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Can a Prescribed Walking Program wit...

Jasper, Amie Marie .

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Can a Prescribed Walking Program with or Without Monitoring Impact Dizziness in the Older Adults? A Pilot Study.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Can a Prescribed Walking Program with or Without Monitoring Impact Dizziness in the Older Adults? A Pilot Study./
作者:	Jasper, Amie Marie .
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2020,
面頁冊數:	101 p.
附註:	Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
Contained By:	Dissertations Abstracts International81-10B.
標題:	Physical therapy. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=27739062
ISBN:	9781658478410

Can a Prescribed Walking Program with or Without Monitoring Impact Dizziness in the Older Adults? A Pilot Study.
Jasper, Amie Marie .

Can a Prescribed Walking Program with or Without Monitoring Impact Dizziness in the Older Adults? A Pilot Study. - Ann Arbor : ProQuest Dissertations & Theses, 2020 - 101 p.

Source: Dissertations Abstracts International, Volume: 81-10, Section: B.

Thesis (P.T.P.)--Nova Southeastern University, 2020.

This item must not be sold to any third party vendors.

Background. Dizziness, a common complaint among older adults, is associated with multiple falls, loss of function and independence, and reduced balance confidence. The Clinical Practice Guideline for Peripheral Vestibular Hypofunction recommends walking for endurance as a component of vestibular rehabilitation (VR). However, studies on VR in the older adults do not include walking in the intervention. Research Design: 1) A pragmatic, randomized, experimental design to evaluate the impact of walking on vestibular outcomes, length of stay, and number of visits, and to examine whether pedometers increase the adherence of older adults with vestibular issues to a walking program; 2) a descriptive design to determine test-retest reliability of the TUG in older adults with vestibular issues; and 3) a correlational, retrospective design to determine if TUG, DGI, and MCTSIB are significant predictors of DHI.Results: A total of 17 participants met the inclusion and exclusion criteria and elected to participate. The walking group (mean age 80.40 years) had 11 participants while the control (mean age 76.20 years) had 6 participants. Five participants used pedometer-based walking (VRWP) and six participants used time-based walking (VRW) in the walking group. A significant between-group difference was found on the DHI (mean difference walking group 20.60, control group 3.2, P=0.04). The walking group significantly improved on MCTSIB (P=0.03), TUG (P=0.05), DGI (P=0.01) and DHI (P=0.01) while the control group improved on TUG (P=0.04) only. The length of stay and number of visits were not significantly different between both groups. No between and within group difference was found on IPAQ-Walk and IPAQ-Total. The TUG had excellent test-retest reliability (ICC 0.98), with SEM of 0.33seconds and 95% MDC of 0.92seconds, while the DHI had a moderate inverse correlation with mCTSIB (-.381) and DGI (-.322), and a fair correlation with TUG (0.396). The MCTSIB, TUG and DGI accounted for 10% of the variance in the DHI, however, this relationship was not found to be significant (P=0.25). Conclusions. A prescribed walking program in vestibular rehabilitation significantly improved outcomes on the DGI, DHI and MCTSIB when compared to VR alone in this pilot study. The TUG significantly improved in both groups. It did not impact the length of PT interventions and number of visits. Giving pedometers and instruction for daily walking to patients with vestibular problems increased overall walking and physical activity compared to those patients who only received instructions to walk without a pedometer. The test-retest reliability of the TUG for older adults with dizziness is equivalent to that of older adults without dizziness. The TUG test, DGI and mCTSIB test are not strong predictors of scores on the DHI for older adults with vestibular dysfunction. This study should be replicated as a large, multi-site trial to overcome the limitations of a small sample size.

ISBN: 9781658478410Subjects--Topical Terms:

588713
Physical therapy.
Subjects--Index Terms:

Dizziness

Can a Prescribed Walking Program with or Without Monitoring Impact Dizziness in the Older Adults? A Pilot Study.
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500 $a Source: Dissertations Abstracts International, Volume: 81-10, Section: B.
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506 $a This item must not be sold to any third party vendors.
520 $a Background. Dizziness, a common complaint among older adults, is associated with multiple falls, loss of function and independence, and reduced balance confidence. The Clinical Practice Guideline for Peripheral Vestibular Hypofunction recommends walking for endurance as a component of vestibular rehabilitation (VR). However, studies on VR in the older adults do not include walking in the intervention. Research Design: 1) A pragmatic, randomized, experimental design to evaluate the impact of walking on vestibular outcomes, length of stay, and number of visits, and to examine whether pedometers increase the adherence of older adults with vestibular issues to a walking program; 2) a descriptive design to determine test-retest reliability of the TUG in older adults with vestibular issues; and 3) a correlational, retrospective design to determine if TUG, DGI, and MCTSIB are significant predictors of DHI.Results: A total of 17 participants met the inclusion and exclusion criteria and elected to participate. The walking group (mean age 80.40 years) had 11 participants while the control (mean age 76.20 years) had 6 participants. Five participants used pedometer-based walking (VRWP) and six participants used time-based walking (VRW) in the walking group. A significant between-group difference was found on the DHI (mean difference walking group 20.60, control group 3.2, P=0.04). The walking group significantly improved on MCTSIB (P=0.03), TUG (P=0.05), DGI (P=0.01) and DHI (P=0.01) while the control group improved on TUG (P=0.04) only. The length of stay and number of visits were not significantly different between both groups. No between and within group difference was found on IPAQ-Walk and IPAQ-Total. The TUG had excellent test-retest reliability (ICC 0.98), with SEM of 0.33seconds and 95% MDC of 0.92seconds, while the DHI had a moderate inverse correlation with mCTSIB (-.381) and DGI (-.322), and a fair correlation with TUG (0.396). The MCTSIB, TUG and DGI accounted for 10% of the variance in the DHI, however, this relationship was not found to be significant (P=0.25). Conclusions. A prescribed walking program in vestibular rehabilitation significantly improved outcomes on the DGI, DHI and MCTSIB when compared to VR alone in this pilot study. The TUG significantly improved in both groups. It did not impact the length of PT interventions and number of visits. Giving pedometers and instruction for daily walking to patients with vestibular problems increased overall walking and physical activity compared to those patients who only received instructions to walk without a pedometer. The test-retest reliability of the TUG for older adults with dizziness is equivalent to that of older adults without dizziness. The TUG test, DGI and mCTSIB test are not strong predictors of scores on the DHI for older adults with vestibular dysfunction. This study should be replicated as a large, multi-site trial to overcome the limitations of a small sample size.
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