Article

Vestibular complaints are the most frequent sequelae of mTBI. Vestibular physical
therapy has been established as the most important treatment modality for this
group of patients. Nevertheless there is little work objectively documenting the
impact of vestibular physical therapy on this group of patients. Studies have
been completed in the past examining clinical measures like the GCS on overall
recovery pattern after TBI. But outcomes measures specifically aimed at examining
the adequacy of vestibular tests to track vestibular recoveryhave remained
lacking. Scherer and Schubert reinforced the need for best practice vestibular
assessment for formulation of appropriate vestibular physical therapy treatment
strategies. Now the application of vestibular testing and rehabilitation in this
patient population is needed to provide information on objective outcome
measures. Vestibular physical therapy is most effective when applied in a
customized fashion. While we and others have developed vestibular physical
therapy procedures that are applied in best practices for mTBI vestibular
patients, these therapies must be customized for the patient entry level of
function and expectation level of recovery. Knowledge of the patient's disability
and diagnosis is critical to build the foundation for return to activity, work,
or sport.

Langue : ANGLAIS