RT Journal Article
T1 Optimising costs in reducing rate of falls in older people with the improvement of balance by means of vestibular rehabilitation (ReFOVeRe study): a randomized controlled trial comparing computerised dynamic posturography vs mobile vibrotactile posturography system
A1 Soto Varela, Andrés
A1 Gayoso Diz, Pilar
A1 Faraldo García, Ana
A1 Rossi Izquierdo, Marcos
A1 Vaamonde Sánchez-Andrade, Isabel
A1 Río Valeiras, María del
A1 Lirola Delgado, Antonio Gustavo
A1 Santos Pérez, Sofía María de la Soledad
K1 Vestibular rehabilitation
K1 Falls in elderly
K1 Computerized dynamic posturography
K1 Mobile posturography
K1 Chronic dizziness
AB Background: Accidental falls, especially for the elderly, are a major health issue. Balance disorders are one of their main causes. Vestibular rehabilitation (VR) has proven to be useful in improving balance of elderly patients with instability. Its major handicap is probably its cost, which has prevented its generalisation. So, we have designed a clinical trial with posturographic VR, to assess the optimum number of sessions necessary for a substantial improvement and to compare computerised dynamic posturography (CDP) (visual feedback) and mobile posturography (vibrotactile feedback).Methods:Design: randomized controlled trial. It is an experimental study, single-center, open, randomized (balanced blocks of patients) in four branches in parallel, in 220 elderly patients with high risk of falls; follow-up period: twelve months. Setting: Department of Otorhinolaryngology of a tertiary referral hospital. Participants: people over 65 years, fulfilling two or more of the following requirements: a) at least one fall in the last twelve months. b) take at least 16 s or require some support in perform the “timed up and go” test. c) a percentage of average balance in the sensory organization test (SOT) of the CDP < 68%. d) at least one fall in any of the conditions in SOT-CDP. e) a score in Vertiguard’s gSBDT > 60%. Intervention: Four differents protocols of vestibular rehabilitation (randomization of the patients). Main outcome measure: The percentage of average balance in the SOT-CDP. Secondary measures: time and supports in the “timed up and go” test, scores of the CDP and Vertiguard, and rate of falls.
PB BMC
YR 2019
FD 2019
LK http://hdl.handle.net/10347/21181
UL http://hdl.handle.net/10347/21181
LA eng
NO Soto-Varela, A., Gayoso-Diz, P., Faraldo-García, A. et al. Optimising costs in reducing rate of falls in older people with the improvement of balance by means of vestibular rehabilitation (ReFOVeRe study): a randomized controlled trial comparing computerised dynamic posturography vs mobile vibrotactile posturography system. BMC Geriatr 19, 1 (2019). https://doi.org/10.1186/s12877-018-1019-5
NO This study was funded by the project PI1500329, integrated into the SpanishState Plan for R + D + I and funded by the ISCIII-Subdirección general de Evaluacióny Fomento de la Investigación and the Fondo Europeo de Desarrolloregional (FEDER)
DS Minerva
RD 24 abr 2026