Benign Paroxysmal Positional Vertigo (BPPV): Influence of Pharmacotherapy and Rehabilitation Therapy on Patients’ Recovery Rate and Life Quality.

Benign Paroxysmal Positional Vertigo (BPPV): Influence of pharmacotherapy and rehabilitation therapy on patients’ recovery rate and life quality.

Filed under: Rehab Centers

NeuroRehabilitation. 2012 Jan 1; 31(4): 435-41
Maslovara S, Soldo SB, Puksec M, Balaban B, Penavic IP

This prospective clinical study includes 96 BPPV patients with the results of DHI testing ? 40 points. They were segregated to be taken into this study and randomly divided into two therapy groups: 48 patients in Group I were treated pharmacotherapeutically with Betahistine Chloride (BC) and 48 patients in Group II underwent a rehabilitation treatment by performing an Epley maneuver. Total study duration was eight weeks, during which the patients were first examined upon arrival, checked after one, and rechecked after eight weeks. The tests included otoneurological examination and VNG, as well as completing three questionnaires: DHI, SF-36®, and HADS®. During the first checkup after one week, 86.96% of patients in Group I and 93.33% in Group II had negative results at the Dix-Hallpike test. During the second checkup after an eight weeks’ treatment, 95.65% in Group I and 97.78% patients in Group II had a negative result. At the beginning of the study, the values of patients’ physical, emotional, and functional health (QoL) were equally distributed in both therapy groups, compared to standardized values of healthy population. During the first checkup, the values were significantly higher and by the second checkup, reached the statistic average, which corresponds with the healthy population. There was an obviously faster and more complete recovery of the patients in Group II, who underwent a rehabilitation treatment.
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Balance rehabilitation therapy by tongue electrotactile biofeedback in patients with degenerative cerebellar disease.

Filed under: Rehab Centers

NeuroRehabilitation. 2012 Jan 1; 31(4): 429-34
Cakrt O, Vyhnálek M, Slabý K, Funda T, Vuillerme N, Kolá? P, Je?ábek J

Few clinical studies have evaluated physiotherapeutic interventions in patients with degenerative cerebellar ataxia. Investigations on the effectiveness of biofeedback-based interventions for training postural control in these patients have not been conducted yet. The aim of the present study was to assess the effectiveness of a 2-week intensive tongue-placed electrotactile biofeedback program for patients with progressive cerebellar ataxia. Subjects were seven adult patients suffering from cerebellar degeneration. Postural control was assessed with static posturography in two sensory conditions eyes open/closed on firm surface. For quantification of postural behavior, we used area, sway path and mean velocity of the centre of foot pressure (CoP). Effects of treatment were determined by comparing Pre, Post and one month follow-up (Retention) experimental sessions. Analysis of measured CoP parameters for tests on firm surface showed a significant main effect of visual condition and no difference across test sessions under open eyes condition. Under eyes closed condition, there were significant differences between Pre versus Post and Pre versus Retention, while the difference Post versus Retention was not significant. Our results suggest that a balance rehabilitation program with postural exercise performed with a head position-based tongue-placed biofeedback system could significantly improve bipedal postural control in patients suffering from degenerative cerebellar ataxia.
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