Physical Therapy Rehabilitation Science

  • 제5권2호
  • /
  • Pages.53-62
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  • 2016
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  • 2287-7576(pISSN)
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  • 2287-7584(eISSN)
물리치료재활과학회 (korean Academy of Physical Therapy Rehabilitation Science)
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Home exercise program adherence strategies in vestibular rehabilitation: a systematic review

  • Gaikwad, Shilpa B. (Department of Allied Health Studies, School of Allied Health Professions, Loma Linda University) ;
  • Mukherjee, Tatri (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Shah, Parita V. (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Ambode, Oluwaseun I. (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Johnsonb, Eric G. (Department of Physical Therapy, School of Allied Health Professions, Loma Linda University) ;
  • Daher, Noha S. (Department of Allied Health Studies, School of Allied Health Professions, Loma Linda University)
  • 투고 : 2016.05.04
  • 심사 : 2016.05.31
  • 발행 : 2016.06.30
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초록

Objective: The aim of this systematic review was to investigate for effective strategies to improve home exercise program (HEP) adherence in vestibular rehabilitation (VR). Design: Systematic review. Methods: A systematic review was conducted to identify effective strategies used to improve HEP adherence of patients in VR. Six databases, Academic Search Premier, Cochrane Library, CINAHL, PUBMED, PsycINFO, and Web of Science were searched from their inception to December 31, 2015. The keywords used for search were 'home program', 'home intervention', 'compliance', 'adherence', 'vestibular rehabilitation', 'motion sickness', and 'motion sensitivity'. Results: A total of eight studies were selected to be included in the review. There was 95.2% agreement between the two reviewers who reviewed the studies using a quality assessment tool. The overall inter-rater agreement (${\kappa}$=0.73) showed good agreement between the reviewers. Strong evidence was identified for 3 major categories of effective HEP adherence strategies, 1) providing patient with written summary of HEP; 2) asking patient to maintain a record of HEP and symptoms; and 3) providing tele-rehabilitation in form of email and/or telephone support along with in person treatment sessions. Also, based on strong evidence, computerized technology was not found to be superior to other strategies for improving patients' HEP adherence in VR. Conclusions: The effective strategies for improving HEP in VR include written summary of exercise, maintenance of log of HEP and symptoms and tele-rehabilitation along with in person treatment sessions.

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참고문헌

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피인용 문헌

  1. Effect of Gaze Stability Exercises on Chronic Motion Sensitivity vol.42, pp.2, 2018, https://doi.org/10.1097/NPT.0000000000000216
  2. Follow‐Up of a Virtual‐Group‐Exercise at Home Program to Reduce Fall Risks vol.67, pp.9, 2016, https://doi.org/10.1111/jgs.15992
  3. Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review vol.18, pp.4, 2016, https://doi.org/10.3390/ijerph18042023