The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: A systematic review.
In: Journal of Vestibular Research: Equilibrium & Orientation, Jg. 22 (2012-09-01), Heft 5/6, S. 283-298
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Zugriff:
Purpose: Adults with bilateral vestibular hypofunction (BVH) experience significant disability. A systematic review assessed evidence for vestibular rehabilitation (VR). Number of studies: 14 studies. Materials/methods: Search identification of studies based on inclusion criteria: (a) population: adults with BVH of peripheral origin; (b) interventions: vestibular exercises, balance training, education, or sensory prosthetics; (c) comparison: single interventions or compared to another psychophysical intervention, placebo, or healthy population; (d) outcomes: based on International Classification of Functioning, Disability and Health (ICF) Body Functions and Structure, Activity, and Participation; (e) study designs: prospective and interventional, Levels of Evidence I to III per Centre of Evidence-based Medicine grading. Coding and appraisal based on ICF framework and strength of evidence synthesis. Results: Five Level II studies and nine Level III studies: All had outcomes on gaze and postural stability, five with outcomes on gait speed and perceptions of oscillopsia and disequilibrium. Conclusions: (a) Moderate evidence strength on improved gaze and postural stability (ICF-Body Functions) following exercise-based VR; (b) Inadequate number of studies supporting benefit of VR on ICF-Participation outcomes; (c) Sensory prosthetics in early phase of development. Clinical relevance: Moderate evidence strength in support of VR from an impairment level; clinical practice and research needed to explore interventions extending to ICF-Activity and Participation. [ABSTRACT FROM AUTHOR]
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The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: A systematic review.
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Autor/in / Beteiligte Person: | Porciuncula, Franchino ; Johnson, Connie C. ; Glickman, Leslie B. |
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Zeitschrift: | Journal of Vestibular Research: Equilibrium & Orientation, Jg. 22 (2012-09-01), Heft 5/6, S. 283-298 |
Veröffentlichung: | 2012 |
Medientyp: | academicJournal |
ISSN: | 0957-4271 (print) |
DOI: | 10.3233/ves-120464 |
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