Prognostic factors that modify outcomes of vestibular rehabilitation in elderly patients with falls
| Autor: | Ana Faraldo-García, Marcos Rossi-Izquierdo, Sofía Santos-Pérez, Andrés Soto-Varela, Pilar Gayoso-Diz, Antonio Lirola-Delgado, María Del-Río-Valeiras, Isabel Vaamonde-Sánchez-Andrade |
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| Rok vydání: | 2019 |
| Předmět: |
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Aging medicine.medical_specialty medicine.medical_treatment Poison control Logistic regression Occupational safety and health 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Gait training Statistical significance Outcome Assessment Health Care Injury prevention Humans Medicine 030212 general & internal medicine Postural Balance Aged Aged 80 and over Rehabilitation business.industry Human factors and ergonomics Exercise Therapy Logistic Models Treatment Outcome Time and Motion Studies Accidental Falls Female Geriatrics and Gerontology business 030217 neurology & neurosurgery |
| Zdroj: | Aging Clinical and Experimental Research. 32:223-228 |
| ISSN: | 1720-8319 |
| DOI: | 10.1007/s40520-019-01185-8 |
| Popis: | Our previous study has shown that vestibular rehabilitation (VR) is an effective technique to reduce falls in elderly patients. It would be interesting to establish patients’ clinical characteristics in which vestibular rehabilitation is expected to be more effective. Evaluate factors that could modify rehabilitation outcomes in elderly patients with previous falls. Fifty-seven patients randomized to one of the intervention group (computerized dynamic posturography—CDP—training, optokinetic stimulus or exercise at home) and with previous falls were analyzed. Patients were assessed with objective outcome measures (sensorial organization test and limits of stability—LOS—of CDP, modified timed up and go test—TUG—and number of falls) and with subjective outcome measures (dizziness handicap inventory and Short falls efficacy scale-international—Short FES-I) during a 12-month follow-up period. In the logistic regression model, a worse score in the maximum excursion (MXM), and a shorter time in the TUG significantly associated with a reduction > 50% of falls. Also, association with a higher score in the Short FES-I was close to a statistical significance. There was no statistical significance association with other covariables. In patients with reduced limits of stability, VR seems to be more effective and they should be encouraged to perform it. But on the other hand, patients with longer time in the TUG show worse outcomes and may benefit more with gait training. VR in elderly people with previous falls is effective regardless of their age and gender. |
| Databáze: | OpenAIRE |
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