Document Detail

Vestibular rehabilitation decreases fall risk and improves gaze stability for an older individual with unilateral vestibular hypofunction.
MedLine Citation:
PMID:  18171496     Owner:  NLM     Status:  MEDLINE    
BACKGROUND AND PURPOSE: Partial or total unilateral vestibular loss is the third most common cause of peripheral vestibular dysfunction. Dysfunction of one or both of the vestibular mechanisms can manifest physically as abnormalities of posture, balance, and/or visual acuity. This case report describes physical therapy examination and individualized intervention with vestibular rehabilitation for a patient with unilateral vestibular hypofunction. CASE DESCRIPTION: The patient was an 80-year-old male with electronystamographically confirmed unilateral vestibular loss of 98.3%. He demonstrated altered balance and gaze stability classifying him as having an increased risk for falling. OUTCOMES: After 5 weeks of individualized vestibular rehabilitation, the patient significantly decreased his fall risk from 11 to 20 of 24 on the Dynamic Gait Index. His gaze stability also improved from a 4 to 1 line disparity with dynamic visual acuity testing. The patient also had a decrease in perceived disability on the Dizziness Handicap Inventory from 30/100 at evaluation to 12/100 at discharge. CONCLUSION: Individualized vestibular rehabilitation decreased fall risk and improved gaze stability for a patient with significant unilateral vestibular hypofunction.
Erin Horning; Sharon Gorman
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of geriatric physical therapy (2001)     Volume:  30     ISSN:  1539-8412     ISO Abbreviation:  J Geriatr Phys Ther     Publication Date:  2007  
Date Detail:
Created Date:  2008-01-03     Completed Date:  2008-02-21     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  101142169     Medline TA:  J Geriatr Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  121-7     Citation Subset:  IM    
Kaiser Permanente, Sacramento, CA, USA.
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MeSH Terms
Accidental Falls / prevention & control*
Aged, 80 and over
Dizziness / rehabilitation*
Eye Movements
Physical Therapy Modalities
Postural Balance / physiology*
Reflex, Vestibulo-Ocular / physiology
Vestibulocochlear Nerve Diseases / rehabilitation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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