1. Effects of customized vestibular rehabilitation plus canalith repositioning maneuver on gait and balance in adults with Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial
- Author
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Phui Lin Se To, Susan L. Whitney, and Devinder Kaur Ajit Singh
- Subjects
Adult ,medicine.medical_specialty ,Benign paroxysmal positional vertigo ,STRIDE ,Dizziness ,Patient Positioning ,law.invention ,Double blind ,03 medical and health sciences ,0302 clinical medicine ,Physical medicine and rehabilitation ,Randomized controlled trial ,law ,otorhinolaryngologic diseases ,medicine ,Humans ,Benign Paroxysmal Positional Vertigo ,030223 otorhinolaryngology ,Gait ,Postural Balance ,Mixed model anova ,Balance (ability) ,Vestibular rehabilitation ,business.industry ,General Neuroscience ,Middle Aged ,medicine.disease ,Sensory Systems ,Otorhinolaryngology ,Neurology (clinical) ,business ,030217 neurology & neurosurgery - Abstract
BACKGROUND: Adults with unilateral posterior canal benign paroxysmal positional vertigo (BPPV) may continue to present with residual dizziness and balance impairments after the canalith repositioning maneuver (CRM). Customized Vestibular rehabilitation (VR) in addition to the standard CRM may improve postural control in adults with BPPV. However, the effectiveness of this intervention for improving dyanmic gait measures in adults with BPPV is unknown. OBJECTIVE: We aimed to determine the effectiveness of customized VR in addition to the standard CRM on dynamic gait measures among adults with unilateral posterior canal BPPV. METHODS: In this double blind, randomized controlled trial, 28 adults with BPPV were randomized to either control (n = 14, age: 54.36±8.55) or experimental (n = 14, age: 50.71±9.88) groups. The experimental and control groups received customized VR plus standard CRM for six weeks and standard CRM for two weeks respectively. Dynamic gait measures (duration of a complete gait cycle, stride velocity, turning duration and number of steps while turning) were recorded using a portable mobility sensor (iTUG) at baseline, week 4 and 6. A mixed model ANOVA was used to estimate the main effects of the interventions. RESULTS: During walking, a group effect was demonstrated on gait duration, stride velocity, turning duration and number of steps while turning (p
- Published
- 2022
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