. METHODS: Thirty patients [16 post-ICU and 14 non-ICU; median age = 54(43.8–62) years; 19 men] presenting sequelae and/or persistent symptoms (>3 months after acute COVID-19) were selected of 41 patients referred for neurorehabilitation. Patients underwent physical, neuropsychological and respiratory evaluation and assessment of impact of fatigue and quality of life. RESULTS: The main reasons for referral to rehabilitation were: fatigue (86.6%), dyspnea (66.7%), subjective cognitive impairment (46.7%) and neurological sequelae (33.3%). Post-ICU patient presented sequelae of critical illness myopathy and polyneuropathy, stroke and encephalopathy and lower forced vital capacity compared to non-ICU patients. Cognitive impairment was found in 63.3% of patients, with a similar profile in both sub-groups. Increased physical fatigue, anxiety and depression and low quality of life were prevalent irrespective of acute COVID-19 severity. CONCLUSIONS: The variability of post COVID-19 physical and neuropsychological impairment requires a complex screening process both in ICU and non-ICU patients. The high impact of persistent symptoms on daily life activities and quality of life, regardless of acute infection severity, indicate need for rehabilitation.

scholarly journals Postural Stability and Proprioception Abnormalities in Patients with Knee Osteoarthritis

2021 ◽  
Vol 11 (4) ◽  
pp. 1469
Author(s):  
Luciana Labanca ◽  
Giuseppe Barone ◽  
Stefano Zaffagnini ◽  
Laura Bragonzoni ◽  
Maria Grazia Benedetti
Keyword(s):  
Knee Osteoarthritis ◽  
Postural Stability ◽  
Functional Performance ◽  
Functional Score ◽  
Functional Abilities ◽  
Knee Score ◽  
Knee Oa ◽  
Risk Of Falls ◽  
Ongoing Assessment ◽  
And Training

Knee osteoarthritis (OA) leads to the damage of all joint components, with consequent proprioceptive impairment leading to a decline in balance and an increase in the risk of falls. This study was aimed at assessing postural stability and proprioception in patients with knee OA, and the relation between the impairment in postural stability and proprioception with the severity of OA and functional performance. Thirty-eight patients with knee OA were recruited. OA severity was classified with the Kellgren–Lawrence score. Postural stability and proprioception were assessed in double- and single-limb stance, in open- and closed-eyes with an instrumented device. Functional performance was assessed using the Knee Score Society (KSS) and the Short Performance Physical Battery (SPPB). Relationships between variables were analyzed. Postural stability was reduced with respect to reference values in double-limb stance tests in all knee OA patients, while in single-stance only in females. Radiological OA severity, KSS-Functional score and SPPB were correlated with greater postural stability impairments in single-stance. Knee OA patients show decreased functional abilities and postural stability impairments. Proprioception seems to be impaired mostly in females. In conclusion, clinical management of patients with OA should include an ongoing assessment and training of proprioception and postural stability during rehabilitation.

scholarly journals Task-oriented exercises improve disability of working patients with surgically-treated proximal humeral fractures. A randomized controlled trial with one-year follow-up

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Marco Monticone ◽  
Igor Portoghese ◽  
Daniele Cazzaniga ◽  
Valentina Liquori ◽  
Giuseppe Marongiu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Controlled Trial ◽  
Rehabilitation Program ◽  
Group Differences ◽  
Randomized Controlled ◽  
Secondary Outcomes ◽  
One Year ◽  
Task Oriented

Abstract Background General physiotherapy is a common means of rehabilitation after surgery for proximal humeral fracture (PHF). Better-targeted exercises seem worthy of investigation and the aim of this study was to assess the efficacy of a rehabilitation program including task-oriented exercises in improving disability, pain, and quality of life in patients after a PHF. Methods By means of a randomized controlled trial with one-year follow-up, 70 working patients (mean age of 49 ± 11 years; 41 females), who were selected for open reduction and internal fixation with plates caused by PHF, were randomized to be included in an experimental (n = 35) or control group (n = 35). There was a permuted-block randomization plan, and a list of program codes was previously created; subsequently, an automatic assignment system was used to conceal the allocation. The first group underwent a supervised rehabilitation program of task-oriented exercises based on patients’ specific job activities, and occupational therapy. The second group underwent general physiotherapy, including supervised mobility, strengthening and stretching exercises. Both groups individually followed programs of 60-min session three times per week for 12 weeks in the outpatient setting. The Disability Arm Shoulder Hand questionnaire (DASH; scores range from 0 to 100; primary outcome), a Pain intensity Numerical Rating Scale (scores range 0 to 10; secondary outcomes), and the Short-Form Health Survey (scores range from 0 to 100; secondary outcomes) assessed the interventions. Participants were evaluated before surgery, before and after rehabilitation (primary endpoint), and at the one-year follow-up (secondary endpoint). A linear mixed model analysis for repeated measures was carried out for each outcome measure (p < 0.05). Results Time, group and time by group showed significant effects for all outcome measures in favour of the experimental group. The DASH and the DASH work achieved clinically important between-group differences of 16.0 points (95% confidence interval [C.I.] 7.3 to 24.7) and 19.7 (95% C.I. 9.0 to 30.5) at follow-up, respectively. The NRS achieved a between-group difference of 2.9 (95% C.I. 1.0 to 3.9) at follow-up. As for SF-36, there were between-group differences ranging from 17.9 to 37.0 at follow-up. Conclusions A rehabilitation program based on task-oriented exercises was useful in improving disability, pain, and quality of life in working patients after PHFs. Improvements lasted for at least 12 months. Trial registration On 16/12/2019, the trial was retrospectively registered in the ISRCTN registry with the ID number 17996552.

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