Evidence map›Paper›PMID 30883488›Full record

ArticleJournal of neurologic physical therapy : JNPT2019

Vestibular Physical Therapy in Individuals With Cognitive Impairment: A Theoretical Framework.

Brooke N Klatt, Julie D Ries, Pamela M Dunlap, Susan L Whitney, Yuri Agrawal

2 registry-linked trialsOpen access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of neurologic physical therapy : JNPT, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.5field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04690777 nacompletednot on this mapstarted 2021, after this paper: background citation

Efficacy of Vestibular Physiotherapy Against Multi-component Exercise in Functional Improvement in the Elderly": Pilot Study of a Randomized Clinical Trial

TypeinterventionalSponsorUniversity of SevilleRan2021 to 2021Enrolled40ConditionsPhysical Therapy, Sports Physical Therapy, Exercise Therapy, GaitArmsExperimental: VESTIBULAR EXERCISE, MULTICOMPONENT EXERCISE
NCT04894929 nacompletednot on this mapstarted 2021, after this paper: background citation

Comprehensive Geriatric Assessment in the Monitoring of Functional Improvement Through Vestibular and Multicomponent Exercises.

TypeinterventionalSponsorUniversity of SevilleRan2021 to 2021Enrolled90ConditionsAging, Vestibular Disorder, Physiotherapy, Physical ActivityArmsmulti component exercise in the clinic, vestibular exercise in the clinic, vestibular exercise at home telerehabilitation, multi component exercise at home telerehabilitation
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Brooke N KlattDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland (B.N.K., Y.A.); Department of Physical Therapy, Marymount University, Arlington, Virginia (J.D.R.); and Department of Physical Therapy, University of Pittsburgh, Pennsylvania (P.M.D., S.L.W.).
Julie D Ries
Pamela M Dunlap
Susan L Whitney
Yuri Agrawal
Johns Hopkins University · US

Funding

Does vestibular loss predict falls in patients with Alzheimer's Disease?R01AG057667 · NIA · JOHNS HOPKINS UNIVERSITY · PI OH, ESTHER SEUNGHEE · 2018 to 2022
$1.8M
Age-related Changes in the Vestibular System and Functional ImplicationsK23DC013056 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI AGRAWAL, YURI · 2014 to 2018
$1.2M
Does vestibular loss predict hippocampal atrophy in aging adults?R03DC015583 · NIDCD · JOHNS HOPKINS UNIVERSITY · PI AGRAWAL, YURI · 2016 to 2018
$378k
NIA NIH HHS R01 AG057667NIDCD NIH HHS K23 DC013056NIDCD NIH HHS L30 DC013248NIDCD NIH HHS R03 DC015583
6 · The paper itself

Abstract

Falls are a major health care concern in individuals with Alzheimer disease (AD) and their caregivers. Vestibular impairment is a known risk factor for falls, and individuals with AD have been shown to have an increased prevalence of vestibular loss compared with age-matched controls. Vestibular physical therapy (VPT) is effective in improving balance and reducing fall risk in cognitively-intact persons with vestibular impairment. However, the effectiveness of VPT in improving balance and reducing falls in individuals with AD who have vestibular loss has never been explored. SUMMARY OF KEY POINTS:: In this article, we apply prevailing ideas about rehabilitation and motor learning in individuals with cognitive impairment (IwCI) to VPT. RECOMMENDATIONS FOR CLINICAL PRACTICE:: We propose a modification of current evidence-based VPT protocols for IwCI using the strength-based theoretical framework that emphasizes the motor learning abilities of IwCI. In addition, we highlight the importance of establishing an excellent rapport with IwCI, and present key strategies for optimizing the therapeutic relationship. In ongoing work, we are assessing the efficacy of this modified VPT protocol in IwCI to improve balance and reduce falls.

Indexed as

Physical Therapy ModalitiesAccidental FallsCognitive DysfunctionHumansPostural BalanceRisk FactorsVestibular Diseases

Identifiers

PMID30883488
PMCPMC6465065
OpenAlexW2921882271

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.