Preprint Article Version 1 This version is not peer-reviewed

Limits of Stability during a Therapeutic Exercise Intervention for Instability: Progression, Responders’ and Non-Responders’ Analysis and Predictors

Version 1 : Received: 24 July 2024 / Approved: 25 July 2024 / Online: 25 July 2024 (07:15:13 CEST)

How to cite: Flix-Díez, L.; Blanco-Pareja, M.; Pérez-Fernández, N. Limits of Stability during a Therapeutic Exercise Intervention for Instability: Progression, Responders’ and Non-Responders’ Analysis and Predictors. Preprints 2024, 2024072009. https://doi.org/10.20944/preprints202407.2009.v1 Flix-Díez, L.; Blanco-Pareja, M.; Pérez-Fernández, N. Limits of Stability during a Therapeutic Exercise Intervention for Instability: Progression, Responders’ and Non-Responders’ Analysis and Predictors. Preprints 2024, 2024072009. https://doi.org/10.20944/preprints202407.2009.v1

Abstract

Background/Objectives: Instability is one of the main symptoms in patients with vestibular and neurological disorders and therapeutic exercise interventions are increasing its popularity as a way of treatment for those. Additionally, the limits of stability measurement are known to be a good tool for balance evaluation and monitoring of this interventions. The aim of this work is to understand better how a specific protocol provokes changes on this variable and study the characteristics of those who respond and non-respond to it. Methods: A retrospective study was developed with the data of 40 patients treated in the Otorhinolaryngology department in Clínica Universidad de Navarra (Madrid, Spain). Those had an initial reduction in limits of stability, completed the protocol proposed with home-based and hospital-based exercises with frequent limits of stability remeasurement, and assist to the follow-up retest after 1-2 months. Results: A progressive improvement in limits of stability measure was developed through the intervention and partially retained at follow-up visit. Differences were found between responders and non-responders patients. More specifically an initial measure of the limits of stability was able to differentiate those groups with a cut-off data of 56cm2. Conclusions: The protocol proposed was able to induce motor learning in patients included in this study with good retention after 1-2 months. Besides, there is some variability in how patients respond to the treatment. Age and diagnostic should be considered, and an interesting cut-off data for clinal decision making was found.

Keywords

exercise therapy; instability; limits of stability; rehabilitation; prognosis; physical therapy modalities

Subject

Public Health and Healthcare, Physical Therapy, Sports Therapy and Rehabilitation

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