Vestibular rehabilitation training in patients with subacute stroke: A preliminary randomized controlled trial

Marco Tramontano, Elena Bergamini, Marco Iosa, Valeria Belluscio, Giuseppe Vannozzi, Giovanni Morone

Research output: Contribution to journalArticle

Abstract

Background: Vestibular rehabilitation (VR) consists in a customized exercise program patient-centred that includes a combination of different exercise components with the aim to promote gaze stability, improve balance and gait, and facilitate somatosensory integration. OBJECTIVE: The aim of this study was to investigate the effect of customized vestibular rehabilitation training on gait stability of patients with subacute stroke. METHODS: Twenty-five inpatients (12 M, age: 64.1±12.1 years) with diagnosis of subacute stroke were enrolled and randomized in two groups. All patients were evaluated before and after 4 weeks of training sessions. An instrumented 10-Meter Walk Test together with traditional clinical scales were used to assess VR effects. To investigate if any fall event occurred after patients' dismissal, they were followed-up at three and twelve months after dismissal. RESULTS: Higher values of walking speed and stride length were observed in the VR group. Conversely, no significant difference was found in terms of trunk stability. The results of between-group comparison highlight significant differences between the two groups for different clinical scale scores. CONCLUSION: VR could be included into a rehabilitation program for patients with stroke for improving their gait and dynamic balance acting on their vestibular system as facilitator of recovery.

Original languageEnglish
Pages (from-to)247-254
Number of pages8
JournalNeuroRehabilitation
Volume43
Issue number2
DOIs
Publication statusPublished - Jan 1 2018

Fingerprint

Rehabilitation
Randomized Controlled Trials
Stroke
Gait
Exercise
Inpatients

Keywords

  • dynamic balance and gait
  • instrumented assessment
  • stroke
  • Vestibular rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Vestibular rehabilitation training in patients with subacute stroke : A preliminary randomized controlled trial. / Tramontano, Marco; Bergamini, Elena; Iosa, Marco; Belluscio, Valeria; Vannozzi, Giuseppe; Morone, Giovanni.

In: NeuroRehabilitation, Vol. 43, No. 2, 01.01.2018, p. 247-254.

Research output: Contribution to journalArticle

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