A Comparison of Generalized and Individualized Vestibular Rehabilitation Therapy in a Military TBI Sample

Vegt, Christina B. Vander; Hill-Pearson, Candace; Hershaw, Jamie; Loftin, Megan C; Bobula, Selena; Souvignier, Alicia R

doi:10.1097/htr.0000000000000777

Cited by 3 publications

(1 citation statement)

References 39 publications

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“…Only individuals who self-reported dizziness symptoms as indicated with a score between 16 and 64 on the Dizziness Handicap Inventory (DHI) were included in the study. The participants had pre-intervention (baseline) and post-intervention assessments before and after vestibular rehabilitation treatment, in which intervention outcomes were previously assessed and compared by Loftin [ 27 ] and Vander Vegt [ 28 ]. Only baseline assessments of the same sample were used in our analysis.…”

Section: Methodsmentioning

confidence: 99%

The Non-Concordance of Self-Reported and Performance-Based Measures of Vestibular Dysfunction in Military and Civilian Populations Following TBI

Wood

Hentig

Hager³

et al. 2022

JCM

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As a predominately young, physically active, and generally healthy population, service members (SMs) with vestibular dysfunction (VD) following a TBI may not be accurately represented by the current civilian reference ranges on assessments of VD. This study enrolled SMs who were referred for vestibular rehabilitation following a mild/moderate TBI. The participants self-reported VD using the Activities-specific Balance Confidence (ABC) scale and the Dizziness Handicap Inventory (DHI) followed by evaluation of vestibular performance using computerized dynamic posturography sensory organizational test (CDP–SOT). Retrospective analysis of these outcomes comparing the study sample of SMs to the reported civilian samples revealed SMs self-reported lower VD with significantly higher balance confidence (ABC: 77.11 ± 14.61, p < 0.05) and lower dizziness (DHI: 37.75 ± 11.74, p < 0.05) than civilians. However, the SMs underperformed in performance-based evaluations compared to civilians with significantly lower CDP–SOT composite and ratio scores (COMP: 68.46 ± 13.46, p < 0.05; VIS: 81.36 ± 14.03, p < 0.01; VEST: 55.63 ± 22.28, p < 0.05; SOM: 90.46 ± 10.17, p < 0.05). Correlational analyses identified significant relationships between the ABC and CDP–SOT composite (r = 0.380, p < 0.01) and ratio scores (VIS: r = 0.266, p < 0.05; VEST: r = 0.352, p < 0.01). These results highlight the importance of recognizing and understanding nuances in assessing VD in SMs to ensure they have access to adequate care and rehabilitation prior to returning to duty.

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Section: Methodsmentioning

confidence: 99%

The Non-Concordance of Self-Reported and Performance-Based Measures of Vestibular Dysfunction in Military and Civilian Populations Following TBI

Wood

Hentig

Hager³

et al. 2022

JCM

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Restoration of Lost Functions in Students after Blast Traumatic Brain Injuries in the Process of Inclusive Physical Education

Blavt,

Herasymenko

2024

J. learn. theory methodol.

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Background. It has been determined that the main task of higher education today is to solve the problem of providing students who have been injured as a result of war with opportunities along with higher education and rehabilitation conditions. Objectives. The purpose of the article is to determine the effectiveness of the developed program of inclusive physical education on the restoration of dynamic balance functions in students after blast traumatic brain injury. Materials and methods. The research combined theoretical (analysis, synthesis, generalization) and empirical methods (pedagogical experiment, testing). Testing was realized using the Dynamic Gait Index and the method of stabilization. The experiment, which was realized during the academic year in the academic course of physical education, involved 30 male students after explosive traumatic brain injury, provided there were no complications. Results. The developed program of inclusive physical education after blast traumatic brain injury is presented. The content of the program is aimed at providing maximum opportunities for differentiation of the educational process and implementation of an individual approach in its implementation. The results of the test control of students of the studied sample before the beginning of classes testified to significant deviations in the state of the studied parameters. According to the evaluation of the obtained control data, the studied indicators did not reach the level of «average», which is a consequence of the influence of blast traumatic brain injury on the state of dynamic balance and gait parameters. The final testing showed a difference in the studied parameters in response to the implementation of the proposed innovations. A statistically significant improvement was observed in determining the progress and effectiveness of the studied parameters of gait and balance in the range of 10-19.6 %. Conclusions. For the first time, we have implemented a study of students after blast traumatic brain injury, in which we directly controlled the violation of dynamic balance and gait in inclusive physical education. The results obtained are evidence that strategies and approaches will be effective, efficient and lead to the desired result in the case of improving practical methods to develop a reliable evidence base.

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Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial

et al. 2022

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Introduction: Mild traumatic brain injury (mTBI) affects approximately 740 cases per 100,000 people. Impairments related to mTBI include vertigo, dizziness, balance, gait disorders double or blurry vision, and others. The efficacy on acute or chronic phase and dosage of vestibular rehabilitation (VR) in reducing these symptoms is not clearly stated. To clarify these points, we performed a systematic review of randomised controlled trials (RCTs). Methods: A systematic literature search was performed from 2015 to 2022 on PubMed, CINAHL, Cochrane Trial SPORTDiscus, Web of Science, and PEDRO. Eligibility criteria were RCTs which consider VR, participants with mTBI, and no gender or age restriction. Two blinded reviewers independently selected the study, and a third author was contacted in case of disagreements. Risk of bias was independently screened by two authors and successively checked by the other two authors. Results: Thirty-three full articles were read for potential inclusion and seven records met the inclusion criteria. The authors analysed different outcomes considering DHI, a meta-analysis was carried out, statistical difference was observed (p < 0.01), and a mean difference of −6.91 (−9.11, −4.72) in favour of VR was shown. Considering quality of life, the VR group reached a higher score on QOLIBRI. Controversial results were shown about balance and subjective symptoms questionnaire. Differently considering HiMAT, the authors showed a statistically important difference in favour of VR (p = 0.002). Conclusion: VR seems useful to reduce symptoms in patients with concussion; however, a huge heterogeneity of the studies and of the outcomes used were found. Therefore, a larger sample is necessary to assess the efficacy of VR.

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A Comparison of Generalized and Individualized Vestibular Rehabilitation Therapy in a Military TBI Sample

Cited by 3 publications

References 39 publications

The Non-Concordance of Self-Reported and Performance-Based Measures of Vestibular Dysfunction in Military and Civilian Populations Following TBI

The Non-Concordance of Self-Reported and Performance-Based Measures of Vestibular Dysfunction in Military and Civilian Populations Following TBI

Restoration of Lost Functions in Students after Blast Traumatic Brain Injuries in the Process of Inclusive Physical Education

Effectiveness of Vestibular Rehabilitation after Concussion: A Systematic Review of Randomised Controlled Trial

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