- Vestibular and auditory disorders
- Balance, Gait, and Falls Prevention
- Ophthalmology and Eye Disorders
- Cerebral Palsy and Movement Disorders
- Stroke Rehabilitation and Recovery
- Traumatic Brain Injury Research
- Glaucoma and retinal disorders
- Musculoskeletal pain and rehabilitation
- Effects of Vibration on Health
- Ophthalmology and Visual Impairment Studies
- Hearing, Cochlea, Tinnitus, Genetics
- Injury Epidemiology and Prevention
- Genetic Neurodegenerative Diseases
- Cerebral Venous Sinus Thrombosis
- Cardiovascular Syncope and Autonomic Disorders
- Botulinum Toxin and Related Neurological Disorders
- Shoulder Injury and Treatment
- Traumatic Brain Injury and Neurovascular Disturbances
- Spinal Cord Injury Research
- Scoliosis diagnosis and treatment
- Sports injuries and prevention
- Psychosomatic Disorders and Their Treatments
- Obstructive Sleep Apnea Research
- Ocular Surface and Contact Lens
- Tactile and Sensory Interactions
University of Pittsburgh
2016-2025
American Physical Therapy Association
2004-2024
EVERSANA (Canada)
2023
University of Alabama
2021
Emory University
2021
University of Wisconsin–Madison
2021
Johns Hopkins Medicine
2021
Johns Hopkins University
2021
University of California, Los Angeles
2021
York University
2021
Objective This update of a 2008 guideline from the American Academy Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as disorder inner ear characterized by repeated episodes vertigo. Changes prior include consumer advocate added group; new evidence 2 clinical practice guidelines, 20 systematic reviews, 27 randomized controlled trials; enhanced emphasis on patient education shared decision making;...
People with balance disorders are characterized as having difficulty transitional movements, such the sit-to-stand movement. A valid and feasible tool is needed to help clinicians quantify ability of people perform movements. The purpose this study was describe concurrent discriminative validity data obtained Five-Times-Sit-to-Stand Test (FTSST). FTSST compared Activities-specific Balance Confidence Scale (ABC) Dynamic Gait Index (DGI).Eighty-one subjects without 93 were recruited for study....
The Functional Gait Assessment (FGA) is a 10-item gait assessment based on the Dynamic Index. purpose of this study was to evaluate reliability, internal consistency, and validity data obtained with FGA when used people vestibular disorders.Seven physical therapists from various practice settings, 3 therapist students, 6 patients disorders volunteered participate.All raters were given 10 minutes review instructions, test items, grading criteria for FGA. concurrently rated performance...
Management of dizziness and balance dysfunction is a major challenge after concussion. The purpose this study was to examine the effect vestibular rehabilitation in reducing improve gait function people concussion.A retrospective chart review 114 patients (67 children aged 18 years younger [mean, 16 years; range, 8-18 years]; 47 adults older than 41 19-73 years]) referred for concussion performed. At time initial evaluation discharge, recordings were made outcome measures self-report (eg,...
Background: Uncompensated vestibular hypofunction results in postural instability, visual blurring with head movement, and subjective complaints of dizziness and/or imbalance. We sought to answer the question, “Is exercise effective at enhancing recovery function people peripheral (unilateral or bilateral) hypofunction?” Methods: A systematic review literature was performed 5 databases published after 1985 additional sources for relevant publications were searched. Article types included...
Objective: The purpose of this study was to determine if scores between 0 and 30 (mild), 31 60 (moderate), 61 100 (severe) on the Dizziness Handicap Inventory (DHI) differentiated a person's functional abilities. Study Design: Retrospective case series. Setting: Tertiary balance outpatient center. Patients: Patients (n = 85; mean age, years) with variety vestibular diagnoses participated. Interventions: completed DHI, Dynamic Gait Index (DGI), 5 times sit stand test (FTSST),...
Background: Uncompensated vestibular hypofunction can result in symptoms of dizziness, imbalance, and/or oscillopsia, gaze and gait instability, impaired navigation spatial orientation; thus, may negatively impact an individual's quality life, ability to perform activities daily living, drive, work. It is estimated that one-third adults the United States have dysfunction incidence increases with age. There strong evidence supporting physical therapy for reducing symptoms, improving postural...
The purpose of this study was to determine the relationship between gait instability and falls history in people with vestibular disorders. A total 247 (164 women, 83 men) participated (mean age = 62.5). Falls within last 6 months scores on Dynamic Gait Index (DGI) were compared using Mantel-Hantzel Chi-square statistic. Thirty-seven percent all subjects reported falling months. Odds ratios favor DGI 19 or lower 2.58 (95% C.I. 1.47-4.53). Subjects 19/24 less times more likely have a fall...
Abstract Background and Purpose The Berg Balance Scale is a reliable valid measure that used to assess characteristics of balance. Dynamic Gait Index relatively new has been record dynamic gait tasks in people with vestibular dysfunction. purpose the present study was determine concurrent validity disorders. Method A retrospective review charts who met criteria having completed both during their first physiotherapy visit. Seventy patients (19 male, 51 female) were identified through referred...
Abstract Background and Purpose Individuals with concussion often complain of persistent dizziness imbalance, these problems have been treated vestibular rehabilitation exercises. The purpose this study is to describe the exercise prescriptions provided individuals after concussion. Methods A retrospective chart review home programmes prescribed by physical therapists for 104 participants who were diagnosed was conducted. Each exercises classified type, duration frequency. Frequency counts...
Background Falls cause fear, anxiety and loss of confidence, resulting in activity avoidance, social isolation increasing frailty. The umbrella term for these problems is ‘fear falling’, seen up to 85% older adults who fall. Evidence effectiveness physical psychological interventions limited, with no previous studies examining the role an individually delivered cognitive–behavioural therapy (CBT) approach. Objectives Primary objective To develop then determine a new CBT intervention (CBTi)...
Sensory augmentation has been shown to improve postural stability during real-time balance applications. Limited long-term controlled studies have examined retention of improvements in healthy older adults after training with sensory ceased. This pilot study aimed assess the efficacy and without among community-dwelling adults. Twelve participants (four males, eight females; 75.6 ± 4.9 yrs) were randomly assigned experimental group (n = 6) or control 6). Participants trained their homes for...
Abstract Benign paroxysmal positional vertigo (BPPV) is amongst the commonest causes of dizziness and falls in older adults. Diagnosing treating BPPV can reduce falls, thereby fall-related morbidity mortality. Recent World Falls Guidelines recommend formal assessment for adults at risk falling, but only if they report vertigo. However, this recommendation ignores data that (i) many with experience as vague unsteadiness (rather than vertigo), (ii) others may no symptoms all. without due to an...