Changes in cognitive function in patients with intractable dizziness following vestibular rehabilitation
Changes in cognitive function in patients with intractable dizziness following vestibular rehabilitation
复制标题
顽固性头晕患者前庭康复后认知功能的变化
作者：
N. Sugaya;Miki Arai;F. Goto
本研究的目的是调查前庭康复后顽固性头晕患者认知功能的变化，包括视觉空间能力、注意力和执行功能。还探讨了认知功能改善与头晕相关变量和情绪困扰之间的相关性。在住院 5 天期间，参与者接受了前庭康复计划的培训。参与者完成了包括头晕障碍量表（DHI）、医院焦虑和抑郁量表（HADS）和追踪测试（TMT）在内的问卷，用于评估认知功能。入院前、入院后1个月、入院后4个月进行客观头晕严重程度指标重心波动测量和计时启动测试（TUG）。前庭康复后，参与者的 TMT、DHI、HADS 和 TUG 评分都有显着改善。每个时间点变量之间的相关分析表明TMT评分与基线时的TUG呈正相关。 TUG 和 TMT 评分变化之间的相关性不显着。 TUG评分的改善程度与TMT评分的改善程度不存在线性关系。然而，这些相关结果与多重插补数据集中的结果并不完全一致。
The purpose of the present study was to investigate changes in cognitive functions, including visuospatial ability, attention, and executive function in patients with intractable dizziness following vestibular rehabilitation. The correlations between improvements in cognitive function and dizziness-related variables and emotional distress were also explored. During hospitalization for 5 days, participants were trained on a vestibular rehabilitation program. Participants completed questionnaires including the Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS), and Trail Making Test (TMT), which were used to assess cognitive function. The center of gravity fluctuation measurement and timed up and go test (TUG), which were objective dizziness severity indexes, were performed before, 1 month after, and 4 months after hospitalization. Following vestibular rehabilitation, participants exhibited a significant improvement in the TMT, DHI, HADS, and TUG scores. Correlation analysis between the variables at each time point indicated that TMT scores positively correlated with TUG at baseline. The correlation between changes observed in the TUG and TMT scores was not significant. The degree of improvement of the TUG score did not bear a linear relationship with that of the TMT scores. However, these correlation results were not completely consistent with those in the multiply imputed dataset.