Exercise Prescription Patterns in Patients Treated with Vestibular Rehabilitation After Concussion
Open Access
- 12 July 2012
- journal article
- research article
- Published by Wiley in Physiotherapy Research International
- Vol. 18 (2), 100-108
- https://doi.org/10.1002/pri.1532
Abstract
Background and Purpose Individuals with concussion often complain of persistent dizziness and imbalance, and these problems have been treated with vestibular rehabilitation exercises. The purpose of this study is to describe the vestibular rehabilitation exercise prescriptions provided to individuals after concussion. Methods A retrospective chart review of vestibular rehabilitation home exercise programmes prescribed by physical therapists for 104 participants who were diagnosed with concussion was conducted. Each of the exercises was classified by exercise type, duration and frequency. Frequency counts of the most common exercise types were recorded. Exercise progression patterns were examined by determining how exercise types were modified from visit to visit. Results Eye–head coordination exercises were the most commonly prescribed exercise type (in 95% of participants), followed by standing static balance exercises (in 88% of participants), and ambulation exercises (in 76% of participants). Conclusions Understanding the prescription patterns of expert clinicians may elucidate the vestibular‐related impairments of individuals after concussion and may provide a resource for therapists who may be starting vestibular rehabilitation programmes for management of individuals with concussion. To improve quality of care, future research should be directed to relate outcomes to the exercise prescription patterns. Copyright © 2012 John Wiley & Sons, Ltd.Keywords
This publication has 32 references indexed in Scilit:
- Vestibular Rehabilitation for Dizziness and Balance Disorders After ConcussionJournal of Neurologic Physical Therapy, 2010
- Different gait tasks distinguish immediate vs. long-term effects of concussion on balance controlJournal of NeuroEngineering and Rehabilitation, 2009
- Early Predictors of Postconcussive Syndrome in a Population of Trauma Patients With Mild Traumatic Brain InjuryThe Journal of Trauma and Acute Care Surgery, 2009
- Prevalence and structure of symptoms at 3 months after mild traumatic brain injury in a national cohortBrain Injury, 2009
- Mechanism of Dynamic Visual Acuity Recovery With Vestibular RehabilitationArchives of Physical Medicine and Rehabilitation, 2008
- Altered balance control following concussion is better detected with an attention test during gaitGait & Posture, 2007
- Dizziness after traumatic brain injury: Results from an interview studyBrain Injury, 2007
- Psychological consequences of vertigo and the effectiveness of vestibular rehabilitation for brain injury patientsBrain Injury, 2001
- The Efficacy of Vestibular Rehabilitation for Patients with Head TraumaJournal of Head Trauma Rehabilitation, 1995
- Treatment of vestibular disorders in traumatically brain-injured patientsJournal of Head Trauma Rehabilitation, 1990