25th Anniversary International Scientific Conference-2016

Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/12769

Plenaries, Symposia and free papers presented at the 25th Anniversary International Scientific Conference, held on 6-8th April 2016, Faculty of Medicine, University of Kelaniya to celebrate the Silver Jubilee Anniversary of Faculty of Medicine

Browse

Now showing 1 - 2 of 2

Effectiveness of gaze stability exercises on perceived disability in patients with chronic dizziness from peripheral vestibular dysfunction in National Hospital of Sri Lanka
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Colonne, C.A.U.T.; Chandrasekara, J.M.A.U.
BACKGROUND: Gaze Stability Exercises (GSE) are commonly used, effective and simple vestibular rehabilitation exercises used in the treatment of dizziness from peripheral vestibular disorders (PVD). However, due to lack of trained therapists and facilities, vestibular rehabilitation is not used widely in Sri Lankan settings. OBJECTIVES: To determine the effectiveness of home-based GSE to improve the functional, emotional, physical and total disability perceived by patients with chronic dizziness from PVD. METHODS: This single group pretest - post test study was conducted at the Vertigo Clinic of ENT unit, National Hospital of Sri Lanka. Eighteen patients with PVD were treated using a home-based GSE program, designed for practice on a daily basis, three times per day over a six-week period. Patients were evaluated at pre and post treatment assessments by Dizziness Handicap Inventory (DHI). The pre and post treatment DHI mean scores were compared by paired sample t-test and Wilcoxon signed rank test, and DHI severity was compared by McNemar-Bowker test. RESULTS: Significant improvement in DHI mean scores (emotional, functional, physical, and total) and DHI severity were observed in patients after the exercise program (P< 0.05). CONCLUSIONS: The results of this study suggest that short but intense home-based GSE program is effective in improving disability perceived by patients with PVD. However, this exercise program needs to be further customized to the patients’ rate of progression and the factors aggravating their dizziness.
Parental expectations and experiences of their child’s cochlear implantations
(Faculty of Medicine, University of Kelaniya, Sri Lanka, 2016) Jayawaruni, U.C.; Chandrasekara, J.M.A.U.
BACKGROUND: Cochlear Implantation (CI) has become a most popular amplification option for children with severe, to profound pre-lingual deafness, in both developed and developing countries. Although several studies have done in other countries in terms of parental perspectives of CI, enough studies have not done to describe relationships of expected and true outcomes of CI in Sri Lankan context. OBJECTIVES: To describe parental pre-implant expectations and post-implant experiences of their child’s CI. METHODS: A descriptive cross-sectional study design was implemented, employing a self-administered questionnaire. A purposive sampling method was utilized for recruiting parents from a special pre-school setting and two cochlear rehabilitation centers. The survey compared parents’ pre-implant expectations with their post-implant experiences in five domains: communication abilities, general function, social skills, academic achievements and happiness and well-being. Results: The participants comprised of 44 child/parent pairs of 38 mothers and 6 fathers. There was no statistically significant difference between parents’ pre-implant expectations and post-implant experiences, except in the communication abilities domain (P<0.05). CONCLUSIONS: The overall findings indicated that the majority of parents’ pre-implant expectations met with their post-implant experiences. Parents were satisfied with their decision to proceed with CI and accordingly the anticipated improvements achieved by their children after CI. The study suggested that parents should be supported to synthesize more realistic expectations to perceive the outcomes optimistically as child’s progression takes time.