Aquatic physiotherapy: a vestibular rehabilitation option

Pereira, Carolina Maria Maia; Vale, Jalene de Sarah Pinheiro do; Oliveira, Wellington Pinheiro de; Pinto, Denise da Silva; Cal, Renato Valério Rodrigues; Azevedo, Yaná Jinkings de; Bahmad, Fayez

doi:10.1016/j.bjorl.2019.12.003

Cited by 6 publications

(15 citation statements)

References 18 publications

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“…A recent level IV case series reported that performing vestibular rehabilitation in an aquatic environment was feasible. 255 This supports a previous study indicating improved balance (measured by computerized posturography) and dizziness for individuals with UVH after VPT provided in an aquatic setting. 256 Traditional land-based protocols may limit participation in VPT for individuals with UVH/BVH with comorbid severe arthritis or other weight-bearing restrictions.…”

Section: Limitationssupporting

confidence: 90%

“…An aquatic environment has the potential to reduce overall injury risk while participating in higher-risk balance activities. A recent level IV case series reported that performing vestibular rehabilitation in an aquatic environment was feasible 255. This supports a previous study indicating improved balance (measured by computerized posturography) and dizziness for individuals with UVH after VPT provided in an aquatic setting 256.…”

Section: Future Directionssupporting

confidence: 79%

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Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association

Hall

Herdman

Whitney

et al. 2021

Journal of Neurologic Physical Therapy

181

203

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Background: Uncompensated vestibular hypofunction can result in symptoms of dizziness, imbalance, and/or oscillopsia, gaze and gait instability, and impaired navigation and spatial orientation; thus, may negatively impact an individual's quality of life, ability to perform activities of daily living, drive, and work. It is estimated that one-third of adults in the United States have vestibular dysfunction and the incidence increases with age. There is strong evidence supporting vestibular physical therapy for reducing symptoms, improving gaze and postural stability, and improving function in individuals with vestibular hypofunction. The purpose of this revised clinical practice guideline is to improve quality of care and outcomes for individuals with acute, subacute, and chronic unilateral and bilateral vestibular hypofunction by providing evidence-based recommendations regarding appropriate exercises. Methods: These guidelines are a revision of the 2016 guidelines and involved a systematic review of the literature published since 2015 through June 2020 across 6 databases. Article types included meta-analyses, systematic reviews, randomized controlled trials, cohort studies, case-control series, and case series for human subjects, published in English. Sixty-seven articles were identified as relevant to this clinical practice guideline and critically appraised for level of evidence. Results: Based on strong evidence, clinicians should offer vestibular rehabilitation to adults with unilateral and bilateral vestibular hypofunction who present with impairments, activity limitations, and participation restrictions related to the vestibular deficit. Based on strong evidence and a preponderance of harm over benefit, clinicians should not include voluntary saccadic or smooth-pursuit eye movements in isolation (ie, without head movement) to promote gaze stability. Based on moderate to strong evidence, clinicians may offer specific exercise techniques to target identified activity limitations and participation restrictions, including virtual reality or augmented sensory feedback. Based on strong evidence and in consideration of patient preference, clinicians should offer supervised vestibular rehabilitation. Based on moderate to weak evidence, clinicians may prescribe weekly clinic visits plus a home exercise program of gaze stabilization exercises consisting of a minimum of: (1) 3 times per day for a total of at least 12 minutes daily for individuals with acute/subacute unilateral vestibular hypofunction; (2) 3 to 5 times per day for a total of at least 20 minutes daily for 4 to 6 weeks for individuals with chronic unilateral vestibular hypofunction; (3) 3 to 5 times per day for a total of 20 to 40 minutes daily for approximately 5 to 7 weeks for individuals with bilateral vestibular hypofunction. Based on moderate evidence, clinicians may prescribe static and dynamic balance exercises for a minimum of 20 minutes daily for at least 4 to 6 weeks for individuals with chronic unilateral vestibular hypofunction and, bas...

