Chulalongkorn Vestibular Balance Exercise for Rehabilitation in Persons with Various Types of Vestibular Disorders
Saowaros Patarapak MD*, Paninee Jarusripan MD*, Permsarp Isipradit MD*
Affiliation : * Department of Otolaryngology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
Objective : To study the efficiency of Chulalongkorn vestibular balance exercise for rehabilitation in persons with various
types of vestibular disorders.
Material and Method: Fifty-eight patients with various types of vestibular disorder were identified by a retrospective chart
review. Thirty of the 58 patients met the inclusion criteria of having dizziness and unsteadiness post vestibular diseases with
complete record of neuro-otologic examination; vestibular tests and had been followed-up for at least 3 months. These
patients were treated with Chulalongkorn vestibular balance exercise and were evaluated for dizziness symptoms and
balance bedside test at the beginning of treatment, one month and three months after the exercise.
Results : The average age of the patients was 50.34+14.04 years. The average of duration of exercise program was 5.6
months. There were 6 cases of vestibular neuronitis; 5 cases of post acoustic neuroma removal; 4 cases of acute
cochleovestibular loss; 3 cases of motion sickness; 2 cases of cerebellar atrophy; 3 cases of multisensory dizziness; 4 cases
of post meningitis with deafness; and 3 cases of ototoxicity. After the exercise, improvement of dizziness symptoms could be
found in all groups of the diseases at one month and three months. The objective of balance bedside test was improved in most
cases except motion sickness, multisensory dizziness and cerebellar atrophy. The overall percentage of improvement of
dizziness was statistically significant at one month and three months (p = 0.0373 and p<0.001). However, the overall balance
bedside test was statistically improved at three months after the exercise (p = 0.034).
Conclusion : Chulalongkorn vestibular balance exercise gave significantly effective results in the treatment of dizziness and
unsteadiness from various types of vestibular disorder. This study demonstrated improvement of dizziness symptom post-
exercise at one month and three months with statistical significance. The balance bedside test was also statistically significant
improved at three months post-exercise.
Keywords : Vestibular balance exercise, Vestibular rehabilitation, Physical therapy
