Effects of conventional versus multimodal vestibular rehabilitation on functional capacity and balance control in older people with chronic dizziness from vestibular disorders: design of a randomized clinical trial

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dc.contributor.authorRicci, Natalia Aquaroni [UNIFESP]
dc.contributor.authorAratani, Mayra Cristina [UNIFESP]
dc.contributor.authorCaovilla, Heloisa Helena [UNIFESP]
dc.contributor.authorGananca, Fernando Freitas [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:28:10Z
dc.date.available2016-01-24T14:28:10Z
dc.date.issued2012-12-31
dc.description.abstractBackground: There are several protocols designed to treat vestibular disorders that focus on habituation, substitution, adaptation, and compensation exercises. However, protocols that contemplate not only vestibular stimulation but also other components that are essential to the body balance control in older people are rare. This study aims to compare the effectiveness of two vestibular rehabilitation protocols (conventional versus multimodal) on the functional capacity and body balance control of older people with chronic dizziness due to vestibular disorders.Methods/design: A randomized, single-blind, controlled clinical trial with a 3 months follow-up period will be performed. the sample will be composed of older individuals with a clinical diagnosis of chronic dizziness resulting from vestibular disorders. the subjects will be evaluated at baseline, post-treatment and follow-up. Primary outcomes will be determined in accordance with the Dizziness Handicap Inventory (functional capacity) and the Dynamic Gait Index (body balance). Secondary outcomes include dizziness features, functional records, body balance control tests, and psychological information. the older individuals (minimum sample n = 68) will be randomized to either the conventional or multimodal Cawthorne&Cooksey protocols. the protocols will be performed during individual 50-minute sessions, twice a week, for 2 months (a total of 16 sessions). the outcomes of both protocols will be compared according to the intention-to-treat analysis.Discussion: Vestibular rehabilitation through the Cawthorne&Cooksey protocol has already proved to be effective. However, the addition of other components related to body balance control has been proposed to improve the rehabilitation of older people with chronic dizziness from vestibular disorders.en
dc.description.affiliationUniversidade Federal de São Paulo, Otoneurol Discipline, Dept Otorhinolaryngol & Head & Neck Surg, BR-04025002 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Otoneurol Discipline, Dept Otorhinolaryngol & Head & Neck Surg, BR-04025002 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIDFAPESP: 2009/16908-6
dc.format.extent8
dc.identifierhttp://dx.doi.org/10.1186/1745-6215-13-246
dc.identifier.citationTrials. London: Biomed Central Ltd, v. 13, 8 p., 2012.
dc.identifier.doi10.1186/1745-6215-13-246
dc.identifier.fileWOS000314112600001.pdf
dc.identifier.issn1745-6215
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/35628
dc.identifier.wosWOS:000314112600001
dc.language.isoeng
dc.publisherBiomed Central Ltd
dc.relation.ispartofTrials
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDizzinessen
dc.subjectRehabilitationen
dc.subjectVestibular diseasesen
dc.subjectAgeden
dc.subjectPostural balanceen
dc.subjectDisability evaluationen
dc.titleEffects of conventional versus multimodal vestibular rehabilitation on functional capacity and balance control in older people with chronic dizziness from vestibular disorders: design of a randomized clinical trialen
dc.typeinfo:eu-repo/semantics/article
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