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Adaptation exercises of vestibuloocular reflex on balance in the elderly
Simoceli L, Bittar RSM, Sznifer J
International Archives of Otorhinolaryngology 2008;12(2):183-188
clinical trial
3/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

INTRODUCTION: Balance disorders have an estimated prevalence of 85% of the individuals over 65 years of age and are directly related to an incresead chance of falls and its sequels. OBJECTIVE: To evaluate the corporal stability and the clinical improvement of patients after Vestibular Rehabilitation therapy (VR) according to two different methods: the classical vestibular rehabilitation with global training of the balance system (CVR) and the adaptation of the Vestibular-Ocular Reflex (VOR). METHOD: 39 patients who were older than 65 years old with body balance disorder and had VR treatment suggested were randomly placed in two groups: Modified Cawthorne and Cooksey protocol (CVR group) and VOR adaptation (VOR group). Patients were evaluated before and after the treatment by the protocol of Stability Limit (SL) of the Computer Dynamic Posturography (CDP), by the Disability Index (DI) and self-evaluation based on reported improvement percentage. RESULTS: 16 individuals of the CVR group and 16 of the VOR group have successfully completed the study. The groups appeared to be homogeneous in terms of age, gender and observed balance changes. After the treatment, both groups presented similar variations of the stability limit parameters, of the used clinical scale and of self-evaluation. CONCLUSION: Both VR protocols were similar in efficiency in reestablishing the body balance of patients.

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