| 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 |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Erin Horning; Sharon Gorman |
Related Documents
:
|
15971416 - Evaluation of abnormalities of orthostatic postural control in systemic sclerosis. 2785236 - Evaluation of the monothermal caloric test. 6605496 - Ocular counterrolling as an indicator of vestibular otolith function. 7102956 - Evaluation of multiple-frequency rotatory testing in patients with peripheral labyrinth... 9067926 - Longitudinal follow-up of ca125 in peritoneal effluent. 17766706 - Gamma knife stereotactic radiosurgery for acromegaly. |
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 |
Affiliation:
|
Kaiser Permanente, Sacramento, CA, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Accidental Falls
/
prevention & control* Aged, 80 and over Dizziness / rehabilitation* Electronystagmography Eye Movements Humans Male 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
Previous Document: Balance confidence and functional balance in relation to falls in older persons with hip fracture hi...
Next Document: Elderly patients and high force resistance exercise--a descriptive report: can an anabolic, muscle g...