The minimal clinically important difference for gait speed in significant unilateral vestibular hypofunction after vestibular rehabilitation
Isaac B.Thorman1
Brian J.Loyd2
Richard A.Clendaniel3
Leland E.Dibble4
Michael C.Schubert5
1.School of Public Health,Department of Epidemiology,Johns Hopkins University,United States;Laboratory of Vestibular NeuroAdaptation,Department of Otolaryngology-Head and Neck Surgery,Johns Hopkins University,United States2.School of Physical Therapy and Rehabilitation Science,University of Montana,United States3.Department of Orthopedic Surgery,Doctor of Physical Therapy Division,And Department of Head and Neck Surgery&Communication Sciences,Duke University Medical Center,United States4.Department of Physical Therapy&Athletic Training,University of Utah,United States5.Laboratory of Vestibular NeuroAdaptation,Department of Otolaryngology-Head and Neck Surgery,Johns Hopkins University,United States;Department of Physical Medicine and Rehabilitation,Johns Hopkins University,United States
摘要：Gait speed is a valid measure of both physical function and vestibular health.Vestibular rehabilitation is useful to improve gait speed for patients with vestibular hypofunction,yet there is little data to indicate how changes in gait speed reflect changes in patient-reported health outcomes.We determined the minimal clinically important difference in the gait speed of patients with unilateral vestibular hypo-function,mostly due to deafferentation surgery,as anchored to the Dizziness Handicap Index and the Activities Balance Confidence scale,validated using regression analysis,change difference,receiver-operator characteristic curve,and average change methods.After six weeks of vestibular rehabilita-tion,a change in gait speed from 0.20 to 0.34 m/s with 95％confidence was required for the patients to perceive a significant reduction in perception of dizziness and improved balance confidence.
机标关键词：rehabilitationdifferenceminimalspeedafterclinicallygaithypofunction
论文发表日期：2023-03-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 15-20 )
英文信息