The minimal clinically important difference for gait speed in significant unilateral vestibular hypofunction after vestibular rehabilitation

作     者：Isaac B.Thorman Brian J.Loyd Richard A.Clendaniel Leland E.Dibble Michael C.Schubert Isaac B.Thorman;Brian J.Loyd;Richard A.Clendaniel;Leland E.Dibble;Michael C.Schubert

作者机构：School of Public HealthDepartment of EpidemiologyJohns Hopkins UniversityUnited States School of Physical Therapy and Rehabilitation ScienceUniversity of MontanaUnited States Department of Orthopedic SurgeryDoctor of Physical Therapy DivisionAnd Department of Head and Neck Surgery&Communication SciencesDuke University Medical CenterUnited States Department of Physical Therapy&Athletic TrainingUniversity of UtahUnited States Laboratory of Vestibular NeuroAdaptationDepartment of Otolaryngology e Head and Neck SurgeryJohns Hopkins UniversityUnited States Department of Physical Medicine and RehabilitationJohns Hopkins UniversityUnited States 

出 版 物：《Journal of Otology》 (中华耳科学杂志（英文版）)

年 卷 期：2023年第18卷第1期

页      面：15-20页

核心收录：

学科分类：1002[医学-临床医学] 100213[医学-耳鼻咽喉科学] 10[医学] 

基　　金：Michael C Schubert was funded by the Department of Defense under the Neurosensory and Rehabilitation Research Award Program (Grant award#W81XWH-15-1-0442) Lee Dibble was funded by the Telemedicine and Advanced Technology Research Center(TATRC) through the Army Medical Department Advanced Medical Technology Initiative (AAMTI) Brian J.Loyd was supported in part by the Foundation for Physical Therapy Research New Investigator Fellowship Training Initiative (NIFTI) 

主　　题：Vestibular hypofunction Gait speed Minimal clinically important difference 

摘      要：Gait speed is a valid measure of both physical function and 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 *** determined the minimal clinically important difference in the gait speed of patients with unilateral vestibular hypofunction,mostly due to deafferentation surgery,as anchored to the Dizziness Handicap Index and the Activities Balance Confidence scale,validated using regression analysis,change difference,receiveroperator characteristic curve,and average change *** six weeks of vestibular rehabilitation,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.