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Section: Limitationssupporting

confidence: 90%

Section: Future Directionssupporting

confidence: 79%

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association

Hall

Herdman

Whitney

et al. 2021

Journal of Neurologic Physical Therapy

181

203

View full text Add to dashboard Cite

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“…Od vključenih člankov je bilo zajetih pet sistematičnih pregledov literature (Hansson, 2007;Martins e Silva et al, 2016;Rodrigues et al, 2018;Wu et al, 2018;Synnott & Baker 2020), ki imajo po hierarhiji dokazov v znanosti največjo težo argumentov. Vključili smo tudi pet randomiziranih kontrolnih raziskav (Viziano et al, 2018;Kleffelgaard et al, 2019;Rassaian et al, 2019;Ahmed et al, 2020;Saki et al, 2020) in dve posamezni raziskavi študiji primera (Pereira et al, 2021;Garcia-Munoz et al, 2022). Ocenitev kakovosti pregleda smo opravičili na podlagi hierarhije dokazov po opredelitvi avtoric Polit & Beck (2018).…”

Section: Ocena Kakovosti Pregleda In Opis Obdelave Podatkovunclassified

“…Za odpravljanje vrtoglavice in disfunkcije vestibularnega sistema so uspešne različne vestibularne vaje, vodna fizioterapija, vestibularni trening virtualne resničnosti, stimulacijska metoda enosmerne rotacije, transmastoidna galvanska stimulacija, vestibularna terapija v kombinaciji s transkranialno enosmerno stimulacijo in starodavna vadba Tai Chi (Wu et al, 2018;Rassaian et al, 2019;Ahmed et al, 2020;Saki et al, 2020;Synnott & Baker 2020;Pereira et al, 2021;García-Muñoz et al, 2022).…”

Section: Kategorija 1: Vrste Metod Senzorne Integracije Za Odpravljan...unclassified

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Metode vestibularne terapije in njihov vpliv na kakovost življenja odraslih oseb z motnjami v delovanju vestibularnega sistema

Zorman,

Goubar

2024

Obzor Zdrav Neg

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Uvod:Vestibularni sistem pri osebah omogoča posredovanje refleksov, ki prispevajo k nadzorovanju ravnotežja in izvedbi vsakodnevnih dejavnosti. Najbolj pogosta motnja v delovanju vestibularnega sistema je vrtoglavica. Namen raziskave je bil raziskati vpliv vestibularne terapije na kakovost življenja pri odraslih osebah, ki se soočajo z vrtoglavico in disfunkcijo vestibularnega sistema.Metode: Pregled literature je bil izveden v mednarodnih podatkovnih bazah: PubMed, ProQuest, ScienceDirect in SAGE Journals. Vključitveni kriteriji iskanja so bili izvirni in pregledni znanstveni članki, objavljeni v časovnem obdobju od 2012 do 2021 ter dostopni v celotnem besedilu. V analizo je bilo vključenih 12 člankov. Potek pregleda literature je predstavljen z diagramom PRISMA.Rezultati: Na podlagi tematske analize smo identificirali štiri vsebinske kategorije: vrste metod vestibularne terapije za odpravljanje vrtoglavice in vestibularne disfunkcije; uspešnost zdravljenja vrtoglavice in vestibularne disfunkcije z metodami vestibularne terapije; negativni učinki in zapleti vestibularne terapije; vpliv zdravljenja z vestibularno terapijo na kakovost življenja oseb, ki trpijo za vrtoglavico in vestibularno disfunkcijo.Diskusija in zaključek: Ugotovitve pregleda literature kažejo, da je vestibularna terapija učinkovit in hkrati zelo varen način zdravljenja vrtoglavice in vestibularne disfunkcije. Na področju disfunkcije vestibularnega sistema se pospešeno vpeljujejo in proučujejo tehnološko naprednejše in zelo obetavne metode vestibularne terapije.

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Vestibular rehabilitation with mobile posturography as a “low-cost” alternative to vestibular rehabilitation with computerized dynamic posturography, in old people with imbalance: a randomized clinical trial

et al. 2021

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Aquatic physiotherapy: a vestibular rehabilitation option

Cited by 6 publications

References 18 publications

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association

Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association

Metode vestibularne terapije in njihov vpliv na kakovost življenja odraslih oseb z motnjami v delovanju vestibularnega sistema

Vestibular rehabilitation with mobile posturography as a “low-cost” alternative to vestibular rehabilitation with computerized dynamic posturography, in old people with imbalance: a randomized clinical trial

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