Effects of vestibular rehabilitation in the elderly: a systematic review

Silva, Diandra Caroline Martins e; Bastos, Víctor Hugo; Sanchez, Mariana de Oliveira; Nunes, Monara; Orsini, Marco; Ribeiro, Pedro; Velasques, Bruna; Teixeira, Silmar

doi:10.1007/s40520-015-0479-0

Cited by 42 publications

(34 citation statements)

References 31 publications

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“…In comparison with the effectiveness of vestibular rehabilitation in other medical conditions with a deterioration of the vestibular system similar to multiple sclerosis, our results are in accordance with those of a previous review in the elderly [34]. As in the current study, this previous research reported that after a vestibular rehabilitation programme (the Cawthorne-Cooksey protocol was the most commonly employed intervention protocol), dizziness improved in the experimental group.…”

Section: Discussionsupporting

confidence: 92%

“…As in the current study, this previous research reported that after a vestibular rehabilitation programme (the Cawthorne-Cooksey protocol was the most commonly employed intervention protocol), dizziness improved in the experimental group. In the elderly population, a progressive loss of nerve cells in the peripheral and central vestibular system, inducing dizziness and vertigo, occurs in a similar way to the occurrence in multiple sclerosis [34].…”

Section: Discussionmentioning

confidence: 85%

“…Although only data from reasonably homogeneous interventions were pooled, it is difficult to generalise the results. This limitation is frequently reported in other systematic reviews regarding vestibular rehabilitation interventions [34,35]. Third, different types of multiple sclerosis were included; however, as in the present review, it is frequent for non-pharmacological interventions to establish inclusion criteria based on disability related to multiple sclerosis instead of the subtype of the disease [38,39].…”

Section: Study Limitationsmentioning

confidence: 84%

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Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis

García-Muñoz¹,

Cortés-Vega

Heredia-Rizo

et al. 2020

JCM

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Postural instability and dizziness are commonly observed in people with multiple sclerosis (PwMS). The aim of this systematic review was to evaluate the evidence for the use of vestibular rehabilitation, in comparison with other exercise interventions or no intervention, to treat balance impairments and dizziness in PwMS. An electronic search was conducted by two independent reviewers in the following databases: MEDLINE (Pubmed), Scopus, the Physiotherapy Evidence Database (PEDro), Web of Science (WOS), Lilacs, CINHAL and the Cochrane Database of Systematic Reviews (CDSR). A quality assessment was performed using the PEDro scale and the Cochrane Risk of Bias Tool. When possible, the data were pooled in a meta-analysis (95%CI). This systematic review followed the PRISMA guideline statement and was registered in the PROSPERO database (CRD42019134230). Seven studies were included, with a total of 321 participants analysed. Compared with no intervention, vestibular rehabilitation was more effective for balance development (SMD = 2.12; 95% CI = 0.49, 3.75; p = 0.01; I2 = 89%) and dizziness symptoms improvement (SMD = −17.43; 95% CI = −29.99, −4.87; p= 0.007; I2= 66%). Compared with other exercise interventions, improvements in favour of the experimental group were observed, but statistical significance for the differences between groups was not reached.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 85%

Section: Study Limitationsmentioning

confidence: 84%

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Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis

García-Muñoz¹,

Cortés-Vega

Heredia-Rizo

et al. 2020

JCM

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“…In another study conducted by Badke et al on the effect of vestibular rehabilitation and balance exercises on adults of age, more than 65 having central or peripheral vestibular dysfunction was seen and found that both types of patients improved on DGI score indicating the effectiveness of vestibular rehabilitation in these patients 31 . Diandra Caroline Martins e Silva et al in their systemic review conducted in 2015 concluded that vestibular rehabilitation has shown efficacy in the treatment of elderly patients who suffer from vestibular disorders 32 .…”

Section: Discussionmentioning

confidence: 99%

The combined effectiveness of gaze stability exercise and Otago exercise on balance and fall risk in elderly people

Vincent¹,

Joseph²

2017

IJMAES

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Background: Falls and resulting injuries have become one of the most serious health issues for elderly. Studies have shown the effectiveness of gaze stability exercise and Otago exercise program on balance and fall risk reduction respectively in elderly people. So far their combined effectiveness has not been studied. Objective: To find the combined effect of gaze stability exercise and Otago exercise program on improving balance and reducing fall risk in elderly people. Method: 30 subjects with age group 65-75 participated in this study. Subjects were divided into two equal groups with 15 samples in each. Group A performed gaze stability exercises and Otago exercise program along with conventional exercise and Group B performed conventional exercise alone. Both groups performed the exercises for two months. The outcome was measured before and after the treatment using Berg Balance Scale and Dynamic Gait Index. Statistical analysis was done using Wilcoxon and Mann-Whitney U test. Result: Based on the statistical analysis, the result of the present study shows that there is a statistically significant difference in balance and fall risk between pre-test and post-test in both experimental and control group(p<0.000). Experimental group shows greater improvement in balance on BBS and reduction in fall risk on DGI than the control group in elderly people. Conclusion: This study provides evidence about the combined effectiveness of gaze stability exercise and Otago Exercise program in improving balance and reducing fall risk in elderly people.

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“…Concerning the rehabilitation of postural balance, different methods can be found in the current literature analyzing the effects of those interventions in different groups of the population. In that way, vestibular rehabilitation [14], vibration [15], and multimodal exercise show benefits on balance in the elderly. Innovative methods such as virtual reality [16], complementary therapies such as mind-body movements [17], treadmill training [18], and peripheral somatosensory stimulation [19] have been shown to have different benefits on balance after stroke.…”

Section: Instructionmentioning

confidence: 96%

Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Dominguez-Romero¹,

Molina-Aroca²,

Moral-Muñoz

et al. 2019

IJERPH

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Mechanical horse-riding simulators consist of a device that mimics the movement of a real horse, generating between 50 and 100 three-dimensional physical movements (forward and back, left and right, up and down). The main objective of this study is to analyze the effectiveness of mechanical horse-riding simulators to improve postural balance in subjects with neurological disorders. The search was conducted during January–March 2019 in PubMed, Physiotherapy Evidence Database (PEDro), Cochrane, Web of Science, CINAHL, and Scopus. The methodological quality of the studies was evaluated through the PEDro scale. A total of seven articles were included in this systematic review, of which four contributed information to the meta-analysis. Statistical analysis showed favorable results for balance in stroke patients, measured by the Berg Balance Scale (standardized mean difference (SMD) = 3.24; 95%; confidence interval (CI): 1.66–4.83). Not conclusive results were found in sitting postural balance, measured using the Gross Motor Function Measure-66 (GMFM-66) Sitting Dimension, in patients with cerebral palsy. Most studies have shown beneficial effects on postural balance compared with conventional physical therapy. However, due to the limited number of articles and their low methodological quality, no solid conclusions can be drawn about the effectiveness of this therapy.

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Effects of vestibular rehabilitation in the elderly: a systematic review

Abstract: Clinical trials indicate that vestibular rehabilitation represents an effective means of treating elderly patients with vestibular disorders; however, evidence of its effectiveness remains lacking.

Cited by 42 publications

References 31 publications

Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis

Effectiveness of Vestibular Training for Balance and Dizziness Rehabilitation in People with Multiple Sclerosis: A Systematic Review and Meta-Analysis

The combined effectiveness of gaze stability exercise and Otago exercise on balance and fall risk in elderly people

Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

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