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Summary

What it measures:

This is a timed test that systematically measures the influence of visual, vestibular, and somatosensory input on standing balance (Cohen, Blatchly, & Gombash, 1993).

Target Population:

This summary contains information on the use of CTSIB in individuals with primary vestibular hypofunction. Those with secondary diagnoses (such as ALS) are not included.

(Cohen, et al., 2014)

The CTSIB is relevant for the populations with the following diseases or conditions (Mouton, Tappan, 2014):

  • Alzheimer disease
  • Athletes s/p concussion
  • Chronic whiplash injury
  • Fall risk in older adults
  • Parkinson disease 
  • Pediatrics
  • Peripheral neuropathy
  • Spinal cord injury
  • Stroke
  • Traumatic brain injury
  • Vestibular disorders

 

Categories of age for use include:

  • Children, age 6-12 years
  • Adolescents, age 13-17 years
  • Adults, age 18-64 years
  • Older adults, age 65+.

Taskforce Recommendations

The Vestibular EDGE Taskforce (VEDGE) of the Academy of Neurologic Physical Therapy provides recommendations for use of CTSIB.  All recommendations were developed by a panel of research and clinical experts using a modified Delphi process.

  Abbreviations:

HR

Highly Recommend

R

Recommend

LS / UR

Reasonable to use, but limited study in target group / Unable to Recommend

NR

Not Recommended

 

Recommendations for use based on acuity level of the patient:

  Acute
(CVA < 2 months post)
(SCI < 1 month post)
(Vestibular < 6 months post)
Subacute
(CVA 2 to 6 months)
(SCI 3 to 6 months)
Chronic
(> 6 months)

VEDGE

LS

LS

LS

 

Recommendations based on vestibular diagnosis

 PeripheralCentralBenign Paroxysmal Positional Vertigo (BPPV)Other>

VEDGE

LS

LS

LS

LS

 

Recommendations for entry-level physical therapy education and use in research:

 Students should learn to administer this tool? (Y/N)Students should be exposed to tool? (Y/N)Appropriate for use in intervention research studies? (Y/N)Is additional research warranted for this tool (Y/N)

VEDGE

Yes

Yes

Yes

Yes

 (Scherer MR, et al 2015)


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