Resultados y seguimiento de la rehabilitación vestibular

Benito-Orejas, José Ignacio; Alonso-Vielba, José; Valda-Rodrigo, José; Cifuentes-Navas, Viviana Andrea

doi:10.14201/orl.21243

Cited by 4 publications

(2 citation statements)

References 22 publications

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“…A doctor (clinician 1) from the Physical Medicine and Rehabilitation Department of the Alcañiz Hospital (Teruel, Spain) evaluated the patients using medical history and a physical examination, as well as functional balance assessment tests such as the Unterberger test [56,57], the up and go test [58,59], and unipodal support test [60]. Clinician 1 prescribed the rehabilitation treatment, which consists of a set of vestibular rehabilitation exercises (to be performed by the patients), which is commonly used in the clinic, establishing these over a period of three months [61,62]. Clinician 1 evaluated the patients at two different times, once before starting the treatment (pre-data), and once three months after starting the treatment (post-data).…”

Section: Clinician 1 Assessment: History and Physical Examinationmentioning

confidence: 99%

Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Torre

Marín

Polo³

et al. 2020

Healthcare

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Balance disorders have a high prevalence among elderly people in developed countries, and falls resulting from balance disorders involve high healthcare costs. Therefore, tools and indicators are necessary to assess the response to treatments. Therefore, the aim of this study is to detect relevant changes through minimal detectable change (MDC) values in patients with balance disorders, specifically with vertigo. A test-retest of a static and dynamic balance test was conducted on 34 healthy young volunteer subjects using a portable stabilometric platform. Afterwards, in order to show the MDC applicability, eight patients diagnosed with balance disorders characterized by vertigo of vestibular origin performed the balance test before and after a treatment, contrasting the results with the assessment by a specialist physician. The balance test consisted of four tasks from the Romberg test for static balance control, assessing dynamic postural balance through the limits of stability (LOS). The results obtained in the test-retest show the reproducibility of the system as being similar to or better than those found in the literature. Regarding the static balance variables with the lowest MDC value, we highlight the average velocity of the center of pressure (COP) in all tasks and the root mean square (RMS), the area, and the mediolateral displacement in soft surface, with eyes closed. In LOS, all COP limits and the average speed of the COP and RMS were highlighted. Of the eight patients assessed, an agreement between the specialist physician and the balance test results exists in six of them, and for two of the patients, the specialist physician reported no progression, whereas the balance test showed worsening. Patients showed changes that exceeded the MDC values, and these changes were correlated with the results reported by the specialist physician. We conclude that (at least for these eight patients) certain variables were sufficiently sensitive to detect changes linked to balance progression. This is intended to improve decision making and individualized patient monitoring.

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Section: Clinician 1 Assessment: History and Physical Examinationmentioning

confidence: 99%

Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Torre

Marín

Polo³

et al. 2020

Healthcare

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“…Benito y cols. [11], señalan la falta de consenso respecto a la frecuencia, duración óptima y número total de visitas necesarias para obtener los mejores resultados, que dependerá de la respuesta del paciente. El conocimiento actual corrobora la utilidad de la rehabilitación vestibular en disfunciones vestibulares periféricas y centrales, mejorándose la sintomatología vertiginosa, el riesgo de caídas, el equilibrio y el estado emocional del paciente, siendo además un tratamiento coste-efectivo.…”

Section: Batuecas-caletrío á Et Alunclassified

Guía de rehabilitación vestibular

Batuecas‐Caletrío

Benito-Orejas

Pardal-Refoyo

2019

ORL

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Conflicto de intereses: Los autores declaran no tener conflictos de intereses Imágenes: Los autores declaran haber obtenido las imágenes con el permiso de los pacientes Política de derechos y autoarchivo: se permite el autoarchivo de la versión post-print (SHERPA/RoMEO) Licencia CC BY-NC-ND. Licencia Creative Commons Atribución-NoComercial-SinDerivar 4.0 Internacional Universidad de Salamanca. Su comercialización está sujeta al permiso del editor

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Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial

et al. 2023

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Background: Fibromyalgia Syndrome (FMS) is a highly prevalent health problem whose main symptom is widespread pain, although it presents as other manifestations, such as loss of balance, that seem to mainly affect visuo-vestibular information. Objective: to compare the effects of a Vestibular Rehabilitation (VR) program versus those of a Conventional Physical Exercise (CPE) program on the health status of patients with FMS. Methods: A single-blind randomized controlled trial was performed. Patients with FMS were randomly assigned to VR or CPE programs. The protocols were performed in 40 min group sessions, twice weekly, for 16 sessions. Perceived health status, static and dynamic balance, verticality perception, confidence in balance, sensitization and kinesiophobia were measured at baseline, post-treatment and at the three-month follow-up and analyzed using an intention-to-treat approach. Results: Forty-eight subjects were randomly assigned, of whom thirty-five completed the planned VR (n = 19) or CPE (n = 16) program. At the three-month follow-up, there were differences in physical health status measured with the SF-12 (mean = −4.36, SE = 1.88, p = 0.027), balance during walking (mean = 1.90, SE = 0.57, p = 0.002), the perception of verticality in degrees (mean = 3.61, SE = 1.51, p = 0.024) and the anteroposterior position of the center of pressure (mean = −7.88, SE = 2.80, p = 0.009), as well as a decrease in the number of falls (mean = 0.98, SE = 0.44, p = 0.033), favoring the VR group. Conclusions: Vestibular Rehabilitation can be as beneficial as conventional exercise in improving the state of health in patients with Fibromyalgia Syndrome, providing additional improvements in physical health status, body balance, the perception of verticality and the number of falls.

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Resultados y seguimiento de la rehabilitación vestibular

Cited by 4 publications

References 22 publications

Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Applying the Minimal Detectable Change of a Static and Dynamic Balance Test Using a Portable Stabilometric Platform to Individually Assess Patients with Balance Disorders

Guía de rehabilitación vestibular

Effectiveness of Vestibular Rehabilitation in Improving Health Status and Balance in Patients with Fibromyalgia Syndrome: A Single-Blind Randomized Controlled Trial

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