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Chronic balance disorder is one of the common problems that will affect people quality of life. Persistence of the problem will lead to more severe impairment in quality of life and daily activities. In this case report, a case of a 44-year old female patient, who suffered from one year long chronic balance disorder associated with the psychological symptom was presented. Dizziness started to worsen 3 months ago with severe restriction of daily activities such as cooking, house cleaning and climbing a stair. The patient had complaints of chronic balance disorder, imbalance, floating and spinning sensation, and tinnitus in her right ear. She was mainly experiencing difficulty during her daily activities when she was moving her head and phobia of crowded and small place. Balance assessment was done before and after the intervention. Malay version Vertigo symptom scale, Beck Anxiety Inventory-Malay and Beck Depression Inventory-Malay were used before and after rehabilitation. The patient then underwent home-based video module for balance rehabilitation termed as BAL EX combined with physiotherapist follow up. All clinical balance assessments were normal, but positive findings were found in Fukuda test and GAN SOP test. Malay version of vertigo symptom scale (MVVSS) analysis showed that her imbalance level was in a severe range. Combination of home-based and intensive physical vestibular rehabilitation which is applied in patients with chronic balance disorders can result in rapid recovery of balance symptoms. Further research needs to be done among different types of chronic balance disorders with varying longevities in order to have a better understanding of these results.

medeniyet medical journal

Rapid recovery of a patient with chronic balance disorders treated with combination of home-based therapy and regular physiotherapist follow-up: A case report