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KMID : 1024720150050010019
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Geriatric Rehabilitation
2015 Volume.5 No. 1 p.19 ~ p.25
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Rehabilitation Approach for Dizziness
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Kim Jong-Moon
Kim Hyoung-Seop
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Abstract
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Dizziness is a common symptom in elderly patients, which can lead to balance problems leading to fall injuries. Increase in dizziness in elderlies can be attributed to deterioration of the sensory orgrans, sensory intergration organs and ageing process of motor function, or other related diseases. Dizziness can be categorized to peripheral/central vertigo, disequilibrium, presyncope or light-headedness, all of which can be differentiated by careful history taking. Rehabilitation therapy can be applied to any disease that causes dizziness, but it is primarily indicated for patients with recurring dizziness. The mechanism for improvement and the rehabilitation therapy of dizziness relies on the plasticity of the brain, which undergoes adaptation, habituation and substitution. Whilst vestibular rehabilitation and balance exercise
methods are effective and causes little side effects for patients with dizziness, the Epley maneuver or Brandt-Daroff exercise are more effective in patients with benign paroxysmal positional vertigo. In conclusion, balance exercise for dizziness should aim to relieve acute dizziness symptoms, prevent fall injuries, and increase the patients’ independence in daily activities.
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KEYWORD
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Dizziness, Vertigo, Postural balance, Exercise
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