Effects of Customized Vestibular Rehabilitation on Static balance among Adults with Benign Paroxysmal Positional Vertigo (Kesan Rehabilitasi Vestibular Disesuaikan Ke Atas Keseimbangan Static Dalam Kalangan Dewasa Dengan Masalah Benign Paroxysmal Positional Vertigo)
http://dx.doi.org/10.17576/JSKM-2022-2002-09
- Author:
PHUI LIN SE TO
1
,
2
;
DEVINDER KAUR AJIT SINGH
1
;
NOR HANIZA ABDUL WAHAT
3
;
MARNIZA OMAR
3
;
WHITNEY SL
4
Author Information
1. Physiotherapy Programme, Center for Healthy Ageing, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, 50300, Jalan Raja Muda Abdul Aziz, Kuala Lumpur Malaysia&
2. Physiotherapy Unit, Rehabilitation Department, Hospital Tengku Ampuan Rahimah, Klang Jalan Langat, 41200 Klang, Selangor, Malaysia
3. Audiology Programme, Center for Rehabilitation and Special Needs, Faculty of Health Sciences Universiti Kebangsaan Malaysia 50300, Jalan Raja Muda Abdul Aziz, Kuala Lumpur Malaysia
4. School of Health and Rehabilitation Sciences, Department of Physical Therapy, University of Pittsburgh, Bridgeside Point 1, 100, Technology Drive, Suite 210, PA 15219, Pittsburgh
- Publication Type:Journal Article
- Keywords:
Customized vestibular rehabilitation;
canalith repositioning maneuver;
benign paroxysmal positional vertigo (BPPV);
balance;
postural sway
- From:Malaysian Journal of Health Sciences
2022;20(No.2):87-97
- CountryMalaysia
- Language:English
-
Abstract:
The aim of this study was to detemine the effectiveness of Customized vestibular rehabilitation (CVR) in addition to the
standard Canalith repositioning maneuver (CRM) on static balance among adults with posterior canal Benign
Paroxysmal Positional Vertigo (BPPV). In this randomised controlled trial, 28 adults with idiopathic unilateral posterior
canal BPPV were randomized to either the control or experimental group. The experimental group (n=14, mean age:
50.71±9.88 years) received CVR in addition to CRM, and the control group (n=14, mean age: 54.36±8.55 years)
received only CRM for 6 weeks. Measurements of static balance (postural sway) using a portable kinematic sensor were
performed at baseline, four and six weeks after treatment for both groups while standing on firm and foam surface with
eyes open (EO) and closed (EC). Only standing on foam surface with EC was observed to have a significant interaction
effect, F (2, 52) =5.28, p<0.05. This suggest that the groups were affected differently by the intervention and greater
improvement was demonstrated in the experimental group. Post hoc test showed that a significant difference (p<0.05)
in static balance was shown between baseline and 6th week after intervention. The results of our study indicate that CVR
in addition to CRM improved static balance in adults with UPC BPPV at 6th week after intervention for persons with
BPPV.