Vestibular Rehabilitation Therapy Outcomes in Patients With Persistent Postural-Perceptual Dizziness
Vestibular Rehabilitation Therapy Outcomes in Patients With Persistent Postural-Perceptual Dizziness
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DOI：
10.1177/0003489418823017
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发表时间：
2019-04-01
影响因子：
1.4
通讯作者：
Hassaan, Mohammad R.
中科院分区：
文献类型：
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作者：
Nada, Ebtessam H.;Ibraheem, Ola A.;Hassaan, Mohammad R.
目的：持续性姿势知觉性头晕（PPPD）是眩晕的一个重要类别。药物治疗和心理治疗可以方便地控制症状。然而，这些管理策略可能分别产生不便的副作用和短期缓解。前庭康复治疗 (VRT) 是一种自行进行的习惯化计划，可以根据受试者的需求进行个性化设置，以充分缓解症状而不产生副作用。本研究旨在测试 VRT 对 PPPD 患者的效果。方法：通过排除器质性前庭病变，参与者被诊断为 PPPD。该研究涉及 2 组 PPPD：第一组接受 VRT 治疗，第二组接受 VRT 加安慰剂治疗。头晕障碍量表（DHI）是一种自我评估量表，用于评估 VRT 的结果。结果：VRT 后，两组 DHI 的功能、身体和总分均显着下降。添加安慰剂没有产生补充结果。与受益于 VRT 的患者相比，未受益于 VRT 的患者 PPPD 持续时间明显更长、更复杂的加重因素、更多的复合 VRT 练习以及更高的 DHI 评分。结论：定制 VRT 充分减轻了 PPPD 受试者的症状并提高了生活质量。
Objectives: Persistent postural-perceptual dizziness (PPPD) represents an important category of vertigo. Medical treatment and psychotherapy provide convenient control of symptoms. However, these management strategies can have inconvenient side effects and short-term relief, respectively. Vestibular rehabilitation therapy (VRT) is a self-conducted habituation program that can be personalized to the subject's needs to give adequate symptom relief without side effects. The present study aims to test the effect of VRT on patients with PPPD.Methods: Participants were diagnosed as having PPPD by the exclusion of organic vestibular lesions. The study involved 2 groups with PPPD: Group I, treated with the VRT, and Group II, treated with the VRT plus placebo. The Dizziness Handicap Inventory (DHI), a self-assessment scale, was used to evaluate the VRT outcomes.Results: There was a significant decrease in functional, physical, and total scores on the DHI in both groups after VRT. Adding the placebo did not have supplementary outcomes. The patients who did not benefit from the VRT had a significantly longer duration of PPPD, more complex aggravating factors, more composite VRT exercises, and a higher DHI score than the patients who benefited from VRT.Conclusions: Customized VRT adequately reduced symptoms and improved quality of life in subjects with PPPD.