Soto-Varela A, Faraldo-García A, Del-Río-Valeiras M, Rossi-Izquierdo M, Vaamonde-Sánchez-Andrade I, Gayoso-Diz P, Lirola-Delgado A, Santos-Pérez S
Division of Neurotology,Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
J Laryngol Otol. 2017 Mar;131(3):232-238. doi: 10.1017/S0022215116009932. Epub 2017 Jan 16.
To determine whether demographic characteristics or balance examination findings can predict the adherence of older people with instability to a vestibular rehabilitation programme.
A prospective case-control study was conducted of 120 patients aged 65 years or more (mean age, 77.3 ± 6.33 years). Two groups were classified according to patients' adherence with the follow-up post-rehabilitation protocol. Analysed variables included: age, sex, body mass index, Timed Up and Go test findings, computerised dynamic posturography, Dizziness Handicap Inventory scores and Short Falls Efficacy Scale - International questionnaire results, number of falls, and type of vestibular rehabilitation.
Two groups were established: adherents (99 individuals) and non-adherents (21 individuals). There were differences between the groups regarding: sex (female-to-male ratio of 4.8:1 in adherents and 1.63:1 in non-adherents), age (higher in non-adherents) and voluntary movement posturographic test results (non-adherents had poorer scores).
The patients most likely to abandon a vestibular rehabilitation programme are very elderly males with low scores for centre of gravity balancing and limits of stability.
确定人口统计学特征或平衡检查结果是否能够预测不稳定型老年患者对前庭康复计划的依从性。
对120名年龄在65岁及以上（平均年龄77.3±6.33岁）的患者进行了一项前瞻性病例对照研究。根据患者对康复后随访方案的依从性将其分为两组。分析的变量包括：年龄、性别、体重指数、计时起立行走测试结果、计算机动态姿势描记法、头晕残障量表评分、简短跌倒效能量表-国际问卷结果、跌倒次数以及前庭康复类型。
建立了两组：依从者（99人）和不依从者（21人）。两组在以下方面存在差异：性别（依从者中女性与男性的比例为4.8:1，不依从者中为1.63:1）、年龄（不依从者年龄更高）以及主动运动姿势描记测试结果（不依从者得分更低）。
最有可能放弃前庭康复计划的患者是高龄男性，他们的重心平衡得分低且稳定性受限。
