This retrospective study was undertaken to assess balance recovery and dizziness handicap in 32 patients after a vestibular and balance rehabilitation program. Outcomes were compared between 12 patients with peripheral vestibular disorders and 20 patients with central or mixed balance disorders. The patients were tested with posturography (sensory organization test [SOT]) and the Dizziness Handicap Inventory (DHI) before and after their therapy program. The vestibular SOT, composite SOT, and functional DHI scores obtained before and after exercise were significantly improved in both the peripheral and central groups. The visual SOT mean scores obtained before and after therapy were significantly different only for the group with central or mixed vestibular disorders. Changes in SOT scores were not directly correlated with changes in DHI scores. Outcome measures of vestibular rehabilitation protocols confirmed objective and subjective improvement of balance and dizziness handicap in patients with peripheral and central vestibular disorders.
measurements from patients with hypertonicity (Ashton et a1 1978, Harris et al. d 6 et al. (1981), measuring children with s cerebral palsy, reported test-retest co-e effients ranging from r = 0.71 to r = 0.99.
2The six movements they recorded were 2 from the shoulder, elbow, hip and ankle. An additional 18 movements were not 'D used, since presumably the coefficients were below r = 0.71. However, the .c % authors did not report the procedures used, nor whether the measurements were made by one rater, or more than one. Rosenbaum et al. (1981) measured E shoulder and elbow movements, using -3 stop-action on a videotape monitor. 3 Agreement between the two raters s" 1985). Four previous studies have described selected goniometric measurements of children with hypertonicity. Sommerfeld 00 W 2 -c 0 u -2 averaged 80 per cent (range 75 to 83 per cent). A study of measurements from a 65 7 8 co Reliability of Goniometric Measurements Wayne A . Stuberg, Robert H. Fuchs, James A . Miedaner
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