Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction Export

@article{citeulike:4960154, abstract = {Objective: To assess the efŽcacy of vestibular rehabilitation exercises on patients with chronic unilateral vestibular dysfunction. Design: Prospective study. Setting: Physical Medicine and Rehabilitation Clinic and Otolaryngology Clinic of a tertiary referral hospital. Subjects: One-hundred and twenty-Žve patients with unilateral chronic vestibular dysfunction were included in the study. Interventions: Eight-week, two-staged (clinic and home) vestibular rehabilitation programme with components of Cawthorne-Cooksey and Norre exercises was applied. Main outcome measures: Dizziness Handicap Inventory (DHI) and visual analogue scale (VAS) were completed three times (at the beginning, end of the second week and end of the treatment). Results: Data for 112 patients in the Žrst stage and 93 patients in the second stage were evaluated because of insufŽcient compliance of the other patients. The mean DHI score was decreased from 50.42 ± 24.12 points to 21.21 ± 15.97 points (p < 0.001) at the end of Žrst two weeks, and to 19.93 ± 19.33 points at the end of the whole treatment. The mean VAS score was decreased from 5.87 ± 2.27 to 2.02 ± 1.75 (p < 0.001) at the end of second week, and to 1.51 ± 1.29 at the end of eighth week. In respect to both VAS and DHI scores, improvement was noted in 67 patients (77.4\%). Age, gender and disability level had no predictive value about therapy outcome. Conclusions: There was a fast recovery in the supervised exercise session, whereas there was no signiŽcant difference in the home exercise session. These Žndings suggest that either supervised exercise is better than home exercise or that 10 supervised sessions are sufŽcient to get the end result.}, author = {Topuz, O. and Topuz, B. and Ardic, F. N. and Sarhus, M. and Ogmen, G. and Ardic, F.}, citeulike-article-id = {4960154}, journal = {Clinical Rehabilitation}, keywords = {cawthorne\_cooksey\_exercises, dhi, dizziness, neurology\_physical\_therapy, norre\_exercises, physical\_therapy, prospective\_study, rehabilitation, unilateral\_vestibular\_hypofunction, vas, vestibular, vestibular\_impariment}, pages = {76--83}, posted-at = {2009-06-25 20:11:27}, priority = {2}, title = {Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction}, volume = {18}, year = {2004} }

TY - JOUR ID - citeulike:4960154 L3 - citeulike-article-id:4960154 N2 - Objective: To assess the efŽcacy of vestibular rehabilitation exercises on patients with chronic unilateral vestibular dysfunction. Design: Prospective study. Setting: Physical Medicine and Rehabilitation Clinic and Otolaryngology Clinic of a tertiary referral hospital. Subjects: One-hundred and twenty-Žve patients with unilateral chronic vestibular dysfunction were included in the study. Interventions: Eight-week, two-staged (clinic and home) vestibular rehabilitation programme with components of Cawthorne-Cooksey and Norre exercises was applied. Main outcome measures: Dizziness Handicap Inventory (DHI) and visual analogue scale (VAS) were completed three times (at the beginning, end of the second week and end of the treatment). Results: Data for 112 patients in the Žrst stage and 93 patients in the second stage were evaluated because of insufŽcient compliance of the other patients. The mean DHI score was decreased from 50.42 ± 24.12 points to 21.21 ± 15.97 points (p < 0.001) at the end of Žrst two weeks, and to 19.93 ± 19.33 points at the end of the whole treatment. The mean VAS score was decreased from 5.87 ± 2.27 to 2.02 ± 1.75 (p < 0.001) at the end of second week, and to 1.51 ± 1.29 at the end of eighth week. In respect to both VAS and DHI scores, improvement was noted in 67 patients (77.4%). Age, gender and disability level had no predictive value about therapy outcome. Conclusions: There was a fast recovery in the supervised exercise session, whereas there was no signiŽcant difference in the home exercise session. These Žndings suggest that either supervised exercise is better than home exercise or that 10 supervised sessions are sufŽcient to get the end result. JF - Clinical Rehabilitation EP - 83 TI - Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction VL - 18 SP - 76 KW - cawthorne_cooksey_exercises KW - dhi KW - dizziness KW - neurology_physical_therapy KW - norre_exercises KW - physical_therapy KW - prospective_study KW - rehabilitation KW - unilateral_vestibular_hypofunction KW - vas KW - vestibular KW - vestibular_impariment AU - Topuz, O AU - Topuz, B AU - Ardic, FN AU - Sarhus, M AU - Ogmen, G AU - Ardic, F PY - 2004/// ER -