TY - JOUR
T1 - The value of close monitoring in vestibular rehabilitation therapy
AU - Itani, M.
AU - Koaik, Y.
AU - Sabri, A.
N1 - Publisher Copyright:
Copyright © JLO (1984) Limited 2016.
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Background: Vestibular rehabilitation therapy is a well-established treatment modality for patients with vestibular problems. Hypothesis: Performing vestibular rehabilitation therapy in a closely monitored setting may result in a better outcome than a home exercise programme. Methods: A retrospective study was conducted of patients undergoing vestibular rehabilitation therapy between June 2005 and November 2012 in a tertiary university hospital. The Dynamic Gait Index, the main outcome measure, was utilised before and after the rehabilitation programme. The magnitude of improvement for all patients was analysed, mainly to compare the home exercise group with the closely monitored therapy group. Results: Only 32 patients underwent the vestibular rehabilitation therapy programme. In all patients, there was significant improvement in the mean Dynamic Gait Index score (from 11.75 to 17.38; p < 0.01). Dynamic Gait Index improvement was significantly higher with closely monitored therapy (mean improvement of 7.83 vs 2.79; p < 0.01). Conclusion: The small sample size is a major limitation; nevertheless, closely monitored vestibular rehabilitation therapy resulted in improved performance status. More studies are needed to establish the efficiency of vestibular rehabilitation therapy and compare closely monitored therapy with tailored home exercise rehabilitation.
AB - Background: Vestibular rehabilitation therapy is a well-established treatment modality for patients with vestibular problems. Hypothesis: Performing vestibular rehabilitation therapy in a closely monitored setting may result in a better outcome than a home exercise programme. Methods: A retrospective study was conducted of patients undergoing vestibular rehabilitation therapy between June 2005 and November 2012 in a tertiary university hospital. The Dynamic Gait Index, the main outcome measure, was utilised before and after the rehabilitation programme. The magnitude of improvement for all patients was analysed, mainly to compare the home exercise group with the closely monitored therapy group. Results: Only 32 patients underwent the vestibular rehabilitation therapy programme. In all patients, there was significant improvement in the mean Dynamic Gait Index score (from 11.75 to 17.38; p < 0.01). Dynamic Gait Index improvement was significantly higher with closely monitored therapy (mean improvement of 7.83 vs 2.79; p < 0.01). Conclusion: The small sample size is a major limitation; nevertheless, closely monitored vestibular rehabilitation therapy resulted in improved performance status. More studies are needed to establish the efficiency of vestibular rehabilitation therapy and compare closely monitored therapy with tailored home exercise rehabilitation.
KW - Cost-Benefit Analysis
KW - Physical Therapy Techniques
KW - Rehabilitation
KW - Vestibular Diseases
UR - http://www.scopus.com/inward/record.url?scp=85007164303&partnerID=8YFLogxK
U2 - 10.1017/S0022215116009750
DO - 10.1017/S0022215116009750
M3 - Article
C2 - 28007042
AN - SCOPUS:85007164303
SN - 0022-2151
VL - 131
SP - 227
EP - 231
JO - Journal of Laryngology and Otology
JF - Journal of Laryngology and Otology
IS - 3
ER -