Abstract
Main objective
Evaluate the effectiveness of vestibular rehabilitation (VR) to improve the balance in older people, assessed immediately afterwards.
Secondary objectives
(a) To verify the maintenance of improvement of the balance achieved in the medium term (6–12 months). (b) To consider whether this improvement results in a reduction in the number of falls. (c) To compare among themselves the effectiveness of three different methods of VR in improving balance and to explore whether there are differences to achieve a reduction in the number of falls.
Methodology
Design: Experimental study, single-centre, open, randomised (balanced blocks of patients) in four branches in parallel, in 220 elderly patients (over 64 years) with high risk of falls and a follow-up period of 12 months. Setting: Department of Otolaryngology of the University Hospital of Santiago. Participants: People over 64 years, fulfilling one of the following requirements: (a) At least one fall in the last year. (b) Take at least 16 s or require some support in perform the test “timed up and go”. (c) A percentage of average balance in the sensory organisation test (SOT) in the dynamic posturography (CDP) <68 %. (d) At least one fall in any of the conditions in the SOT of CDP. Intervention: Three different protocols of VR. Main outcome measure: The percentage of average balance in the SOT in CDP. Secondary measures: time and supports in the test of “timed up and go”, scores of the dynamic posturography and SwayStar system, and rate of falls.
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Acknowledgments
This study was funded by a FIS PI11-01328 Research Project from ISCIII (Instituto de Salud Carlos III), Spain.
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Human and Animal Rights
The experimental protocol was designed in accordance with the Declaration of Helsinki (1964) and was approved by the Independent Ethics Committee of Galicia (protocol 2010/139).
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All study participants provided informed consent.
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Soto-Varela, A., Gayoso-Diz, P., Rossi-Izquierdo, M. et al. Reduction of falls in older people by improving balance with vestibular rehabilitation (ReFOVeRe study): design and methods. Aging Clin Exp Res 27, 841–848 (2015). https://doi.org/10.1007/s40520-015-0362-z
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DOI: https://doi.org/10.1007/s40520-015-0362-z