Abstract
Postural control is the ability to maintain equilibrium and orientation in a gravitational environment. Patients with chronic subjective dizziness have some troubles with their postural stability. The present study aimed to assess the benefit of home-based vestibular rehabilitation in patients with chronic subjective dizziness using computerized dynamic posturography. Therefore, 100 subjects, between 19 to 86 years, diagnosed with dizziness were included in the study. Computerized dynamic posturography was performed to assess postural stability. Vestibular rehabilitation programs included exercises tailored to the particular needs of each patient. After vestibular rehabilitation, patients were re-examined using the same tests. Posturographic data were analyzed and compared for before and after vestibular rehabilitation findings. The mean composite scores before the intervention (58,92 ±11,64) was significantly (p<0.01) lower than the mean composite scores after vestibular rehabilitation (73,83 ± 8,26). This result is found to be statistically significant. In conclusion it could be suggested that the effectiveness of vestibular rehabilitation could be verified by means of computerized dynamic posturography as a concrete method.
Highlights
Dizziness, is an umbrella term which is used to define a subjective sensation of disorientation or involuntary motion that could be related to several factors [1,2]
We observed a significant increment in composite scores after vestibular rehabilitation
Our results revealed that the performing computerized dynamic posturography before and after vestibular rehabilitation is useful to determine the effectiveness of vestibular rehabilitation
Summary
Dizziness, is an umbrella term which is used to define a subjective sensation of disorientation or involuntary motion that could be related to several factors [1,2]. Chronic subjective dizziness is defined as follows: persistent sensation of dizziness with subjective imbalance, chronic hypersensitivity to movement without any physical neurotologic illness, medical condition or medication causing dizziness [2,3]. Vestibular rehabilitation (VR) has become widely used in the management of patients with dizziness, disequilibrium, and gait instability [4]. VR is a treatment option for the management of vertigo and unsteadiness, which may cause recovery or improvement of symptoms [5]. It aims to restore spatial orientation as much as possible.
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