What is the most eVective vestibular rehabilitation technique in patients with unilateral peripheral vestibular disorders?
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Marcos Rossi-Izquierdo · SoWa Santos-Pérez · Andrés Soto-Varela
- چاپ و سال / کشور: 2011
Description
Vestibular rehabilitation has been found to be eVective and safe in patients with instability. There is insuYcient evidence, however, for distinguishing between the eYcacies of diVerent rehabilitation techniques. The objective of this study is to verify whether there are diVerences between two instrumental vestibular rehabilitation techniques, computerised dynamic posturography (CDP) and optokinetic stimulation (OKN), in order to establish the optimal strategy for each patient. We conducted a prospective, comparative study of the two techniques (CDP and OKN) in patients with instability due to chronic unilateral peripheral vestibular disorder. We randomly included 12 patients in each group, performing the evaluation with the Dizziness Handicap Inventory and the CDP with the sensorial organisation test (SOT), rhythmic weight shift and limits of stability (LOS). We found a statistically signiWcant improvement in both groups in average balance score according to the SOT. In the OKN group, however, improvement was greater in visual preference. The CDP group showed greater beneWts in the visual and vestibular input and LOS. Patients with poor vestibular and visual input or with reduced LOS will beneWt more from an exercise protocol with CDP. Patients with poor visual preference, however, are ideal candidates for rehabilitation with OKN.
Eur Arch Otorhinolaryngol, Received: 14 September 2010 / Accepted: 7 February 2011 © Springer-Verlag 2011
