title: Adherence of older people with instability in vestibular rehabilitation programmes: prediction criteria.
abstract: OBJECTIVE
  To determine whether demographic characteristics or balance examination findings can predict the adherence of older people with instability to a vestibular rehabilitation programme.
  
  
  METHODS
  A prospective case-control study was conducted of 120 patients aged 65 years or more (mean age, 77.3 ± 6.33 years). Two groups were classified according to patients' adherence with the follow-up post-rehabilitation protocol. Analysed variables included: age, sex, body mass index, Timed Up and Go test findings, computerised dynamic posturography, Dizziness Handicap Inventory scores and Short Falls Efficacy Scale - International questionnaire results, number of falls, and type of vestibular rehabilitation.
  
  
  RESULTS
  Two groups were established: adherents (99 individuals) and non-adherents (21 individuals). There were differences between the groups regarding: sex (female-to-male ratio of 4.8:1 in adherents and 1.63:1 in non-adherents), age (higher in non-adherents) and voluntary movement posturographic test results (non-adherents had poorer scores).
  
  
  CONCLUSIONS
  The patients most likely to abandon a vestibular rehabilitation programme are very elderly males with low scores for centre of gravity balancing and limits of stability.
authors.affiliation: Division of Neurotology,Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
authors.forename: A
authors.initials: A
authors.lastname: Soto-Varela
authors.affiliation: Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
authors.forename: A
authors.initials: A
authors.lastname: Faraldo-García
authors.affiliation: Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
authors.forename: M
authors.initials: M
authors.lastname: Del-Río-Valeiras
authors.affiliation: Department of Otorhinolaryngology,University Hospital Lucus Augusti,Lugo,Spain.
authors.forename: M
authors.initials: M
authors.lastname: Rossi-Izquierdo
authors.affiliation: Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
authors.forename: I
authors.initials: I
authors.lastname: Vaamonde-Sánchez-Andrade
authors.affiliation: Clinical Epidemiology Unit,Complexo Hospitalario Universitario,Instituto de Investigación Sanitaria de Santiago (IDIS),Santiago de Compostela,Spain.
authors.forename: P
authors.initials: P
authors.lastname: Gayoso-Diz
authors.affiliation: Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
authors.forename: A
authors.initials: A
authors.lastname: Lirola-Delgado
authors.affiliation: Division of Neurotology,Department of Otorhinolaryngology,Complexo Hospitalario Universitario,Santiago de Compostela,Spain.
authors.forename: S
authors.initials: S
authors.lastname: Santos-Pérez
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D004244:Dizziness / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D006801:Humans; D008297:Male; D010349:Patient Compliance; D026741:Physical Therapy Modalities / Q000523:psychology*; D004856:Postural Balance; D011446:Prospective Studies; D012737:Sex Factors; D011795:Surveys and Questionnaires; D015837:Vestibular Diseases / Q000523:psychology / Q000534:rehabilitation*; D014724:Vestibular Function Tests
keywords: Adherence; Dynamic Posturography; Instability; Postural Balance; Vestibular Rehabilitation