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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Ghulyan-Bedikian, Vénéra Paolino, Michel Paolino, Fabien |
| Description | Author Affiliation: Ghulyan-Bedikian V ( Hôpital Privé Clairval, Explorations Oto-Neurologiques et Réhabilitation des Troubles de l'Equilibre, Marseille, France. Electronic address: V_Ghulyan@hotmail.com.) |
| Abstract | Our objective was to evaluate whether the severity of vestibular loss and old-age (>65) affect a patient's ability to benefit from training using head-position based, tongue-placed electrotactile feedback. Seventy-one chronic dizzy patients, who had reached a plateau with their conventional rehabilitation, followed six 1-h training sessions during 4 consecutive days (once on days 1 and 4, twice on days 2 and 3). They presented bilateral vestibular areflexia (BVA), bilateral vestibular losses (BVL), unilateral vestibular areflexia or unilateral vestibular losses and were divided into two age-subgroups (≤65 and >65). Posturographic assessments were performed without the device, 4h before and after the training. Patients were tested with eyes opened and eyes closed (EC) on static and dynamic (passively tilting) platforms. The studied posturographic scores improved significantly, especially under test conditions restricting either visual or somatosensory input. This 4-h retention effect was greater in older compared to younger patients and was proportional to the degree of vestibular loss, patients with increased vestibular losses showing greater improvements. In bilateral patients, who constantly fell under dynamic-EC condition at the baseline, the therapy effect was expressed by disappearance of falls in BVL and significant prolongation in time-to-fall in BVA subgroups. Globally, our data showed that short training with head-position based, tongue-placed electrotactile biofeedback improves balance in chronic vestibulopathic patients some 16.74% beyond that achieved with standard balance physiotherapy. Further studies with longer use of this biofeedback are needed to investigate whether this approach could have long-lasting retention effect on balance and quality of life. |
| File Format | HTM / HTML |
| ISSN | 09666362 |
| Issue Number | 4 |
| Volume Number | 38 |
| e-ISSN | 18792219 |
| Journal | Gait & Posture |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2013-09-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Orthopedics Tongue Electric Stimulation Age Factors Humans Middle Aged Vestibular Diseases Male Journal Article Dizziness Reflex, Abnormal Adult Female Reflex, Vestibulo-ocular Physiology Retrospective Studies Vestibule, Labyrinth Physical Stimulation Biofeedback, Psychology Treatment Outcome Aged, 80 And Over Physiopathology Electronystagmography Aged Caloric Tests Rehabilitation Chronic Disease Methods Postural Balance Cohort Studies |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science |
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