الفهرس 
Title ; Influence of central versus peripheral vestibular stimulation on recovery outcomes in patients with prepherial vestibular disorders
AbstractOnly 14 pages are availabe for public view
 |  | from | 280 |  |  |
| | | from | 280 | | |
Abstract
Background: Peripheral Vestibular disorders are common disorders among adult population with increased prevalence with age advancement. Most of patients with vestibular dysfunction suffer from balance disorders, postural instability and vertigo that have a direct impact on activities of daily living and social participation. Purpose: This study was conducted to compare the effect of repetitive transcranial magnetic stimulation versus transmastoidal galvanic stimulation added to a designed vestibular rehabilitation program on recovery outcomes in patients with unilateral peripheral vestibular disorders. Subjects and Methods: Sixty patients (from both sexes), age ranged from (30-60) years old diagnosed with unilateral peripheral vestibular weakness were enrolled. They were randomly designated into three groups; group A, B and C. group A received repetitive transcranial magnetic stimulation in addition to a vestibular rehabilitation program, group B received transmastoidal galvanic stimulation, in addition to the same vestibular rehabilitation program, whereas group C recieved vestibular rehabilitation program only. Treatment sessions were conducted three times per week for four successive weeks. Assessment of vestibular canal weakness was done using videonystagmography, dizziness sevirty was measured using dizziness handicapped inventory (DHI), dynamic balance was measured by berg balance scale (BBS), postural stability was measured using computerized dynamic posturography (CDP), while, participation in daily activities was assessed using Vestibular Disorders Activities of Daily Living Scale (VADL). All assessment measures were carried out pre and post treatment. Results: There was significant improvement in canal paresis, BBS score, total equilibrium composite score, scores of somatosensory and preference components of CDP, DHI score and score of VADL scale post treatement in the three groups with more improvement in group A. There was significant improvement in scores of visual and vestibular components of CDP post treatement in groups A and B only, with group A showing more improvement