{"title":"The effect of proprioceptive vestibular rehabilitation on sensory-motor symptoms and quality of life.","authors":"Gülfem Ezgi Özaltın, Burcu Talu, Tuba Bayındır","doi":"10.1055/s-0044-1790568","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong> Peripheral vestibular hypofunction (PVH) is characterized by balance and gait disorders and vestibulo-autonomic findings. The vestibular system and proprioceptive system work together to regulate sensorimotor functions. Vestibular exercises are effective in PVH, but their superiority over each other is still unclear.</p><p><strong>Objective: </strong> This study aims to examine the effect of proprioceptive vestibular exercises on patients with PVH.</p><p><strong>Methods: </strong> 30 individuals with unilateral PVH were assigned to 3 groups. Group 1 received proprioceptive vestibular rehabilitation, group 2 received standard vestibular rehabilitation. Both groups were given standard vestibular exercises as home exercises. No exercise was applied to the group 3. Patients were evaluated in terms of balance, functional mobility, posture, sensory profile, and quality of life.</p><p><strong>Results: </strong> Although there was a significant intra-group difference in balance, functional mobility, and quality of life results in all groups (<i>p</i> < 0.05), the difference between groups was generally in favor of group 1 (<i>p</i> < 0.05). There was a significant difference between the groups in the posture analysis results (<i>p</i> < 0.05), while there was a significant difference in the 1st group (<i>p</i> < 0.05). There was a significant difference between the groups in the results of sensory sensitivity, sensory avoidance, and low recording (<i>p</i> < 0.05). There was no significant difference between the groups in sensory-seeking results (<i>p</i> > 0.05). There was a significant difference in quality of life between and within groups (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong> Proprioceptive vestibular rehabilitation is an effective method in PVH. We think that our study will guide clinicians and contribute to the literature.</p><p><strong>Trial registration: </strong> NCT04687371.</p>","PeriodicalId":8694,"journal":{"name":"Arquivos de neuro-psiquiatria","volume":"82 11","pages":"1-10"},"PeriodicalIF":1.0000,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arquivos de neuro-psiquiatria","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1055/s-0044-1790568","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/24 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"NEUROSCIENCES","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Peripheral vestibular hypofunction (PVH) is characterized by balance and gait disorders and vestibulo-autonomic findings. The vestibular system and proprioceptive system work together to regulate sensorimotor functions. Vestibular exercises are effective in PVH, but their superiority over each other is still unclear.
Objective: This study aims to examine the effect of proprioceptive vestibular exercises on patients with PVH.
Methods: 30 individuals with unilateral PVH were assigned to 3 groups. Group 1 received proprioceptive vestibular rehabilitation, group 2 received standard vestibular rehabilitation. Both groups were given standard vestibular exercises as home exercises. No exercise was applied to the group 3. Patients were evaluated in terms of balance, functional mobility, posture, sensory profile, and quality of life.
Results: Although there was a significant intra-group difference in balance, functional mobility, and quality of life results in all groups (p < 0.05), the difference between groups was generally in favor of group 1 (p < 0.05). There was a significant difference between the groups in the posture analysis results (p < 0.05), while there was a significant difference in the 1st group (p < 0.05). There was a significant difference between the groups in the results of sensory sensitivity, sensory avoidance, and low recording (p < 0.05). There was no significant difference between the groups in sensory-seeking results (p > 0.05). There was a significant difference in quality of life between and within groups (p < 0.05).
Conclusion: Proprioceptive vestibular rehabilitation is an effective method in PVH. We think that our study will guide clinicians and contribute to the literature.
背景：外周前庭功能减退症（PVH）的特征是平衡和步态障碍以及前庭-自主神经症状。前庭系统和本体感觉系统共同调节感觉运动功能。前庭运动对 PVH 有一定疗效，但其优劣仍不明确：本研究旨在探讨本体感觉前庭运动对 PVH 患者的影响。第一组接受本体感觉前庭康复训练，第二组接受标准前庭康复训练。两组患者均在家进行标准前庭运动。第 3 组不进行任何锻炼。对患者的平衡能力、功能活动度、姿势、感觉状况和生活质量进行了评估：尽管各组在平衡能力、功能活动度和生活质量方面存在明显的组内差异（P P P P P > 0.05），但在生活质量方面存在明显的组间差异（P P P P > 0.05）。组间和组内的生活质量有明显差异（P 结论：前庭感觉康复治疗对患者的生活质量有重要影响：前庭知觉康复治疗是一种治疗前庭缺损的有效方法。我们认为，我们的研究将为临床医生提供指导，并为相关文献做出贡献：NCT04687371.
期刊介绍：
Arquivos de Neuro-Psiquiatria is the official journal of the Brazilian Academy of Neurology. The mission of the journal is to provide neurologists, specialists and researchers in Neurology and related fields with open access to original articles (clinical and translational research), editorials, reviews, historical papers, neuroimages and letters about published manuscripts. It also publishes the consensus and guidelines on Neurology, as well as educational and scientific material from the different scientific departments of the Brazilian Academy of Neurology.
The ultimate goals of the journal are to contribute to advance knowledge in the areas of Neurology and Neuroscience, and to provide valuable material for training and continuing education for neurologists and other health professionals working in the area. These goals might contribute to improving care for patients with neurological diseases. We aim to be the best Neuroscience journal in Latin America within the peer review system.
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