Rajiv Gandhi University of Health Sciences, Karnataka s57

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA BANGALORE

ANNEXURE II

1 1. Name of the Candidate and Address SUMANT MISHRA (in block letters) CITY COLLEGE OF PHYSIOTHERAPY, CITY ENCLAVE, SHAKTHINAGAR, MANGALORE-575016

2. Name of the Institution CITY COLLEGE OF PHYSIOTHERAPY

3. Course of Study and Subject MASTER OF PHYSIOTHERAPY (MPT)

4. Date of Admission to Course 10-06-2008

TO FIND THE EFFICIACY OF VESTIBULAR 5. Title of the Topic REHABLITATION TO IMPROVE EQUILIBRIUM AND ACTIVITY OF DAILY LIVING IN ELDERLY SUBJECTS WITH VESTIBULAR DYSFUNCTION.

6. Brief Resume of the Intended Work

6.1) Introduction and Need of the Study:

Equilibrium ,or orientation in space, is maintained by the visual, kinesthetic, and vestibular mechanism. When impairments of equilibrium are predominantly due to or have effects on other organ systems. Disturbances of equilibrium may be classified as follows:Vertigo, a sensation of rotation of the subject or objects about the subject in any plane. Giddiness or lightheadedness, distinguished from vertigo by the absence of feeling of movement and Abnormalities of postural stability and or standing balance with or without vertigo, vertigo may be produced by disorders of vestibular mechanism. Permanent impairment may result from any disorder causing vertigo or disorientation in space. Three regulatory systems- vestibular, ocular (visual) and kinesthetic (proprioceptive)– are related to the vestibula-occular reflex. The evaluation of impairments of equilibrium may include consideration of one or more of these mechanism. Permanent impairment can result from defects of vestibular (labyrinthine) mechanism and its central connections. The defects are evidenced by loss of equilibrium produced by disturbances or loss of vestibular function.1

Equilibrium training is applied to reduce the disability of these patients2.These complaints and the underlying impairments can lead to functional limitations or deficits in performing routine daily life tasks known as activities of daily living(ADL)3.Vestibular rehabilitation (VR) for these disorders is becoming increasingly used and involves various movement-based regimes. Components of VR may involve learning to bring on the symptoms to 'desensitise' the vestibular system, learning to coordinate eye and head movements, improving balance and walking skills, learning about the condition and how to cope or become more active.

Need of the study:

Disequilibrium can be disabling and may result in complications such as perturbations, falls, disturbances of gait and ADL in people over the age of 65.

VR is important treatment with vestibular2 dysfunction who are not surgical candidates. An increasing proportion of our society, the elderly, are often prime candidates for vestibular rehabilitation therapy. It appears that patients with peripheral vertigo with classical symptoms, especially of an episodic variety will definitely benefit from a vestibular rehabilitation program 3