DSpace Community: คณะกายภาพบำบัด /Faculty of Physical Therapy

A Retrospective Study on the Association of Age and Sex with the Effectiveness of Canalith Repositioning and Home-Based Rehabilitation in Benign Paroxysmal Positional Vertigo Patients

2026-07-12T20:03:01Z

Title: A Retrospective Study on the Association of Age and Sex with the Effectiveness of Canalith Repositioning and Home-Based Rehabilitation in Benign Paroxysmal Positional Vertigo Patients Authors: Watcharin Tayati; Tidaporn Tairattanasuwan; วัชรินทร์ ทายะติ; ธิดาพร ไตรรัตนสุวรรณ Abstract: Objectives: To investigate the association between sex, age, and the effectiveness of the canalith repositioning procedure (CRP) combined with home-based vestibular rehabilitation in patients with benign paroxysmal positional vertigo (BPPV), and to examine their influence on dizziness-related quality of life as measured by the Dizziness Handicap Inventory (DHI). Study design: Retrospective observational study Setting: The Outpatient Departments of Otolaryngology and Physical Therapy, Trang Hospital, Trang Province, Thailand Subjects: Seventy eight adults with benign paroxysmal positional vertigo (BPPV) treated with canalith repositioning and home based vestibular rehabilitation. Methods: In this retrospective observational study, 78 patients who underwent CRP and home-based vestibular exercises between October 2023 and February 2024 were analyzed. Patients were divided into two age groups (18-59 years and ≥ 60 years) and compared by sex. Treatment outcomes were measured based on symptom resolution and changes in DHI scores before and after treatment. Group comparisons were performed using chi-square tests, t-tests, and correlation analyses, with statistical significance set at p < 0.05. Results: The overall resolution rate was 97.4%. There were no significant differences by age or sex. Age correlated positively with DHI pre and post scores (r = 0.83 and 0.73, p < 0.01), and post treatment DHI was higher in females than males (p = 0.02). Conclusions: This study highlights that while CRP combined with home-based vestibular rehabilitation is effective for BPPV treatment, older adults and females experience greater dizziness related handicaps. These findings emphasize the need for age and sex-specific considerations in rehabilitation programs, particularly regarding realistic outcome expectations for older adults and enhanced support for females who may experience greater residual handicap. Description: สามารถเข้าถึงบทความฉบับเต็ม (Full Text) ได้ที่ : https://he01.tci-thaijo.org/index.php/aseanjrm/article/view/278450/190387

The effects of motor-cognitive training on balance and working memory in young adult women with low physical activity: A randomized controlled trial

2026-07-12T20:00:09Z

Title: The effects of motor-cognitive training on balance and working memory in young adult women with low physical activity: A randomized controlled trial Authors: Supanee Chounchay; Pinpapha Retsuk; Parintorn Mantam; Kannika Seetha; Warangkana Arsadee; Aparat Chanchuphon; Nattida Pantub; Supitcha Wongphasuksathaporn; สุภาณี ชวนเชย; ปิ่นประภา เรศสุข; ปริญธร มั่นธรรม; กรรณิกา สีทา; วรางคณา อาษาดี; อาภารัตน์ จันทร์ชูผล; ณัฐธิดา พันธ์ทับ; สุพิชชา วงศ์ผาสุกสถาพร Abstract: Background: Young adult women with low physical activity levels often experience a decline in muscle mass and balance, which can negatively impact both physical and mental health. Cognitive functions, particularly working memory, play a crucial role in maintaining balance during various activities. A reduction in working memory capacity may impair the ability to manage dual-task activities, increasing the risk of instability and falls. Objectives: To investigate the effects of motor-cognitive training combining balance exercises with working memory tasks on balance performance and working memory skills in women aged 18-25 years with low physical activity levels. Materials and methods: A randomized controlled trial was conducted with 46 female participants aged 18-25 years who had low physical activity levels. Participants were randomly assigned to either an experimental group (N=23) or a control group (N=23). The experimental group underwent motor-cognitive training, which integrated balance training with working memory tasks, for three consecutive days. The control group received general information on improving balance and working memory. Pre- and post-training assessments were conducted using the Biodex Balance System to measure static balance (sway index values from the Balance Error Scoring System), dynamic balance (limit of stability), and working memory were assessed using the digit span test. Data were analyzed statistically, with significance set at p<0.05. Results: Following the training, the experimental group exhibited significantly greater improvements in working memory skills compared to the control group. Additionally, the experimental group demonstrated enhanced dynamic balance performance, particularly in the forward/right and backward/left directions, compared to the control group. Conclusion: Motor-cognitive training enhances balance and working memory in young adult women with low physical activity over the short period. This dual-task training approach presents a promising strategy for promoting balance and cognitive function in this population. Description: สามารถเข้าถึงบทความฉบับเต็ม (Full Text) ได้ที่ : https://he01.tci-thaijo.org/index.php/bulletinAMS/article/view/278095/190567

Sensory reweighting patterns and fall history in early geriatric age: implications for physiotherapy assessment

2026-07-12T20:00:44Z

Title: Sensory reweighting patterns and fall history in early geriatric age: implications for physiotherapy assessment Authors: Wittaya Duangnga; วิทยา ดวงงา Abstract: Background: Falls are a leading cause of injury and functional decline among older adults. Although fall rates increase with advanced age, early alterations in postural control may already be present in early geriatric age. Postural stability depends on dynamic sensory reweighting among visual, somatosensory, and vestibular inputs. Subtle impairments in this adaptive process may not be detected during routine quiet standing under stable conditions. This study aims to investigate sensory reweighting indices based on center of pressure (CoP) sway area under four standardized sensory conditions and determine their ability to discriminate fall history in early geriatric age. Methods: This secondary cross-sectional analysis included 34 adults aged 60–70 years (9 fallers, 25 non-fallers). Postural sway was recorded during quiet standing under four conditions: firm surface eyes open (Firm-EO), firm eyes closed (Firm-EC), foam eyes open (Foam-EO), and foam eyes closed (Foam-EC). Three indices were calculated: Visual Dependency Index (VDI), Somatosensory Vulnerability Index (SVI), and Postural Adaptability Index (PAI). Between-group differences were assessed using the Mann–Whitney U test. Logistic regression and receiver operating characteristic (ROC) analyses were performed to explore associations and discriminative performance. Results: Fallers demonstrated significantly higher PAI values than non-fallers (P = 0.024), indicating reduced adaptability under escalating sensory challenge. SVI under eyes-closed conditions approached significance (P = 0.055). ROC analysis showed acceptable discrimination for PAI (AUC = 0.756, 95% CI 0.569–0.942, P = 0.007) and SVI_EC (AUC = 0.720, P = 0.011). Logistic regression revealed a positive, though non-significant, association between PAI and fall history (OR = 1.13, P = 0.075). Conclusions: Early geriatric age with fall history exhibit impaired postural adaptability under multisensory challenge. Sensory-derived adaptability indices may provide additional insight beyond absolute sway magnitude and support early identification of fall vulnerability. However, their role in fall risk identification requires further validation. Description: สามารถเข้าถึงบทความฉบับเต็ม (Full Text) ได้ที่ : http://www.antpublisher.com/index.php/APT/article/view/1014/1286

ทำไม…ต้องแอโรบิก

2026-06-22T20:01:42Z

Title: ทำไม…ต้องแอโรบิก Authors: พรรัชนี วีระพงศ์; Pornratshanee Weerapong