The aim of this study is to evaluate the effectiveness of vestibular rehabilitation to improve the balance in older people and reduce the number of falls, comparing three arms with different vestibular rehabilitation strategies (dynamic posturography exercises, optokinetic stimuli and exercises at home) and a control group.
Vestibular rehabilitation has been shown to be effective in compensating patients with residual instability as a result of vestibular system disorders or Parkinson's disease. It is also useful for treating lack of balance in the elderly (presbivertigo). However, there is no systematic, controlled and prospective analysis of whether vestibular rehabilitation is effective in reducing the number of falls in the elderly, or whether its effects in this age group are temporary or persist over time. This study compare vestibular rehabilitation with three different strategies (dynamic posturography exercises, optokinetic stimuli and exercises at home) and a control group, in people over 65 years. Balance tests are performed before vestibular rehabilitation and three weeks, six months and one year after it. Number of falls are quantified one year after vestibular rehabilitation.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
139
Vestibular rehabilitation, ten sessions
Vestibular rehabilitation, ten sessions
Exercises performed twice a day for two weeks. Approximate duration of each session: 15 minutes
CDP average
Average score in the Sensory Organization Test of the Computerized Dynamic Posturography
Time frame: 12 months
Falls
Number of falls after vestibular rehabilitation
Time frame: 12 months
Hospitalisations
Hospitalisations due to falls in previous 12 months
Time frame: 12 months
DHI score
Dizziness Handicap Inventory score; it assesses the disability perceived by the patient in relation to instability. Minimum: 0; maximum: 100.
Time frame: 12 months
Short FES-I score
A shortened version of the falls efficacy scale-international to assess fear of falling score. Minimum: 0; maximum: 21.
Time frame: 12 months
Timed-up-and-go time
Duration (in seconds) of modified Timed-up-and-go test
Time frame: 12 months
Timed-up-and-go steps
Steps to perform the modified Timed-up-and-go test
Time frame: 12 months
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