A Comparison of Generalized and Individualized Vestibular Rehabilitation Therapy in a Military TBI Sample
Objective:
To compare clinical outcomes between active duty service members receiving generalized versus individualized vestibular rehabilitation treatment (GVRT and IVRT, respectively) for persistent vestibular-related symptoms following mild traumatic brain injury (mTBI).
Setting:
An outpatient TBI rehabilitation clinic.
Participants:
Fifty-seven participants with persistent vestibular-related symptoms following mTBI were randomly assigned to the GVRT (n = 28) or IVRT (n = 29) group, stratified by dizziness-related impairment severity. Forty-two participants (n = 21 per group) completed the posttreatment evaluation and were included in analyses.
Design:
We employed a single-site, randomized, pre-/posttest experimental design. The GVRT program consisted of eight 45-minute group-based treatment sessions and IVRT consisted of three 30-minute one-on-one treatment sessions both to be completed within 8 weeks. Group assignment was not blinded to study personnel or participants. Research evaluations were completed approximately 2 weeks prior to treatment initiation and following treatment completion.
Main Measures:
Outcome measures included Dizziness Handicap Inventory (DHI) and Activities-specific Balance Confidence Scale (ABC) total scores, Sensory Organization Test (SOT) composite equilibrium and sensory input ratio scores, Head Shake SOT (HS-SOT) conditions 2 and 5, and horizontal and vertical Dynamic Visual Acuity. Separate mixed-effects models...
Source: The Journal of Head Trauma Rehabilitation - Category: Neurology Tags: Original Articles Source Type: research