Skip to main content

Balance and Vestibular Rehabilitation in the Patient with Acquired Brain Injury

  • Chapter
Acquired Brain Injury

Abstract

Acquired and degenerative neurologic disorders are frequently associated with disequilibrium, dizziness, and vertigo. Conditions such as traumatic brain injury (TBI) and cerebrovascular accident (CVA) can present with varying degrees of motor, sensory, and central processing impairments that can dramatically impact daily life activities and increase the risk of injury due to falls. A majority of individuals who sustain brain injury complain of dizziness for up to 5 years following injury (Sataloff et al., 1993). Stroke survivors often have problems with balance, with a reported 40% experiencing a serious fall within the first year after the CVA (Health on the Net Foundation, 2003).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Allison, L., Kiemel, T., Kafoury-House, L. (2003) Multisensory Reweighting in the Fall- Prone Elderly: Comparison to Healthy and Older Adults [abstract]. Presented at the combined sections meeting of the American Physical Therapy Association, Tampa, Florida.

    Google Scholar 

  • American Geriatrics Society, British Geriatrics Society and American Academy of Orthopedic Surgeons Panel on Fall Prevention (2001) Guideline for the Prevention of Falls in Older Persons. Journal of the American Geriatrics Society, 49:664–672.

    Article  Google Scholar 

  • American Physical Therapy Association (2001, January) Guide to Physical Therapist Practice, 2nd ed. Physical Therapy 81(1):S19–S42.

    Google Scholar 

  • Berg, K., Wood-Dauphinee, S., Williams, J.I. (1995) The balance scale: Reliability assessment with elderly residents and patients with an acute stroke. Scandinavian Journal of Rehabilitation Medicine 27:27–36.

    PubMed  Google Scholar 

  • Black, F.O., Nashner, L.M. (1984) Postural disturbances in patients with benign paroxysmal positional nystagmus. Annals of Otology, Rhinology, Laryngology 93:595–599.

    Google Scholar 

  • Centers for Disease Control and Prevention (2003) Web-based Injury Statistics Query and Reporting System (WISQARS) [Online]. National Center for Injury Prevention and Control, Accessed from: URL: http://www.cdc.gov/ncipc/wisqars.

    Google Scholar 

  • Clendaniel, R.A. (2000) Outcome measures for assessment and treatment of the dizzy and balance disorder patient. Otolarynologic Clinics of North America 33(3):519–533.

    Article  Google Scholar 

  • Diener, H.C., Horak, F.B., Nashner, L.M. (1988). Influence of stimulus parameters on human postural responses. Journal of Neurophysiology 59:1888–1905.

    PubMed  Google Scholar 

  • Espinoza, S.,Walston, J.D. (2005, December Frailty in older adults: Insights and interventions Cleveland Clinic Journal of Medicine 72, (12) 1105–1112

    Article  Google Scholar 

  • Fredericks, C.M., Saladin, L.K. (1996) Pathophysiology of the Motor Systems: Principles and Clinical Presentations. Philadelphia, PA: FA Davis.

    Google Scholar 

  • Health on the Net Foundation. News: Strokes Can Strike at Balance. http://www.hon.ch/ news/HSN/511294.html. Accessed April 2006.

    Google Scholar 

  • Herdman, S.J. (1997, June Advances in the treatment of vestibular disorders Physical Therapy 77, (6) 602–618

    Google Scholar 

  • Honrubia, V. (2000) In Vestibular Rehabilitation, 2nd ed. Philadelphia, PA: FA Davis.

    Google Scholar 

  • Horak, F.B., Nashner, L.M. (1986) Central programming of postural movements: Adaptation to altered support surface configurations. Journal of Neurophysiology 55:1369–1381.

    PubMed  Google Scholar 

  • Horak, F.B., Nashner, L.M., Deiner, H.C. (1990, August Postural strategies associated with somatosensory and vestibular loss Experimental Brain Research 82, (1) 167–177

    Article  Google Scholar 

  • Lehmann, J.F., Boswell, S., Price, R., Burliegh, A., deLateur, B.J., Jaffe, K.M., Hertling, D. (1990, November Quantitative evaluation of sway as an indicator of functional balance in post-traumatic brain injury Archives of Physical Medicine Rehabilitation 17:955–962.

    Google Scholar 

  • Nashner, L.M. (1989) Sensory, neuromuscular, and biomechanical contributions to human balance. In Balance: Proceedings of the APTA Forum, Nashville, Tennessee.

    Google Scholar 

  • Pearson, B.W., Barber, H.O. (1973) Head injury: Some otoneurologic sequelae. Archives of Otolaryngology 97:81.

    PubMed  Google Scholar 

  • Sataloff, R.T., Mandel, S., Schapiro, S.R. (eds.) (1993) Minor Head Trauma-Assessment, Management, and Rehabilitation. New York: Springer Verlag.

    Google Scholar 

  • Shumway-Cook, A. (2000) In Vestibular Rehabilitation, 2nd ed. Philadelphia, PA: FADavis.

    Google Scholar 

  • Shumway-Cook, A., Horak, F.B. (1990) Rehabilitation strategies for patients with vestibular deficits. Neurologic Clinics 9(2):441–457.

    Google Scholar 

  • Studenski, S., Duncan, P.W., Chandler, J. (1991, March Postural responses and effector factors in persons with unexplained falls: Results and methodologic issues Journal of the American Geriatrics Society 39, (3) 229–234

    Google Scholar 

  • Tinetti, M.E., Speechly, M., Ginter, S.F. (1988) Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine 319:1701–1707.

    Article  PubMed  Google Scholar 

  • Whitney, S.L., Herdman, S.J. (2000) In Vestibular Rehabilitation, 2nd ed. Philadelphia, PA: FA Davis.

    Google Scholar 

  • Wild, D., Nayak, U.S.L., Isaacs, B. (1981) Prognosis of falls in old people at home. Journal of Epidemiology Community Health 35:200–204.

    Article  Google Scholar 

  • Wrisley, D.M.,Walker, M.L., Echternach, J.L., Strasnick, B. (2003, October Reliability of the dynamic gait index in people with vestibular disorders Archives of Physical Medicine Rehabilitation 84, (10) 1528–1533

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2007 Springer

About this chapter

Cite this chapter

MEGNA, J. (2007). Balance and Vestibular Rehabilitation in the Patient with Acquired Brain Injury. In: Elbaum, J., Benson, D.M. (eds) Acquired Brain Injury. Springer, New York, NY. https://doi.org/10.1007/978-0-387-37575-5_11

Download citation

Publish with us

Policies and ethics