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Factors affecting the outcome of vestibular rehabilitation in patients with peripheral vestibular disorders

  • Hirofumi Ogihara
    Correspondence
    Corresponding author.
    Affiliations
    Division of Physical Therapy, Department of Rehabilitation, Faculty of Health Sciences, Nagano University of Health and Medicine, 11-1, Imaihara, Kawanakajima-machi, Nagano-City, Nagano, 381-2227 Japan

    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan
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  • Tomohiko Kamo
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan

    Department of Physical Therapy, School of Health Sciences, Japan University of Health Sciences, 2-555, Hirasuka, Satte-city, Saitama, 340-0145 Japan
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  • Ryozo Tanaka
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan

    Department of Physical Therapy, Faculty of Health Sciences, Mejiro University, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan
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  • Masato Azami
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan

    Department of Physical Therapy, School of Health Sciences, Japan University of Health Sciences, 2-555, Hirasuka, Satte-city, Saitama, 340-0145 Japan
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  • Takumi Kato
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan
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  • Mayumi Endo
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan
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  • Reiko Tsunoda
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan
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  • Hiroaki Fushiki
    Affiliations
    Otolaryngology, Mejiro University Ear Institute Clinic, 320, Ukiya, Iwatsuki, Saitama-City, Saitama, 339-8501 Japan
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Published:March 17, 2022DOI:https://doi.org/10.1016/j.anl.2022.03.004

      Abstract

      Objective

      Previous studies have reported that developmental, environmental, medical, psychological, visual, and other sensory-related factors can influence the outcome of vestibular rehabilitation. However, only a few studies have used patient's daily lives as the main outcome. In addition, in some studies, rehabilitation was not supervised by a physical therapist. This study aimed to determine the factors associated with the outcome of physical-therapist-supervised vestibular rehabilitation in patients with peripheral vestibular disorders, with the impact of dizziness on quality of life as the main outcome.

      Methods

      This retrospective cohort study included 47 patients with peripheral vestibular disorders. A physical therapist provided 40 min of vestibular rehabilitation once a week for 4 weeks. Age, sex, disease duration, Dizziness Handicap Inventory (DHI), Timed Up-and-Go test (TUG), Dynamic Gait Index (DGI), Functional Gait Assessment (FGA), Activity-Specific Balance Confidence Scale (ABC scale), and Hospital Anxiety and Depression Scale (HADS) were investigated. Multiple regression analysis was performed, with the DHI rate of change before and after the intervention as the objective variable.

      Results

      Vestibular rehabilitation improved all outcomes. In the multiple regression analysis, the ABC scale was identified as a factor that significantly influenced the DHI rate of change (β = -0.428, p < 0.01).

      Conclusion

      A higher ABC scale score was associated with a lower DHI rate of change (i.e., better improvement). Therefore, it may be important to assess psychological aspects, especially confidence in balance, when implementing vestibular rehabilitation in patients with peripheral vestibular disorders.

      Keywords

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