Impact of vestibular rehabilitation therapy on quality of life and cognitive function in individuals with chronic dizziness or vertigo.

IF 1.9 3区 医学 Q2 OTORHINOLARYNGOLOGY
Anupriya Ebenezer, Kaushlendra Kumar, Mohan Kumar Kalaiah, Deviprasad Dosemane, M Ramiz Malik
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引用次数: 0

Abstract

Purpose: Dizziness and vertigo are among the most frequently reported complaints among patients across various medical and healthcare specialties. Studies have revealed that they are associated with cognitive impairments, particularly in older adults. While vestibular rehabilitation therapy (VRT) alleviates physical symptoms, its effects on cognitive function remain underexplored. Hence, this study aims to assess the impact of VRT on the quality of life and cognitive performance of individuals with chronic dizziness or vertigo.

Methods: This was a randomized control trial in which 60 participants experienced chronic dizziness or vertigo. The participants were assigned to either the medication-only group receiving betahistine or the VRT + medication group receiving VRT combined with betahistine. Quality of life was measured via the Dizziness Handicap Inventory (DHI). Cognitive performance was assessed via a digit span test, task-switching test, and recording of P300 response.

Results: The VRT + Medication group showed significant improvements in cognitive performance, particularly in the digit span and task-switching tests, with reduced P300 response latency and increased amplitude. No significant cognitive changes were observed in the medication-only group. Both groups showed improvement in quality of life, with a greater reduction in DHI scores observed in the VRT + Medication group.

Conclusion: VRT combined with medication significantly improves cognitive function and quality of life in individuals with chronic dizziness or vertigo. These findings suggest that VRT not only addresses physical symptoms but also enhances cognitive performance, highlighting its potential as a comprehensive therapeutic approach.

Trial registration: The study protocol was registered in the Clinical Trial Registry of India (CTRI number: CTRI/2020/03/023934).

前庭康复治疗对慢性头晕或眩晕患者生活质量和认知功能的影响
目的:头晕和眩晕是各种医疗保健专业患者中最常见的投诉之一。研究表明,它们与认知障碍有关,尤其是在老年人中。虽然前庭康复治疗(VRT)减轻了身体症状,但其对认知功能的影响仍未得到充分研究。因此,本研究旨在评估VRT对慢性头晕或眩晕患者的生活质量和认知表现的影响。方法:这是一项随机对照试验,其中60名参与者经历了慢性头晕或眩晕。参与者被分配到接受倍他司汀的单药物组或VRT +药物组,接受VRT联合倍他司汀。通过头晕障碍量表(DHI)测量生活质量。通过数字广度测试、任务转换测试和P300反应记录来评估认知能力。结果:VRT +药物组在认知表现上有显著改善,特别是在数字广度和任务转换测试中,P300反应潜伏期减少,幅度增加。仅用药组未观察到明显的认知变化。两组患者的生活质量均有改善,VRT +用药组DHI评分下降幅度更大。结论:VRT联合药物治疗可显著改善慢性头晕或眩晕患者的认知功能和生活质量。这些发现表明,VRT不仅可以解决身体症状,还可以增强认知表现,突出了其作为综合治疗方法的潜力。试验注册:研究方案已在印度临床试验注册中心注册(CTRI编号:CTRI/2020/03/023934)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
7.70%
发文量
537
审稿时长
2-4 weeks
期刊介绍: Official Journal of European Union of Medical Specialists – ORL Section and Board Official Journal of Confederation of European Oto-Rhino-Laryngology Head and Neck Surgery "European Archives of Oto-Rhino-Laryngology" publishes original clinical reports and clinically relevant experimental studies, as well as short communications presenting new results of special interest. With peer review by a respected international editorial board and prompt English-language publication, the journal provides rapid dissemination of information by authors from around the world. This particular feature makes it the journal of choice for readers who want to be informed about the continuing state of the art concerning basic sciences and the diagnosis and management of diseases of the head and neck on an international level. European Archives of Oto-Rhino-Laryngology was founded in 1864 as "Archiv für Ohrenheilkunde" by A. von Tröltsch, A. Politzer and H. Schwartze.
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