{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,14]],"date-time":"2026-03-14T12:03:16Z","timestamp":1773489796778,"version":"3.50.1"},"reference-count":42,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2020,7,31]],"date-time":"2020-07-31T00:00:00Z","timestamp":1596153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>The purpose of this study was to determine factors associated with rehabilitation outcomes following vestibular rehabilitation (VR).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In this prospective cohort study, 116 patients who completed at least 2 supervised sessions participated. Patient characteristics and comorbidities were recorded. Initial and discharge measures included symptom intensity, balance confidence, quality of life, percent of time symptoms interfere with life, perceived benefits of VR, gait speed, fall risk, visual acuity during head movement, and anxiety\/depression. Intention-to-treat analyses were performed to determine outcomes at discharge. Bivariate correlations between independent (group characteristics and baseline measures) and dependent (discharge measures) variables were determined. Logistic regressions were performed to identify factors associated with whether a patient would have a normal score or meaningful change at discharge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>There was a large effect of VR with significant improvement for the group as a whole on each outcome measure. For each outcome measure, most patients improved. Based on preliminary logistic regression, 2 patient characteristics were associated with outcome: number of therapy visits predicted meaningful improvement in gait speed, and falls after the onset of the unilateral vestibular hypofunction (UVH) predicted meaningful change in the percent of time symptoms interfered with life. Initial Activities-Specific Balance Confidence Scale (ABC) and Dynamic Gait Index scores predicted normal ABC scores at discharge, and initial ABC scores predicted recovery of Dynamic Gait Index scores. Preliminary prediction models were generated for balance confidence, impact of dizziness on life, dynamic visual acuity, gait speed, and fall risk.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Therapists may use these findings for patient education or to determine the need for adjunct therapy, such as counseling.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Impact<\/jats:title>\n                  <jats:p>Not all people with UVH improve following VR, but there is little research examining why. This study looked at multiple factors and identified number of visits and falls after onset of UVH as patient characteristics associated with outcomes following VR; these findings will help therapists create better predictive models.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ptj\/pzaa138","type":"journal-article","created":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T08:47:13Z","timestamp":1596271633000},"page":"2009-2022","source":"Crossref","is-referenced-by-count":8,"title":["Factors Associated With Rehabilitation Outcomes in Patients With Unilateral Vestibular Hypofunction: A Prospective Cohort Study"],"prefix":"10.1093","volume":"100","author":[{"given":"Susan J","family":"Herdman","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine , , Atlanta, Georgia; 2056 Hessian Ct, Stone Mountain, GA 30087 ( USA )"},{"name":"Emory University , , Atlanta, Georgia; 2056 Hessian Ct, Stone Mountain, GA 30087 ( USA )"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney D","family":"Hall","sequence":"additional","affiliation":[{"name":"Hearing and Balance Research Program, James H Quillen VAMC, Mountain Home , Tennessee; and Department of Physical Therapy, , Johnson City, Tennessee"},{"name":"East Tennessee State University , Tennessee; and Department of Physical Therapy, , Johnson City, Tennessee"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Heusel-Gillig","sequence":"additional","affiliation":[{"name":"Dizziness and Balance Center , , Emory University"},{"name":"Emory Healthcare , , Emory University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,31]]},"reference":[{"key":"2023011805400427900_ref1","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/00129492-200503000-00024","article-title":"Effects of vestibulo-ocular reflex exercises on vestibular compensation after vestibular schwannoma surgery","volume":"26","author":"Enticott","year":"2005","journal-title":"Otol Neurotol"},{"key":"2023011805400427900_ref2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1191\/0269215504cr704oa","article-title":"Efficacy of vestibular rehabilitation on chronic unilateral vestibular dysfunction","volume":"18","author":"Topuz","year":"2004","journal-title":"Clin Rehabil"},{"key":"2023011805400427900_ref3","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1177\/1545968311407514","article-title":"Variables associated with outcome in patients with unilateral vestibular hypofunction","volume":"26","author":"Herdman","year":"2012","journal-title":"Neurorehabil Neural Repair"},{"key":"2023011805400427900_ref4","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1067\/mhn.2003.72","article-title":"Vestibular rehabilitation: useful but no universally so","volume":"128","author":"Krebs","year":"2003","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2023011805400427900_ref5","doi-asserted-by":"crossref","first-page":"731","DOI":"10.1016\/0022-3999(92)90131-K","article-title":"Symptoms, anxiety and handicap in dizzy patients: development of the vertigo symptoms scale","volume":"36","author":"Yardley","year":"1992","journal-title":"J Psychosom Res"},{"key":"2023011805400427900_ref6","doi-asserted-by":"crossref","first-page":"573","DOI":"10.1016\/0277-9536(94)90100-7","article-title":"Prediction of handicap and emotional distress in patients with recurrent vertigo: symptoms, coping strategies, control beliefs and reciprocal causation","volume":"39","author":"Yardley","year":"1994","journal-title":"Soc Sci Med"},{"key":"2023011805400427900_ref7","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1002\/acn3.386","article-title":"Predictors of clinical recovery from vestibular neuritis: a prospective study","volume":"4","author":"Cousins","year":"2017","journal-title":"Ann Clin Transl Neurol"},{"key":"2023011805400427900_ref8","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1080\/010503900750022862","article-title":"Symptoms, disability and handicap in unilateral peripheral vestibular disorders. 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