Effects of a Vestibular Physiotherapy Protocol on Adults with Intellectual Disability in the Prevention of Falls: A Multi-Centre Clinical Trial

Background: Balance alterations are one of the main problems in people with intellectual disabilities (ID), increasing their risk of falls and impacting their life. Aims: To describe a vestibular rehabilitation programme (VRP) and evaluate its effects on the ability to maintain balance and risk of s...

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Bibliographic Details
Published in:Journal of applied research in intellectual disabilities 2019-03, Vol.32 (2), p.359-367
Main Authors: Cortés-Amador, Sara, Carrasco, Juan J, Sempere-Rubio, Núria, Igual-Camacho, Celedonia, Villaplana-Torres, Luis A, Pérez-Alenda, Sofía
Format: Article
Language:English
Subjects:
Accident prevention
Accidents
Adults
Balance
Clinical trials
Control Groups
Evidence-based medicine
Experimental Groups
Falls
Injury prevention
Intellectual disabilities
Intellectual Disability
Older people
Outcomes of Treatment
Physical Therapy
Prevention
Psychomotor Skills
Rehabilitation
Rehabilitation Programs
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Summary:Background: Balance alterations are one of the main problems in people with intellectual disabilities (ID), increasing their risk of falls and impacting their life. Aims: To describe a vestibular rehabilitation programme (VRP) and evaluate its effects on the ability to maintain balance and risk of suffering a fall. Methods: Forty-seven adults with mild to moderate ID were randomly assigned to two groups--a control group (CG, N = 24), which performed a general physical exercise only, and an experimental group (EG, N = 23) which also completed a VRP. The variables, used pre- and post-training and 1 month after the intervention, were as follows: Center of Pressure Displacement, Berg Scale, Timed Up and Go Test, and the Modified Clinical Test of Sensory Interaction and Balance. Results: The EG improved significantly in each variable. The CG did not show changes for any of the parameters. Conclusions: A programme based on VRP may improve balance and reduce the risk of falling.
ISSN:1360-2322
1468-3148
DOI:10.1111/jar.12531