Double-Blind, Placebo-Controlled Trial of Rehabilitation for Bilateral Vestibular Hypofunction: Preliminary Report

Author:

Krebs David E.123,Gill-Body Kathleen M.4,Riley Patrick O.12,Parker Stephen W.5

Affiliation:

1. Massachusetts General Hospital Biomotion Laboratory

2. Department of Harvard Medical School

3. Department of Massachusetts Institute of Technology

4. Department of Inpatient Physical Therapy

5. Department of Otoneurology, Massachusetts General Hospital

Abstract

Vestibular rehabilitation (VR) is increasingly popular, but few data exist to support enthusiasts' claims of efficacy in improving functional abilities of patients with bilateral vestibular hypofunction (BVH). A double-blind, controlled study of eight subjects (mean, 64 ± 12 years; seven females, one male) with bilateral vestibular hypofunction was conducted. Subjects in group A Received 8 weeks of VR followed by 8 weeks of home VR exercises, whereas those in group B Received 8 weeks of control treatment (isometric strengthening exercises) followed by 8 weeks of VR. At the end of 8 weeks, group A walked 8% faster and, during paced gait and stair-climbing, with greater stability, evidenced by a 10% larger maximum moment arm and a 17% decreased double-support duration during gait and stair stance. Group B improved less than 1% during the control treatment. Self-reported Dizziness Handicap Inventory scores did not differ significantly between control and active VR. All subjects improved compared with baseline tests at the 16-week post-test on both functional testing and on the Self-reported Dizziness Handicap Inventory scale. We conclude that in this small sample, VR effectively improved functional, dynamic stability during locomotion, but even strengthening exercises result in self-reported symptomatic improvement.

Publisher

SAGE Publications

Subject

Otorhinolaryngology,Surgery

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