Equilibrium Training for Patients with Dizziness and Disequilibrium
| Autor: | Shigeo Sawai, Masaya Kato, Yatsuji Ito, Tomoo Suzuki, Keisuke Mizuta, Hideo Miyata |
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| Rok vydání: | 1997 |
| Předmět: |
Vestibular system
medicine.medical_specialty Activities of daily living business.industry Vestibular disorders Disequilibrium Gait Equilibrium function Physical medicine and rehabilitation Otorhinolaryngology Acoustic neurinoma otorhinolaryngologic diseases medicine Physical therapy Neurology (clinical) medicine.symptom business Training program |
| Zdroj: | Equilibrium Research. 56:60-85 |
| ISSN: | 1882-577X 0385-5716 |
| DOI: | 10.3757/jser.56.60 |
| Popis: | Some patients with acute or chronic vestibular disorders continue to complain of dizziness and disequilibrium. Although treated with medication, their activities of daily living (ADL) and occupational activities are restricted. Equilibrium training is applied to reduce the disability of the patients.Methods: Before training is started, the degree of impairment, disability and handicaps of the patients were evaluated. To evaluate subjective and objective disabilities, the ADL were investigated by questionnaire and equilibrium function tests were performed.Three times a day at home, patients performed several somewhat difficult exercises selected from their defective movements. Training continued until their disabilities were reduced.The effects of training were assessed by ADL, equilibrium function tests, stabilometry and gait test.Subjects: The subjects were 8 patients with unilateral vestibular disorders, 4 with postoperative acoustic neurinoma, and 8 with bilateral vestibular disorders.Results: Equilibrium training was effective in all 8 patients with unilateral vestibular dysfunction, in all 4 patients with postoperative acoustic neurinoma, and in 7 of the 8 with bilateral vestibular dysfunction. It was difficult to evaluate the effect of the training in a case of bilateral Meniere's disease.Conclusion: We found many differences in disability among patients with similar impairments, and were able to plan an individual training program suitable for each patient. ADL and equilibrium function tests were useful for evaluating disability and the effect of training.We considered equilibrium training effective for patients with unilateral vestibular disorders who showed chronic disability persisting for more than several weeks after onset, for patients with postoperative acoustic neurinoma who had persistent disability 4 weeks after surgery and for patients with bilateral vestibular disorders with disability persisting for more than 8 weeks. |
| Databáze: | OpenAIRE |
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