Education Series

November is National Diabetes Month

Researchers have reported prolonged latencies and decreased amplitudes among patients with diabetes in both ocular and cervical vestibular evoked myogenic potentials (VEMPs). Unfortunately, however, there is not a clear profile of diabetic vestibular dysfunction. Bayrum (J Otol 14, 89–93 (2019)) argues that conflicting results are the result of heterogeneous disease presentations. Notably, diabetes can impact both peripheral and central vestibular function.  Download Article

October is National Physical Therapy Month

Effect of exercise therapy on physical performance and functional balance in patients on maintenance renal hemodialysis: randomized controlled study Research supports Physical Therapy intervention with individuals with chronic conditions such as Parkinsons, Multiple Sclerosis, and Chronic Kidney disease. Abdelaal et al. (. J Exerc Rehabil 15, 472–480 (2019)) investigated the effects of different physical therapy interventions in a population of patients on renal maintenance hemodialysis. The researchers report that an aerobic exercise intervention produced better long term outcomes than even a strength training regimen. These findings highlight a potentially outsized role of fatigue in falls among patients with chronic conditions.  Download Article

This Fall…Don’t

The first day of Fall is September 23, 2019.  This month AIB will focus on fall risk and prevention. Montero-Odasso et al (Journal of the American Geriatrics Society 66, 367–375 (2018)) reviewed the literature at the intersection of cognitive deficits and fall risk in older adults. The researchers submit that the future of fall prevention might allow for more deliberate cognitive therapy, and even pharmacological cognitive interventions. While traditional interventions are not in danger of being replaced by these alternative therapies, the authors recommend fortifying physical therapy regimens with cognitive and dual-task training aimed at improving gait and balance. Download Article

August is Wellness Month

In the month of August, we will explore the importance of wellness as it relates to balance and equilibrium. Executive Functioning, Muscle Power and Reactive Balance Are Major Contributors to Gait Adaptability in People with Parkinson’s Disease Caetano et al (Frontiers in Aging Neuroscience 11, 11 (2019)) profiled the disease burdens of 54 patients with Parkinson’s disease, and subsequently characterized their gait under adverse walking conditions. Patients’ poor performance in measures of gait adaptability were attributable to a diverse set of factors, including weak hip abduction, impaired executive inhibition, and even fear of falling. This disease presents a multi-factorial threat to patient mobility, and therefore demands comprehensive intervention strategies, like vestibular rehabilitation therapy. Download Article