密切监测在前庭康复治疗中的价值。

M. Itani, Y. Koaik, A. Sabri
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引用次数: 5

摘要

背景:前庭康复治疗是治疗前庭疾病的一种行之有效的治疗方式。假设:在密切监测的环境中进行前庭康复治疗可能比家庭锻炼计划产生更好的结果。方法对2005年6月至2012年11月在某三级大学附属医院接受前庭康复治疗的患者进行回顾性研究。动态步态指数,主要结果测量,在康复计划前后使用。对所有患者的改善程度进行分析,主要是比较家庭运动组和密切监测治疗组。结果32例患者接受了前庭康复治疗。在所有患者中,动态步态指数平均评分均有显著改善(从11.75降至17.38;P < 0.01)。动态步态指数的改善明显高于密切监测治疗(平均改善7.83 vs 2.79;P < 0.01)。结论样本量小是本研究的主要局限性;然而,密切监测前庭康复治疗改善了表现状态。需要更多的研究来确定前庭康复治疗的有效性,并将密切监测治疗与量身定制的家庭运动康复进行比较。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The value of close monitoring in vestibular rehabilitation therapy.
BACKGROUND Vestibular rehabilitation therapy is a well-established treatment modality for patients with vestibular problems. HYPOTHESIS Performing vestibular rehabilitation therapy in a closely monitored setting may result in a better outcome than a home exercise programme. METHODS A retrospective study was conducted of patients undergoing vestibular rehabilitation therapy between June 2005 and November 2012 in a tertiary university hospital. The Dynamic Gait Index, the main outcome measure, was utilised before and after the rehabilitation programme. The magnitude of improvement for all patients was analysed, mainly to compare the home exercise group with the closely monitored therapy group. RESULTS Only 32 patients underwent the vestibular rehabilitation therapy programme. In all patients, there was significant improvement in the mean Dynamic Gait Index score (from 11.75 to 17.38; p < 0.01). Dynamic Gait Index improvement was significantly higher with closely monitored therapy (mean improvement of 7.83 vs 2.79; p < 0.01). CONCLUSION The small sample size is a major limitation; nevertheless, closely monitored vestibular rehabilitation therapy resulted in improved performance status. More studies are needed to establish the efficiency of vestibular rehabilitation therapy and compare closely monitored therapy with tailored home exercise rehabilitation.
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