Effects of using cane and vestibular rehabilitation on the walking function in elderly patients with dizziness

Ohara, Akihiro; Miyamoto, Yukio; Mochizuki, Fumihiro; Shinohe, Tatsuya; Sasano, Yoshiyuki; Suzuki, Kenji; Mikami, Koshi; Koizuka, Izumi

doi:10.1016/j.anl.2020.10.010

Cited by 5 publications

(4 citation statements)

References 22 publications

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“…It is, therefore, essential to identify these patients beforehand and administer the requisite fallprevention treatment and rehabilitation. Even the use of crutches alone has been identified as a fall-preventing factor [8]. Postoperative rehabilitation and balance therapies in elderly individuals with hip fractures have resulted in early returns to daily life, faster walking, and an improved quality of life [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Even the use of crutches alone has been identified as a fall-preventing factor [8]. Postoperative rehabilitation and balance therapies in elderly individuals with hip fractures have resulted in early returns to daily life, faster walking, and an improved quality of life [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…The incidence of balance problems among the elderly population has been reported as 34% [7]. Measures routinely taken to reduce hip fractures in the elderly population include balance examinations, use of crutches, and balance exercises [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of vestibular evoked myogenic potential values in elder patients with hip fractures: A prospective controlled study

et al. 2023

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Background/Aim: Hip fractures among the elderly are a major public health problem that cause high rates of morbidity and mortality. There are many studies regarding prevention and defining the underlying causes of hip fractures. The purpose of this study was to evaluate the cervical vestibular evoked myogenic potential (cVEMP) test responses of elderly patients without vestibular symptoms hospitalized due to fall-related hip fractures in order to evaluate the subclinical vestibular dysfunction rates in patients with hip fractures. Methods: Twenty-two patients aged 67-79 hospitalized due to fall-related hip fractures and 24 control patients presenting to the orthopedic clinic due to knee pain were included in the study. The participants underwent detailed otological examination and cVEMP tests. The two groups’ cVEMP records were then compared. Results: The demographic characteristics of the participants in the patient and control groups including age, gender, and race were similar. There was no statistically significant difference between the groups’ absent VEMP response rates. No significant difference in terms of P1 and N1 latencies was determined between the right and left ears in either group. The hip fracture group (study group) had significantly increased P1 and N1 latencies in cVEMP which is associated with central vestibular dysfunction. (P=0.008 and P=0.007, respectively). Conclusion: The rate of subclinical peripheral vestibular dysfunction, which can be identified by cVEMP evaluation, is increased in elderly patients with hip fractures caused by low energy trauma. Precautions like vestibular rehabilitation can be a preventive measure for hip fractures in the elderly.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Evaluation of vestibular evoked myogenic potential values in elder patients with hip fractures: A prospective controlled study

et al. 2023

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“…However, traditional equipment for gait analysis is expensive and/or cumbersome and cannot easily be applied to the clinical setting. Examples of devices used in previous studies include non-reusable tactile sensors attached to patients’ feet with adhesive tape (Ishikawa et al, 2001 ; Angunsri et al, 2011 ), instrumented walkways (Ohara et al, 2021 ), and optical motion analysis systems (Anson et al, 2019 ), none of which can easily be introduced into office spaces. Additionally, these systems offer only a limited working distance (8–10 m) over which patients can navigate, when in fact dozens to hundreds of strides may be required to reliably evaluate gait variability (Hollman et al, 2010 ; Lord et al, 2011 ).…”

Section: Introductionmentioning

confidence: 99%

Instrumented insoles for assessment of gait in patients with vestibular schwannoma

et al. 2023

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Background Imbalance and gait disturbances are common in patients with vestibular schwannoma (VS) and can result in significant morbidity. Current methods for quantitative gait analysis are cumbersome and difficult to implement. Here, we use custom-engineered instrumented insoles to evaluate the gait of patients diagnosed with VS. Methods Twenty patients with VS were recruited from otology, neurosurgery, and radiation oncology clinics at a tertiary referral center. Functional gait assessment (FGA), 2-minute walk test (2MWT), and uneven surface walk test (USWT) were performed. Custom-engineered instrumented insoles, equipped with an 8-cell force sensitive resistor (FSR) and a 9-degree-of-freedom inertial measurement unit (IMU), were used to collect stride-by-stride spatiotemporal gait parameters, from which mean values and coefficients of variation (CV) were determined for each patient. Results FGA scores were significantly correlated with gait metrics obtained from the 2MWT and USWT, including stride length, stride velocity, normalized stride length, normalized stride velocity, stride length CV, and stride velocity CV. Tumor diameter was negatively associated with stride time and swing time on the 2MWT; no such association existed between tumor diameter and FGA or DHI. Conclusions Instrumented insoles may unveil associations between VS tumor size and gait dysfunction that cannot be captured by standardized clinical assessments and self-reported questionnaires.

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Peripheral Vestibular Disorders (Labyrinthine Disorders)

Ernst,

Basta,

Jahn

2024

Vestibular Therapy and Rehabilitation

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Effects of using cane and vestibular rehabilitation on the walking function in elderly patients with dizziness

Cited by 5 publications

References 22 publications

Evaluation of vestibular evoked myogenic potential values in elder patients with hip fractures: A prospective controlled study

Evaluation of vestibular evoked myogenic potential values in elder patients with hip fractures: A prospective controlled study

Instrumented insoles for assessment of gait in patients with vestibular schwannoma

Peripheral Vestibular Disorders (Labyrinthine Disorders)

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