Contextual sensory integration training vs. traditional vestibular rehabilitation: a pilot randomized controlled trial.
Contextual sensory integration training vs. traditional vestibular rehabilitation: a pilot randomized controlled trial.
复制标题
DOI：
10.1186/s12984-023-01224-6
复制
发表时间：
2023-08-12
影响因子：
5.1
通讯作者：
Lubetzky, Anat V.
中科院分区：
文献类型：
--
作者：
Kelly, Jennifer;Harel, Daphna;Krishnamoorthy, Santosh;Fu, Gene;Morris, Brittani;Medlin, Andrew;Mischinati, Sarah;Wang, Zhu;Sutera, John;Perlin, Ken;Cosetti, Maura;Lubetzky, Anat V.
我们为前庭康复创建了一个临床虚拟现实应用程序。我们的应用程序针对情境感觉整合（CSI）其中患者沉浸在安全的、日益具有挑战性的环境中同时进行各种任务（例如，转身，行走）。这项初步研究的目的是建立一项随机对照试验的可行性，比较C.S.I.传统的前庭康复训练。30例前庭功能障碍患者完成了头晕障碍量表（DHI）、活动特异性平衡信心量表（ABC）、视觉眩晕模拟量表（VVAS）、功能性步态评估（FGA）、计时起身行走（TUG）和四方形步测试（FSST）。在初步评估后，患者被随机分为8周（每周一次，在诊所+家庭锻炼计划）的传统前庭康复或C.S.I.训练6例患者因新冠肺炎大流行而不得不停止参与，6例因其他原因退出（每组3例）。传统组10例患者和C.S.I组8例患者完成了研究。我们采用意向治疗分析。在干预后，我们观察到时间的显著主效应，而组或组与时间的交互作用对DHI没有主效应（平均差异-18.703，95% CI [-28.235，-9.172]，p = 0.0002），ABC（8.556，[0.938，16.174]，p = 0.028），VVAS，（-13.603，[-25.634，-1.573]，p = 0.027）和FGA（6.405，[4.474，8.335]，p < 0.0001）。TUG和FSST未观察到变化。患者的症状和功能改善后，前庭康复方法。C.S.I训练似乎与传统康复相当，但并不上级。本研究（NCT 04268745）在clincaltrials.gov上注册，可在https://clinicaltrials.gov/ct2/show/NCT04268745上查阅。在线版本包含补充材料，可通过10.1186/s12984-023-01224-6获得。
We created a clinical virtual reality application for vestibular rehabilitation. Our app targets contextual sensory integration (C.S.I.) where patients are immersed in safe, increasingly challenging environments while practicing various tasks (e.g., turning, walking). The purpose of this pilot study was to establish the feasibility of a randomized controlled trial comparing C.S.I. training to traditional vestibular rehabilitation. Thirty patients with vestibular dysfunction completed the Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABC), Visual Vertigo Analog Scale (VVAS), Functional Gait Assessment (FGA), Timed-Up-and-Go (TUG), and Four-Square Step Test (FSST). Following initial assessment, the patients were randomized into 8 weeks (once per week in clinic + home exercise program) of traditional vestibular rehabilitation or C.S.I. training. Six patients had to stop participation due to the covid-19 pandemic, 6 dropped out for other reasons (3 from each group). Ten patients in the traditional group and 8 in the C.S.I group completed the study. We applied an intention to treat analysis. Following intervention, we observed a significant main effect of time with no main effect of group or group by time interaction for the DHI (mean difference − 18.703, 95% CI [-28.235, -9.172], p = 0.0002), ABC (8.556, [0.938, 16.174], p = 0.028), VVAS, (-13.603, [-25.634, -1.573], p = 0.027) and the FGA (6.405, [4.474, 8.335], p < 0.0001). No changes were observed for TUG and FSST. Patients’ symptoms and function improved following either vestibular rehabilitation method. C.S.I training appeared comparable but not superior to traditional rehabilitation. This study (NCT04268745) was registered on clincaltrials.gov and can be found at https://clinicaltrials.gov/ct2/show/NCT04268745. The online version contains supplementary material available at 10.1186/s12984-023-01224-6.
登录
查看更多内容
DOI：
10.1016/j.apmr.2015.02.032
发表时间：
2015-07-01
影响因子：
4.3
作者：
Meldrum, Dara;Herdman, Susan;McConn-Walsh, Rory
通讯作者：
McConn-Walsh, Rory
DOI：
10.1097/mrr.0000000000000244
发表时间：
2017-12-01
影响因子：
1.7
作者：
Micarelli, Alessandro;Viziano, Andrea;Alessandrini, Marco
通讯作者：
Alessandrini, Marco
DOI：
10.3233/ves-220201
发表时间：
2022
期刊：
Journal of vestibular research : equilibrium & orientation
影响因子：
--
作者：
Strupp M;Bisdorff A;Furman J;Hornibrook J;Jahn K;Maire R;Newman-Toker D;Magnusson M
通讯作者：
Magnusson M
影响因子：
4.8
作者：
Gautschi, Oliver P.;Stienen, Martin N.;Smoll, Nicolas R.
通讯作者：
Smoll, Nicolas R.
影响因子：
4
作者：
Lajoie, Y;Gallagher, SP
通讯作者：
Gallagher, SP