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Eur J Phys Rehabil Med. 2014 Dec;50(6):657-63. Epub 2014 Apr 23.

Is vestibular rehabilitation as effective in bilateral vestibular dysfunction as in unilateral vestibular dysfunction?

Author information

1
Physical Medicine and Rehabilitation Department Medical Faculty, Ege University, Bornova, Izmir, Turkey.

Abstract

BACKGROUND:

Bilateral vestibular dysfunction causes serious disabilities and handicaps. Patients with bilateral dysfunction often restrict their activities and tend to be unsocial.

AIM:

To compare the effects of vestibular rehabilitation on disability, balance, and postural stability in patients with unilateral and bilateral vestibular dysfunction.

DESIGN:

Retrospective study.

SETTING:

Outpatient rehabilitation center.

POPULATION:

Patients with unilateral (group 1, N.=42) and bilateral vestibular dysfunction (group 2, N.=19).

METHODS:

All patients were evaluated before and after eight weeks of customized vestibular rehabilitation for disability (Dizziness Handicap Inventory [DHI], Activities-specific Balance Confidence Scale [ABC]), dynamic balance (Timed Up and Go Test [TUG], Dynamic Gait Index [DGI]), and postural stability (static posturography).

RESULTS:

The differences between DHI, TUG, DGI, and falling index (as assessed by static posturography) scores before and after the exercise program were statistically significant in both groups (P<0.05). There were no significant intergroup differences in any of the parameters evaluated (P>0.05).

CONCLUSION:

In this study, vestibular rehabilitation was found to be equally effective in unilateral and bilateral vestibular dysfunction patients for improving disability, dynamic balance, and postural stability.

CLINICAL REHABILITATION IMPACT:

Patients with bilateral dysfunction, causing more disability and greater handicap may indeed regain their functions as in patients with unilateral vestibular dysfunction by receiving appropriate and adequate vestibular rehabilitation.

PMID:
24755774
[Indexed for MEDLINE]
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