The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction

Background and Purpose. People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and g...

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Veröffentlicht in:Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2005-03, Vol.10 (1), p.10-22
Hauptverfasser: Legters, Kristine, Whitney, Susan L, Porter, Rebecca, Buczek, Frank
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container_title Physiotherapy research international : the journal for researchers and clinicians in physical therapy
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creator Legters, Kristine
Whitney, Susan L
Porter, Rebecca
Buczek, Frank
description Background and Purpose. People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction. Method. A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness. Results. A moderate correlation of r = 0.58 (p
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People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction. Method. A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness. Results. A moderate correlation of r = 0.58 (p&lt;0.001) was found between the ABC Scale score and the DGI score in the total sample. Those with mild or moderate vestibular weakness had a correlation of r = 0.72 (p&lt;0.001) between the ABC Scale score and the DGI score, compared with a correlation of r = 0.48 in those with severe or total vestibular weakness. Conclusions. Decreased balance confidence and increased fall risk are critical issues for people with vestibular dysfunction. The effects of aging did not have a significant impact on the relationship. The correlation between balance confidence and gait dysfunction was stronger in those with mild or moderate vestibular weakness, although those with severe or total weakness were more disabled by their vestibular symptoms. 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Res. Int</addtitle><description>Background and Purpose. People with vestibular dysfunction experience dizziness, vertigo and postural instability. The persistence of these symptoms may result in decreased balance confidence. The purpose of the present study was to examine the relationship between decreased balance confidence and gait dysfunction in patients with unilateral peripheral vestibular dysfunction. Method. A retrospective review of 137 charts with the Activities‐specific Balance Confidence (ABC) Scale and the Dynamic Gait Index (DGI) scores was completed. Spearman rank–order correlation analysis was performed of the total sample, by age group and by degree of vestibular weakness. Results. A moderate correlation of r = 0.58 (p&lt;0.001) was found between the ABC Scale score and the DGI score in the total sample. Those with mild or moderate vestibular weakness had a correlation of r = 0.72 (p&lt;0.001) between the ABC Scale score and the DGI score, compared with a correlation of r = 0.48 in those with severe or total vestibular weakness. Conclusions. Decreased balance confidence and increased fall risk are critical issues for people with vestibular dysfunction. The effects of aging did not have a significant impact on the relationship. The correlation between balance confidence and gait dysfunction was stronger in those with mild or moderate vestibular weakness, although those with severe or total weakness were more disabled by their vestibular symptoms. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aged
Aged, 80 and over
balance confidence
Caloric Tests
dizziness
Female
Gait
Humans
Male
Middle Aged
Postural Balance
vestibular
Vestibular Diseases - physiopathology
title The relationship between the activities-specific Balance Confidence Scale and the Dynamic Gait Index in peripheral vestibular dysfunction
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