The aim of this study is to evaluate and compare the effectiveness of vestibular rehabilitation developed using computerized dynamic posturography or a mobile posturographic system with vibrotactile stimulation, to improve the balance in older people and reduce the number of falls.
Accidental falls, particularly in the elderly, are one of the most important socio-healthcare problems of ageing western societies. Many factors condition and favour falls; one of them is old age, usually related to a decline in sensorial functions and worsening of balance Vestibular rehabilitation has been shown to be effective to improve balance and reduce the number of falls in older people. Previous studies have demonstrated that exercises in computerized dynamic posturography (CDP) are more effective than other vestibular rehabilitation strategies in this group of age. But CDP is very expensive and not widespread. It would be important to minimize cost of posturographic vestibular rehabilitation. This study compare vestibular rehabilitation with two different posturographic devices (CDP and mobile posturographic system with vibrotactile stimulation), in people over 65 years. Additionally, we try to assess whether the reduction in the number of vestibular rehabilitation sessions (five) leads to an improvement in balance and in reducing the number of falls similar to those obtained with ten sessions.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
220
Vestibular rehabilitation using CDP
Vestibular rehabilitation using mobile posturography
Vestibular rehabilitation, ten sessions
Complexo Hospitalario Universitario
Santiago de Compostela, A Coruña, Spain
RECRUITINGCDP Average
Average score in the Sensory Organization Test of the Computerized Dynamic Posturography
Time frame: 12 months
Mobile posturografphy gSBDT
Geriatric Standard Balance Deficit Test (gSBDT) score in mobile posturography
Time frame: 12 months
Falls
Number of falls after vestibular rehabilitation
Time frame: 12 months
DHI
Dizziness Handicap Inventory score; it assesses disability perceived by the patient in relation to instability
Time frame: 12 months
Short FES-I
Score of a shortened version of the falls efficacy scale-international to assess fear of falling
Time frame: 12 months
TUG
Timed up and go test: time (in seconds), number of steps and need for support
Time frame: 12 months
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Vestibular rehabilitation, five sessions