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See 1 citation in Aging Clin Exp Res 2015:

Aging Clin Exp Res. 2015 Dec;27(6):841-8. doi: 10.1007/s40520-015-0362-z. Epub 2015 Apr 25.

Reduction of falls in older people by improving balance with vestibular rehabilitation (ReFOVeRe study): design and methods.

Author information

1
Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain. andres.soto@usc.es.
2
Department of Dermatology and Otorhinolaryngology, University of Santiago de Compostela, Santiago de Compostela, Spain. andres.soto@usc.es.
3
Clinical Epidemiology Unit, Hospital Clínico Universitario, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain.
4
Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain.
5
Department of Otorhinolaryngology, Complexo Hospitalario Universitario de Santiago, Travesía da Choupana, s/n, 15706, Santiago de Compostela, Spain.
6
Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain.
7
Department of Dermatology and Otorhinolaryngology, University of Santiago de Compostela, Santiago de Compostela, Spain.

Abstract

MAIN OBJECTIVE:

Evaluate the effectiveness of vestibular rehabilitation (VR) to improve the balance in older people, assessed immediately afterwards.

SECONDARY OBJECTIVES:

(a) To verify the maintenance of improvement of the balance achieved in the medium term (6-12 months). (b) To consider whether this improvement results in a reduction in the number of falls. (c) To compare among themselves the effectiveness of three different methods of VR in improving balance and to explore whether there are differences to achieve a reduction in the number of falls.

METHODOLOGY:

DESIGN:

Experimental study, single-centre, open, randomised (balanced blocks of patients) in four branches in parallel, in 220 elderly patients (over 64 years) with high risk of falls and a follow-up period of 12 months.

SETTING:

Department of Otolaryngology of the University Hospital of Santiago.

PARTICIPANTS:

People over 64 years, fulfilling one of the following requirements: (a) At least one fall in the last year. (b) Take at least 16 s or require some support in perform the test "timed up and go". (c) A percentage of average balance in the sensory organisation test (SOT) in the dynamic posturography (CDP) <68%. (d) At least one fall in any of the conditions in the SOT of CDP.

INTERVENTION:

Three different protocols of VR.

MAIN OUTCOME MEASURE:

The percentage of average balance in the SOT in CDP. Secondary measures: time and supports in the test of "timed up and go", scores of the dynamic posturography and SwayStar system, and rate of falls.

KEYWORDS:

Computerized dynamic posturography; Falls in elderly; Vestibular rehabilitation

PMID:
25911608
DOI:
10.1007/s40520-015-0362-z
[Indexed for MEDLINE]

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