Effects of a vestibular physiotherapy protocol on adults with intellectual disability in the prevention of falls: A multi-centre clinical trial

J Appl Res Intellect Disabil. 2019 Mar;32(2):359-367. doi: 10.1111/jar.12531. Epub 2018 Oct 10.

Abstract

Background: Balance alterations are one of the main problems in people with intellectual disabilities (ID), increasing their risk of falls and impacting their life.

Aims: To describe a vestibular rehabilitation programme (VRP) and evaluate its effects on the ability to maintain balance and risk of suffering a fall.

Methods: Forty-seven adults with mild to moderate ID were randomly assigned to two groups: a control group (CG, N = 24), which performed a general physical exercise only, and an experimental group (EG, N = 23) which also completed a VRP. The variables, used pre- and post-training and 1 month after the intervention, were as follows: Center of Pressure Displacement, Berg Scale, Timed Up and Go Test, and the Modified Clinical Test of Sensory Interaction and Balance.

Results: The EG improved significantly in each variable. The CG did not show changes for any of the parameters.

Conclusions: A programme based on VRP may improve balance and reduce the risk of falling.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Accidental Falls / prevention & control*
  • Adult
  • Double-Blind Method
  • Exercise Therapy / methods*
  • Female
  • Humans
  • Intellectual Disability / rehabilitation*
  • Male
  • Middle Aged
  • Occupational Therapy / methods*
  • Outcome Assessment, Health Care*
  • Postural Balance / physiology*
  • Reflex, Vestibulo-Ocular / physiology*
  • Spain
  • Vestibule, Labyrinth / physiology*