Telerehabilitation: Vestibular Physiotherapy vs. Multicomponent Exercise for Functional Improvement in Older Adults: Randomized Clinical Trial

The loss of vestibular and motor function can occur naturally with aging. Vestibular physiotherapy exercises (VE) specifically address vestibular rehabilitation to reduce imbalances and improve physical condition, like therapeutic exercise (TE). During COVID-19, technology was used with the elderly...

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Bibliographic Details
Published in:Journal of clinical medicine 2024-07, Vol.13 (14), p.4279
Main Authors: López-García, Marina, Jiménez-Rejano, José Jesús, Suárez-Serrano, Carmen María
Format: Article
Language:English
Subjects:
Balance
Care and treatment
Clinical medicine
Clinical trials
Comparative analysis
Demographic aspects
Exercise
Exercise therapy
Frailty
Gait
Intervention
Methods
Older people
Patient outcomes
Physical therapy
Quality of life
Sarcopenia
Telemedicine
Therapeutics, Physiological
Validity
Variables
Vestibular diseases
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Summary:The loss of vestibular and motor function can occur naturally with aging. Vestibular physiotherapy exercises (VE) specifically address vestibular rehabilitation to reduce imbalances and improve physical condition, like therapeutic exercise (TE). During COVID-19, technology was used with the elderly for implementation. to determine if vestibular exercises are as effective as multicomponent exercises in improving functional capacity using technological tools. A randomized clinical trial compared two intervention groups of 21 subjects with functional limitations and frailty (average age 76.11 years). The intervention involved multicomponent exercise for the control group (Vivifrail protocol) and vestibular exercises for the experimental group (Cawthorne and Cooksey exercises) for 6 weeks with five sessions per week both groups. Two professionals implemented the exercises, and participants received tailored exercise videos. Primary outcomes were gait speed, dynamic balance, and physical capacity. : Both groups showed significant improvements. For physical function measured by SPPB (0-12 points), the multicomponent exercise group improved by 1.97 (0.91; 3.03), < 0.001, and the vestibular exercise group improved by 1.63 (0.65; 2.60), = 0.002. For dynamic balance measured by the Timed Up and Go (TUG) test, the multicomponent exercise group improved by -0.88 (-1.33; -0.42), < 0.001, and the vestibular exercise group improved by -0.79 (-1.21; -0.37), < 0.001. There were no significant differences between groups. Finally, regarding gait speed, there were no differences in either group between pretest and post-test ( > .05). Both multicomponent exercise and vestibular exercises improve functional capacities via telerehabilitation as measured by the SPPB, although vestibular physiotherapy does not show superior outcomes compared to the control group.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm13144279