Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction


Arash Bayat 1 , * , Akram Pourbakht 1 , Nader Saki 2 , Zuraida Zainun 3 , Soheila Nikakhlagh 3 , Golshan Mirmomeni 1

1 Department of Audiology, Tehran University of Medical Sciences, [email protected], Iran

2 Department of Otolaryngology, Ahwaz Jundishapour University of Medical Sciences, Iran

3 School of Health Sciences, Universiti Sains Malaysia (USM), Malaysia

How to Cite: Bayat A, Pourbakht A, Saki N, Zainun Z, Nikakhlagh S, et al. Vestibular Rehabilitation Outcomes in the Elderly with Chronic Vestibular Dysfunction, Iran Red Crescent Med J. Online ahead of Print ; 14(11):705-8. doi: 10.5812/ircmj.3507.


Iranian Red Crescent Medical Journal: 14 (11); 705-8
Published Online: November 15, 2012
Article Type: Research Article
Received: November 20, 2011
Accepted: July 25, 2012




Background: Chronic vestibular dysfunction is a frustrating problem in the elderly and can have a tremendous impact on their life, but only a few studies are available. Vestibular rehabilitation therapy (VRT) is an important therapeutic option for the neuro-otologist in treating patients with significant balance deficits.

Objectives: The purpose of this study was to assess the effect of vestibular rehabilitation on dizziness in elderly patients with chronic vestibular dysfunction.

Materials and Methods: A total of 33 patients older than 60 years with chronic vestibular dysfunction were studied. Clinical and objective vestibular tests including videonystagmography (VNG) and dizziness handicap inventory (DHI) were carried out at their first visit, 2 weeks, and 8 weeks post-VRT. The VRT exercises were performed according to Cawthorne and Cooksey protocols.

Results: Oculomotor assessments were within normal limits in all patients. Nineteen patients (57.57%) showed abnormal canal paralysis on caloric testing which at follow-up sessions; CP values were decreased remarkably after VRT exercises. We found a significant improvement between pre-VRT and post-VRT total DHI scores (P < 0.001). This improvement was most prominent in functional subscore.

Conclusions: Our study demonstrated that VRT is an effective therapeutic method for elderly patients with chronic vestibular dysfunction.


Vestibular Rehabilitation Chronic Vestibular Dysfunction Dizziness Handicap Inventory

© 2012, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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