[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-209121-en":3,"doc-seo-209121-105":30,"detail-sidebar-cat-0-en-105":90},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":4,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},209121,7971461740909,"Levi","https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d",7,"Healthcare","Rapid Recovery in Chronic Balance Disordered Using Bal Ex Stand up and Optokinetic Stimulation","Chronic balance disorder commonly affects psychological state and quality of life, and medication is not an optimal management strategy in this context. A 46-year-old female with a 10-year history of chronic balance problems experienced vertigo and dizziness worsening one week prior to assessment, accompanied by anxiety and depression symptoms and severe limitations in multitask, head position, daily activities, and driving. Balance assessment showed severe imbalance range, with no diplopia, hearing loss, or fever.","International Medical Journal Vol. 26, No. 6, pp. 535-536 , December 2019 535  \nCASE REPORT  \nRapid Recovery in Chronic Balance Disordered Using Bal Ex Stand up and Optokinetic Stimulation  \nZainun Z ., Ruslan N. S., Ghani S.M .  \nABSTRACT  \nBackground: Chronic balance is one of the common problems that will affect psychological and people's quality of life. In this case, medication is not an optimum management.  \nCase Report: A case of a 46-year old female patient, who suffered from a 10-year chronic balance disorder associated with the psychological symptom (anxiety and depression) . Patient also complains having vertigo for 10 years and her dizziness becomes worsened 1 week ago (after 10 years from 1st attack) . She experienced no diplopia, hearing loss and no fever. Balance assessment was done and analysis showed that her imbalance level was in a severe range.  \nConclusions: In a case of chronic balance disorder, a combination of balance rehabilitation using Bal ex stand up and optokinetic stimulation can result in rapid recovery of balance symptoms.  \nKEY WORDS  \nBal ex stand up, chronic balance problem, imbalance, dizziness, optokinetic stimulation  \nINTRODUCTION  \nVertigo is one of the common symptoms among vestibular disordered patients and one of the familiar complaint in an emergency clinic. Several studies showed the prevalence of vertigo was higher (1-10%)(Vanni, [S.et](S.et) al., 2015) while others showed the prevalence of vertigo and dizziness is around 7.4% in the general population with the age's range of 18 to 97 years old. There is a high prevalence of repeated balance symptom reported that almost 88% give a great impact to sufferers. There are increasing case of medical leave and medical follow-up because of this chronic balance problem (Alsalman, O. et al., 2016)  \nVisual vertigo is one of the common symptoms among vestibular disordered patients. Rehabilitation using optokinetic stimulation is oneof the alternative treatment for vestibular disordered patients. Improvement of the postural control seen among vestibular disordered patients and presbyastasia post optokinetic stimulation (Semont et al.,  \n1992; Vitte et al., 1994) . The scientific value of this rehabilitation is to promote central nervous system adaptation when they faced complex and sensory conflicts in their daily life. Virtual reality also one of latest alternative therapy for traumatic brain injury and vestibular disordered cases as a therapy (McComas and Sveistrup, 2002; Whitney et al. , 2002) .  \nZainun and her colleagues (2015) had developed the Bal ex stand manual footplate for balance rehabilitation. This module was adapted from the BAL EX module that contain customized cawthorned cookseey exercise (Pavlou et al., 2004) and prayer movement. Optokinetic stimulation using disco ball lamp incorporate during this BAL EX Stand up therapy.  \nFigure 1. COMPARISON BETWEEN PRE AND POST INTERVENTIONS  \n\n| TEST | PRE-INTERVENTION | POST-INTERVENTION |\n| --- | --- | --- |\n| Malay Version Vertigo Symptom Scale (MVVSS) | 33/56 | 11/56 |\n| Beck Anxiety Inventory-Malay (BAI) | 6/63 | 1/63 |\n| Beck Depression Inventory-Malay (BDI) | 4/60 | 4/60 |\n| GAN SOP | Condition 1 : Normal\u003Cbr>Condition 2 : Normal\u003Cbr>Condition 3 : Normal\u003Cbr>Condition 4 : Normal\u003Cbr>Condition 5 : Normal\u003Cbr>Condition 6 : 19 second to right\u003Cbr>Condition 7 : Normal | Condition 1 : Normal\u003Cbr>Condition 2 : Normal\u003Cbr>Condition 3 : Normal\u003Cbr>Condition 4 : Normal\u003Cbr>Condition 5 : Normal\u003Cbr>Condition 6 : Normal\u003Cbr>Condition 7 : Normal |\n\nReceived on February 28, 2018 and accepted on March 5, 2019  \nDepartment of Audiology, School of Health Sciences, Health Campus, University Sains Malaysia 16150 Kota Bharu, Kelantan, Malaysia  \nCorrespondence to: Zuraida Zainun  \n(e-mail: [drzuraida@yahoo.com](drzuraida@yahoo.com))  \nC 2019 Japan Health Sciences University  \n& Japan International Cultural Exchange Foundation  \nPATIENT'S DESCRIPTIONS  \nCase Report: A case of a 46-year old female patient, who s","cbCaiuuTOz7VzLEN","https://ap.wps.com/l/cbCaiuuTOz7VzLEN","pdf",618072,1,2,"English","en",105,"# Case Report\n## Abstract\n## Introduction\n## Patient's Descriptions\n## Assessment\n### Pre-Intervention\n### Intervention\n## Figure 1 - Comparison Between Pre and Post Interventions\n## Conclusions","[{\"question\":\"What condition is addressed in the case report?\",\"answer\":\"The case report addresses chronic balance disorder with long-term balance problems and associated psychological symptoms, including anxiety and depression.\"},{\"question\":\"What intervention combination is used to improve symptoms?\",\"answer\":\"Balance rehabilitation using Bal ex stand up is combined with optokinetic stimulation to target balance symptoms and promote recovery.\"},{\"question\":\"How were balance and psychological symptoms assessed before intervention?\",\"answer\":\"Assessment included Malay Version Vertigo Symptom Scale (MVVSS) and Beck Anxiety Inventory-Malay (BAI) and Beck Depression Inventory-Malay (BDI), with severe imbalance identified on MVVSS and mild anxiety with minimal depression on the Beck inventories.\"}]","Rapid Recovery in Chronic Balance Disordered Using Bal Ex Stand up and Optokinetic Stimulation | 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