Randomized Controlled Trial of Vestibular Rehabilitation Combined with Cognitive‐Behavioral Therapy for Dizziness in Older People

Abstract

These findings indicate that cognitive behavioral therapy can be combined with vestibular rehabilitation in the treatment of dizziness.

Balance performance and self-perceived handicap among dizzy patients in primary health care

“…Recent research shows that physical activity and specific treatment for dizziness are effective [6,7], and also that assessment and, when appropriate, treatment by a physiotherapist is beneficial [8]. Thorough and elaborated assessment of the dizzy patient is important in order to provide proper rehabilitation [9] and the general practitioner's (GP's) knowledge of the patient's self-assessed health is crucial in clinical practice [10].…”

Revisão sistemática sobre os efeitos da reabilitação vestibular em adultos de meia-idade e idosos

“…Primary outcomes: The subjective perception of vestibular dysfunction symptoms was assessed in the majority of the studies 27,28,[30][31][32][33]35 , and the Visual Analogue Scale (VAS) 27,31,32,35 was the instrument most commonly used for this purpose. Other frequently used outcomes included static 28,[30][31][32][33]35 and dynamic 30,31,33,35 body balance.…”

“…In four studies, participants aged over 40 years (middle-aged and elderly) 27,[29][30][31] ; in five studies, samples consisted exclusively of elderly subjects (over 60 years) 28,[32][33][34][35] . The samples were composed of participants from both genders, but with a predominance of women 28,29,31,[33][34][35] . The data on vestibular dysfunction were variable among the studies, with the most common complaints being body imbalance or postural instability 28,32,35 , and dizziness or vertigo 31,33,35 .…”

“…The samples were composed of participants from both genders, but with a predominance of women 28,29,31,[33][34][35] . The data on vestibular dysfunction were variable among the studies, with the most common complaints being body imbalance or postural instability 28,32,35 , and dizziness or vertigo 31,33,35 . The topography of the vestibular dysfunction was rarely reported, with the most common being vestibular hypofunction 27,29 .…”

“…The topography of the vestibular dysfunction was rarely reported, with the most common being vestibular hypofunction 27,29 . To obtain the topographic diagnosis of the vestibular syndrome, studies employed electronystagmography 29,30,32 and other tests such as tone threshold audiometry 28,32 , rotatory chair test 27,29,33 , and the investigation of the brainstem electric response audiometry 28 . Diet was not controlled in any of the studies, and only one study 27 restricted the use of anti-vertigo drugs during treatment with VR.…”