Meli A, Zimatore G, Badaracco C, De Angelis E, Tufarelli D
ENT Rehabilitation Unit, San Raffaele Research Institute, Tosinvest Sanità s.pa., Rome, Italy.
Acta Otolaryngol. 2006 Mar;126(3):259-66. doi: 10.1080/00016480500388885.
Vestibular rehabilitation improves quality of life by reducing the degree of handicap, improving the ability to perform everyday tasks and providing long-term rehabilitation stability (at 6 months). Recovery of the vestibulo-ocular reflex and the vestibulo-spinal reflex efficiency was proven by the objective results obtained in this study. Vestibular rehabilitation improves both subjective and objective parameters, although no significant correlation between these two indices was found.
To determine the outcome of subjective and objective parameters and long-term rehabilitation stability after vestibular rehabilitation in 43 patients with vestibular disorders.
The subjective tests used were the Medical Outcomes Study 36-item Short Form, the Dizziness Handicap Inventory and the Activity-specific Balance Confidence scale. The objective tests used were video-oculoscopy, dynamic visual acuity, the Equitest and the Dynamic Gait Index. All indices were evaluated before and after rehabilitation and at follow-up.
All patients showed an improvement in quality of life and a reduction in handicap due to dizziness. Improvement in objective test results was also seen. These results were stable at follow-up. A correlation was found between different subjective measures, but there was no correlation between subjective and objective measures.
前庭康复通过降低功能障碍程度、提高日常任务执行能力以及提供长期康复稳定性（6个月时）来改善生活质量。本研究获得的客观结果证实了前庭眼反射和前庭脊髓反射效率的恢复。前庭康复改善了主观和客观参数，尽管未发现这两个指标之间存在显著相关性。
确定43例前庭疾病患者在前庭康复后主观和客观参数的结果以及长期康复稳定性。
使用的主观测试包括医学结局研究36项简表、头晕残障量表和特定活动平衡信心量表。使用的客观测试包括视频眼震图、动态视力、平衡测试仪和动态步态指数。所有指标在康复前后及随访时进行评估。
所有患者的生活质量均有所改善，因头晕导致的功能障碍减少。客观测试结果也有改善。这些结果在随访时稳定。不同主观测量之间存在相关性，但主观和客观测量之间无相关性。
