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Effectiveness of vestibular rehabilitation in patients with vestibular dysfunction

机译:前庭功能障碍患者前庭康复的有效性

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摘要

BackgroundVertigo and instability due to vestibular dysfunction have been a frequent cause of work absence, with a clearly upwardtendency observed in recent years. Uncompensated vestibular hypofunction requires vestibular rehabilitation, but access to this formof treatment remains limited. Therefore, innovative methods of rehabilitation utilizing new technologies, which could promote thistherapy, are searched for. Virtual reality (VR) is becoming a popular method of rehabilitation used, for example, in the treatment ofstroke or schizophrenia. The aim of this study was to compare and evaluate 2 methods of vestibular rehabilitation in patients withunilateral vestibular disorders.Material and MethodsForty-three patients with unilateral vestibular disorders diagnosed at theBalance Disorders Unit, 1st Otolaryngology Department of the Medical University of Lodz, were included in this study. The patients,divided into 2 groups, received 10 sessions of rehabilitation. Group 1 (N = 22) was rehabilitated using a VR unit consisting of a forceplateand a motion sensor, while Group 2 (N = 21) performed training on a static posturography platform under physiotherapistsupervision. The patients were examined at the baseline, 1 month and 3 months after rehabilitation. During each assessment, posturographywas performed which recorded the center of pressure (CoP) displacement. The patients also filled out a questionnaire toquantify vertigo symptoms.ResultsThe CoP parameters decreased in both groups, with no superiority of either form of training. Analysis of the subjective symptoms reduction revealed a decrease in the Vertigo Syndrome Scale – short form (VSS-sf) score in thesecond evaluation in both groups, which was slightly greater in the VR group. The improvement remained stable 3 months after rehabilitation.ConclusionsBoth forms of rehabilitation are effective in increasing postural stability and reducing subjective symptoms.Virtual reality training achieves a slightly greater subjective improvement. Med Pr. 2019;70(5):545–53
机译:BackgrestVergo和由于前庭功能障碍导致的不稳定性是工作缺席的常见原因,近年来观察到明显上下。未补偿的前庭萎缩需要前庭康复,但访问此素材处理仍然有限。因此,正在寻找利用新技术的康复的创新方法,这些方法可以促进闭塞。虚拟现实(VR)正在成为一种流行的康复方法,例如,在治疗猩猩或精神分裂症中。本研究的目的是比较和评估双侧前庭疾病患者的前庭康复方法。中包括洛登医学大学第1届梗死疾病部门诊断的单侧前庭疾病的三个单侧前庭障碍患者。这项研究。患者分为2组,收到了10个康复会。使用由ForcePlatean A运动传感器组成的VR单元来恢复第1组(N = 22),而第2组(N = 21)在物理调节仪下的静态后训练平台进行训练。在康复后1个月和3个月内检查患者。在每次评估期间,进行了后环境措施,记录了压力中心(COP)位移。患者还填写了调查问卷Toqualify眩晕症状。对于两组的COP参数进行降低,无需任何形式的培训。对照的主观症状的分析显示,在两组的两组中,在两组中的评估中的眩晕综合征尺度(VSS-SF)评分降低,VR组在稍微大大。改进保持稳定康复rehabilitation.ConclusionsBoth形式后3个月都有效地提高姿势稳定性,减少主观symptoms.Virtual现实训练实现了稍大主观改善。 PR。 2019; 70(5):545-53

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