Vestibular rehabilitation with computerised dynamic posturography in patients with Parkinson's disease: Improving balance impairment
| Autor: | Marcos Rossi-Izquierdo, Andrés Soto-Varela, Sofia Santos-Pérez, Angel Sesar-Ignacio, Torcuato Labella-Caballero |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Parkinson's disease Activities of daily living medicine.medical_treatment Timed Up and Go test Biofeedback Statistics Nonparametric Physical medicine and rehabilitation Activities of Daily Living medicine Postural Balance Humans Gait Disorders Neurologic Aged Aged 80 and over Vestibular system Rehabilitation Posturography Biofeedback Psychology Parkinson Disease Middle Aged medicine.disease Vestibular Diseases Physical therapy Accidental Falls Female Psychology Psychomotor Performance |
| Zdroj: | Disability and Rehabilitation. 31:1907-1916 |
| ISSN: | 1464-5165 0963-8288 |
| Popis: | In patients with Parkinson's disease (PD), balance impairment involves considerable morbi-mortality from the numerous falls that may result. In an earlier postural study, we detected that a deteriorated processing of vestibular input is implicated. The aim of the present study is to assess the effectiveness of vestibular rehabilitation in improving overall stability in patients with PD.Out of an initial group of 45 patients with PD, we chose those presenting a high risk of falls, based on their score on the timed up and go test (TUG). Rehabilitation was performed on 10 patients using computerised dynamic posturography (CDP). Improvement was assessed using the dizziness handicap inventory (DHI), the TUG and the CDP.We found statistically significant improvement in the sensorial organisation test (SOT) and the limits of stability and rhythmic weight shift tests measured by the CDP, the DHI and the TUG. These improvements continue to be statistically significant 1 year post-treatment.Vestibular rehabilitation in PD has shown to be effective in improving the activities of daily life, gait velocity and balance, as well as in reducing the risk of falls. Moreover, these benefits persist over time. |
| Databáze: | OpenAIRE |
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