Ekvall Hansson Eva, Månsson Nils-Ove, Ringsberg Karin A M, Håkansson Anders
Department of Clinical Sciences, Family Medicine, From the University of Lund, Malmö University Hospital, Malmö, Sweden.
J Rehabil Med. 2006 Nov;38(6):387-90. doi: 10.1080/16501970600768992.
To investigate whether vestibular rehabilitation for patients with whiplash-associated disorder and dizziness had any effect on balance measures and self-perceived handicap.
Randomized, controlled trial.
Twenty-nine patients, 20 women and 9 men, age range 22-76 years.
The patients were randomized to an intervention group or a control group. The intervention comprised vestibular rehabilitation. All patients were assessed at baseline, after 6 weeks and after 3 months with 4 different balance measures and the Dizziness Handicap Inventory.
After 6 weeks, the intervention group showed statistically significant improvements compared with the control group in the following measures: standing on one leg eyes open (p=0.02), blindfolded tandem stance (p=0.045), Dizziness Handicap Inventory total score (p=0.047), Dizziness Handicap Inventory functional score (p=0.005) and in Dizziness Handicap Inventory physical score (p=0.033). After 3 months, the intervention group showed statistically significant improvements compared with the control group in the following measures: standing on one leg eyes open (p=0.000), tandem stance (p=0.033) and Dizziness Handicap Inventory physical score (p=0.04).
Vestibular rehabilitation for patients with whiplash-associated disorder can decrease self-perceived handicap and increase postural control.
探讨针对挥鞭样损伤相关疾病伴头晕患者的前庭康复训练对平衡指标及自我感知障碍是否有影响。
随机对照试验。
29例患者，20例女性，9例男性，年龄范围22 - 76岁。
将患者随机分为干预组和对照组。干预措施包括前庭康复训练。所有患者在基线、6周后及3个月后采用4种不同的平衡指标和头晕残障量表进行评估。
6周后，干预组在以下指标上与对照组相比有统计学显著改善：睁眼单腿站立（p = 0.02）、蒙眼串联站立（p = 0.045）、头晕残障量表总分（p = 0.047）、头晕残障量表功能评分（p = 0.005）以及头晕残障量表身体评分（p = 0.033）。3个月后，干预组在以下指标上与对照组相比有统计学显著改善：睁眼单腿站立（p = 0.000）、串联站立（p = 0.033）以及头晕残障量表身体评分（p = 0.04）。
针对挥鞭样损伤相关疾病患者的前庭康复训练可降低自我感知障碍并增强姿势控制能力。
