Computer assisted training as a complement in rehabilitation of patients with chronic vestibular dizziness – a randomized controlled trial.

Michael Smærup, Erik Grönvall, Simon Larsen, Uffe Læssøe, Else Marie Damsgaard, Henriksen Jens-Jacob

Publikation: Bidrag til tidsskriftTidsskriftsartikelForskningpeer review

Abstract

Objective:
To compare a computer 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, Aarhus University Hospital.

Participants:
Sixty-three elderly patients with chronic dizziness due to vestibular dysfunction 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).

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

Main outcome measures:
Measurements at baseline, 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 measurement ANOVA demonstrated any significant differences between the two groups. The overall compliance rate during 16 weeks to computer program exercises was 57 %.

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

Keywords:
Rehabilitation, vestibular dysfunction, computer-assisted therapy, graphical computer games, patient compliance
OriginalsprogEngelsk
TidsskriftArchives of Physical Medicine and Rehabilitation
Vol/bind96
Udgave nummer3
Sider (fra-til)395-401
ISSN0003-9993
DOI
StatusUdgivet - mar. 2015
Udgivet eksterntJa

Emneord

  • rehabilitering

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