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Education Series

Internet based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice: three armed randomised controlled trial

Van Vugt et al performed a triple-arm randomized controlled trial wherein patients with chronic vestibular disorders were distributed among three six-week therapy interventions; a virtual intervention, a standard in-person intervention, and a mixed intervention. The stand-alone virtual therapy regime was demanding; the program increased in intensity according to the patient’s progress. But over the course of the study, there were zero adverse events attributable to the intervention. And moreover, patients who partook in the virtual intervention scored significantly lower than controls on measures of vertigo frequency, dizziness, and unsteadiness at the six-month time point.    Read Article  

The Correlation Between Fall Prevention Knowledge and Behavior in Stroke Outpatients

Huang et al studied the fall prevention behavior of 124 patients who were receiving care in an outpatient department after suffering strokes. Patients who demonstrated the most “fall prevention behavior” also had the most knowledge about fall prevention. Many patients, however, indicated that they were reluctant to learn about fall prevention. The authors stated that these patients were more likely unsure of why they ought to practice fall prevention behavior than unwilling to do so.   Read Article  

Exercise for preventing falls in older people living in the community: an abridged Cochrane systematic review

Sherrington et al (2020) systematically reviewed randomized controlled trials of exercise as a means of preventing falls among older, community-dwelling adults. Their results suggest patients benefit from exercise interventions the most when they are implemented by physical therapists and address several modalities. Balance and functional exercises alone appeared to reduce fall rates among older adults by 24%, but paired with resistance training, effects might be even greater. Read Article    

Recipient and instructor perspectives of an adapted exercise-based fall prevention programme for adults aged 50+ years with vision impairment: a qualitative study nested within a randomised controlled trial.

Over three years, Dillon et al (BMJ Open 10, (2020)) documented the experiences of 11 instructors and more than 150 older adults who participated in an exercise-based fall prevention program, adapted specifically for people with vision impairment. Their work offers insight into the most important tenets of adapting a fall intervention for patients with vision impairment. The instructors were professionals with experience designing and implementing personalized fall interventions. Even still, the instructors reported struggling to adapt therapy exercises into their patients’ daily lives. Similarly, they had trouble finding the intersection between the patients’ technological abilities and sight to create a means by which they could consistently record the activity they performed between sessions.   Read Article  

Fear of Falling, Lower Extremity Strength, and Physical and Balance Performance in Older Adults with Diabetes Mellitus

Vongsirinavarat et al (J Diabetes Res 2020, 8573817 (2020)) compared fear of falling, lower extremity strength, and physical balance performance in participants with and without type 2 diabetes mellitus. Participants with type 2 diabetes mellitus were twice as likely to report a fear of falling than their peers, and results suggest these patients’ fear of falling is founded. The number of times a participant failed the modified clinical test of sensory interaction and balance (mCTSIB) predicted their likelihood of reporting Read More