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Adherence of older people with instability in vestibular rehabilitation programmes: prediction criteria

Published online by Cambridge University Press:  16 January 2017

A Soto-Varela ,
A Faraldo-García ,
M Del-Río-Valeiras ,
M Rossi-Izquierdo ,
I Vaamonde-Sánchez-Andrade ,
P Gayoso-Diz ,
A Lirola-Delgado  and
S Santos-Pérez
A Soto-Varela*
Affiliation:
Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain Department of Dermatology and Otorhinolaryngology, University of Santiago de Compostela, Spain
A Faraldo-García
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
M Del-Río-Valeiras
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
M Rossi-Izquierdo
Affiliation:
Department of Otorhinolaryngology, University Hospital Lucus Augusti, Lugo, Spain
I Vaamonde-Sánchez-Andrade
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
P Gayoso-Diz
Affiliation:
Clinical Epidemiology Unit, Complexo Hospitalario Universitario, Instituto de Investigación Sanitaria de Santiago (IDIS), Santiago de Compostela, Spain
A Lirola-Delgado
Affiliation:
Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain
S Santos-Pérez
Affiliation:
Division of Neurotology, Department of Otorhinolaryngology, Complexo Hospitalario Universitario, Santiago de Compostela, Spain Department of Dermatology and Otorhinolaryngology, University of Santiago de Compostela, Spain
*
Address for correspondence: Dr Andrés Soto-Varela, Department of Otorhinolaryngology, Complexo Hospitario Universitario de Santiago, Travesía da Choupana, s/n. Postal Code: 15706, Santiago de Compostela, Spain Fax: 00 34 981 950 454 E-mail: andres.soto@usc.es
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Abstract

Objective:

To determine whether demographic characteristics or balance examination findings can predict the adherence of older people with instability to a vestibular rehabilitation programme.

Methods:

A prospective case–control study was conducted of 120 patients aged 65 years or more (mean age, 77.3 ± 6.33 years). Two groups were classified according to patients’ adherence with the follow-up post-rehabilitation protocol. Analysed variables included: age, sex, body mass index, Timed Up and Go test findings, computerised dynamic posturography, Dizziness Handicap Inventory scores and Short Falls Efficacy Scale – International questionnaire results, number of falls, and type of vestibular rehabilitation.

Results:

Two groups were established: adherents (99 individuals) and non-adherents (21 individuals). There were differences between the groups regarding: sex (female-to-male ratio of 4.8:1 in adherents and 1.63:1 in non-adherents), age (higher in non-adherents) and voluntary movement posturographic test results (non-adherents had poorer scores).

Conclusion:

The patients most likely to abandon a vestibular rehabilitation programme are very elderly males with low scores for centre of gravity balancing and limits of stability.

Keywords

InstabilityVestibular RehabilitationAdherenceDynamic PosturographyPostural Balance
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 131 , Issue 3 , March 2017 , pp. 232 - 238
Copyright
Copyright © JLO (1984) Limited 2017 

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