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https://ptsldigital.ukm.my/jspui/handle/123456789/460448| Title: | Effects of Customised Vestibular Rehabilitation (CVR) on balance in adults with unilateral posterior canal benign paroxysmal positional vertigo (UPC BPPV) |
| Authors: | Se To Phui Lin (P72292) |
| Supervisor: | Devinder Kaur A/P Ajit Singh, Prof. Dr. |
| Keywords: | Dizziness Canalith repositioning manoeuvre Vestibular dysfunction Unilateral posterior canal benign paroxysmal positional vertigo Dissertations, Academic -- Malaysia |
| Issue Date: | 2-May-2016 |
| Description: | Some adults with unilateral posterior canal benign paroxysmal positional vertigo (UPC BPPV) may continue to present with residual dizziness and balance after standard canalith repositioning manoeuvre (CRM). Vestibular rehabilitation (VR) is beneficial for adults with vestibular dysfunction. Customised VR (CVR) in addition to standard CRM may improve postural control in adults with UPC BPPV. However, the effectiveness of CVR in addition to standard CRM for adults with UPC BPPV is not known. The purpose of this study was to determine the effectiveness of CVR in addition to standard CRM on static and dynamic balance among adults with UPC BPPV. In this double blind, randomised controlled trial, 28 adults with UPC BPPV were randomised to either control (n=14, age: 54.36±8.55) or experimental (n=14, age: 50.71±9.88) group. The experimental and control groups received CVR in addition to standard CRM and only standard CRM respectively. Static and dynamic balance parameters were measured using a portable sensor mobility (iCTSIB & iTUG) at baseline (pre intervention), fourth and sixth weeks following intervention. Static balance parameters measured were amplitude, velocity, frequency and jerkiness of postural sways. The assessment of dynamic balance included gait parameters i.e. duration, stride velocity, gait cycle, cadence, double support, stance and postural transitions namely turning duration, peak turn velocity and number of steps while turning. A mixed model ANOVA was used to estimate the main effects of within group, between groups and interaction effect of the interventions. A significant group effect was demonstrated on static balance measurements for standing on firm F(1, 26)=5.92, p<0.05) and foam F(1, 26)=5.09, p<0.05 surface with eyes closed (EC). Interaction effect; F(2, 52)=5.28, p<0.01 was found only with standing on foam surface with EC. As for dynamic balance, a significant group effect was demonstrated on gait duration F(1, 26)=20.79, p<0.001, cadence F(1, 26)=4.61, p<0.05, stride velocity F(1, 26)=12.56, p<0.05, turning duration F(1, 26)=8.93, p<0.01, peak turn velocity F(1,26)=5.31, p<0.05 and turning number of steps F(1.26)=7.63, p<0.01. These results suggested that six weeks of CVR performed in addition to standard CRM was more effective than standard CRM alone in improving static and dynamic balance in adults with UPC BPPV. CVR in addition to standard CRM led to profound improvements in dynamic balance which is empirical in performing daily functional activities. Clinically, we strongly recommend CVR in addition to standard CRM in the rehabilitation of adults with UPC BPPV.,Ijazah Sarjana Sains Kesihatan (Sains Bioperubatan) |
| Pages: | 120 |
| Call Number: | WA20.5.S495e 9 |
| Publisher: | UKM, Kuala Lumpur |
| Appears in Collections: | Faculty of Health Sciences / Fakulti Sains Kesihatan |
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| File | Description | Size | Format | |
|---|---|---|---|---|
| ukmvital_97247+Source01+Source010.PDF Restricted Access | 330.25 kB | Adobe PDF |  View/Open |
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