Vestibular Physical Therapy in Individuals With Cognitive Impairment: A Theoretical Framework
| Autor: | Brooke N. Klatt, Pamela M Dunlap, Julie D. Ries, Yuri Agrawal, Susan L. Whitney |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty medicine.medical_treatment Physical Therapy Sports Therapy and Rehabilitation Article 03 medical and health sciences 0302 clinical medicine Risk Factors medicine Humans Dementia Cognitive Dysfunction Risk factor Postural Balance Physical Therapy Modalities Balance (ability) Vestibular system Rehabilitation business.industry medicine.disease Therapeutic relationship Vestibular Diseases Physical therapy Accidental Falls Neurology (clinical) Alzheimer's disease 0305 other medical science business Motor learning 030217 neurology & neurosurgery |
| Zdroj: | Journal of Neurologic Physical Therapy. 43:S14-S19 |
| ISSN: | 1557-0576 |
| DOI: | 10.1097/npt.0000000000000266 |
| Popis: | BACKGROUND AND PURPOSE: Falls are a major healthcare concern in individuals with Alzheimer Disease (AD) and their caregivers. Vestibular impairment is a known risk factor for falls, and individuals with AD have been shown to have an increased prevalence of vestibular loss compared to age-matched controls. Vestibular physical therapy (VPT) is effective in improving balance and reducing fall risk in cognitively-intact persons with vestibular impairment. However, the effectiveness of VPT in improving balance and reducing falls in individuals with AD who have vestibular loss has never been explored. SUMMARY OF KEY POINTS: In this article, we apply prevailing ideas about rehabilitation and motor learning in individuals with cognitive impairment (IwCI) to VPT. RECOMMENDATIONS FOR CLINICAL PRACTICE: We propose a modification of current evidence-based VPT protocols for IwCI using the Strength-Based theoretical framework that emphasizes the motor learning abilities of IwCI. Additionally, we highlight the importance of establishing an excellent rapport with IwCI, and present key strategies for optimizing the therapeutic relationship. In ongoing work, we are assessing the efficacy of this modified VPT protocol in IwCI to improve balance and reduce falls. |
| Databáze: | OpenAIRE |
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