Physical therapy for central vestibular dysfunction
Physical therapy for central vestibular dysfunction
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DOI：
10.1016/j.apmr.2005.08.003
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发表时间：
2006-01-01
影响因子：
4.3
通讯作者：
Furman, JM
中科院分区：
文献类型：
--
作者：
Brown, KE;Whitney, SL;Furman, JM
目的：为了确定前庭物理治疗（PT）是否会改善中枢性前庭功能障碍患者的功能结局，设计：回顾性病例系列，设置：门诊PT clinic.Participants：48例中枢性前庭功能障碍患者符合纳入标准，在此回顾性图表审查。48名患者被分为不同的亚组，包括中枢性前庭病变，小脑功能障碍，中风，混合性中枢和外周性前庭病变，以及创伤后中枢性疾病。干预：患者接受定制设计的PT程序治疗，平均5次访视，平均5个月。患者完成了特定活动平衡信心量表、头晕障碍量表（DHI）、动态步态指数、定时起身和行走测试以及五次坐立（FTSTS）测试。在整个组的每个评估指标中，初始评估和出院之间存在显著差异。进行事后检验，以确定诊断的任何评估指标是否存在显著差异。中枢前庭诊断亚组被证明影响干预前后功能和残疾测量的差异（P
Objective: To determine if vestibular physical therapy (PT) leads to improved functional outcomes in people with central vestibular dysfunction.Design: Retrospective case series.Setting: Outpatient PT clinic.Participants: Forty-eight patients with central vestibular dysfunction met the criteria for inclusion in this retrospective chart review. The 48 patients were divided into various subgroups including central vestibulopathy, cerebellar dysfunction, stroke, mixed central and peripheral vestibulopathy, and posttraumatic central disorders.Intervention: Patients were treated with a custom-designed PT program for a mean of 5 visits over an average of 5 months.Main Outcome Measures: Patients completed the Activities-Specific Balance Confidence Scale, the Dizziness Handicap Inventory (DHI), the Dynamic Gait Index, the Timed Up & Go test, and the Five Times Sit-to-Stand (FTSTS) Test.Results: Significant differences were demonstrated between initial evaluation and discharge in each of the assessment measures for the entire group. Post hoc tests were performed to determine if there was a significant difference in any of the assessment measures by diagnosis. Central vestibular diagnostic subgroup was shown to affect pre- to postintervention differences in the functional and disability measures (P