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Original article| Volume 96, ISSUE 3, P395-401, March 2015

Computer-Assisted Training as a Complement in Rehabilitation of Patients With Chronic Vestibular Dizziness—A Randomized Controlled Trial

Published:October 25, 2014DOI:https://doi.org/10.1016/j.apmr.2014.10.005

      Abstract

      Objective

      To compare a computer-assisted home exercise program with conservative home-training following printed instructions in the rehabilitation of elderly patients with vestibular dysfunction.

      Design

      Single-blind, randomized, controlled trial.

      Setting

      Geriatric department of a university hospital.

      Participants

      Patients with chronic dizziness due to vestibular dysfunction (N=63) were randomly assigned to either rehabilitation in the clinic followed by computer-assisted home exercises (intervention group: n=32) or rehabilitation in the clinic followed by home exercises according to printed instructions (control group: n=31).

      Interventions

      Patients in the intervention group received assisted rehabilitation by a computer program.

      Main Outcome Measures

      Measurements at baseline and at 8 and 16 weeks were compared. These included the One Leg Stand Test, Dynamic Gait Index, Chair Stand Test, Motion Sensitivity Test, Short Form-12, Dizziness Handicap Inventory, and visual analog scale.

      Results

      Both groups improved significantly during 16 weeks of rehabilitation. However, neither t tests nor repeated-measures analysis of variance demonstrated any significant differences between the 2 groups. The overall compliance rate to computer program exercises during 16 weeks was 57%.

      Conclusions

      A computer-assisted program to support the home training of elderly patients with vestibular dysfunction did not improve rehabilitation more than did printed instructions.

      Keywords

      List of abbreviations:

      Mitii (Move It To Improve It), VR (vestibular rehabilitation)
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