Horning Erin, Gorman Sharon
Kaiser Permanente, Sacramento, CA, USA.
J Geriatr Phys Ther. 2007;30(3):121-7. doi: 10.1519/00139143-200712000-00007.
Partial or total unilateral vestibular loss is the third most common cause of peripheral vestibular dysfunction. Dysfunction of one or both of the vestibular mechanisms can manifest physically as abnormalities of posture, balance, and/or visual acuity. This case report describes physical therapy examination and individualized intervention with vestibular rehabilitation for a patient with unilateral vestibular hypofunction.
The patient was an 80-year-old male with electronystamographically confirmed unilateral vestibular loss of 98.3%. He demonstrated altered balance and gaze stability classifying him as having an increased risk for falling.
After 5 weeks of individualized vestibular rehabilitation, the patient significantly decreased his fall risk from 11 to 20 of 24 on the Dynamic Gait Index. His gaze stability also improved from a 4 to 1 line disparity with dynamic visual acuity testing. The patient also had a decrease in perceived disability on the Dizziness Handicap Inventory from 30/100 at evaluation to 12/100 at discharge.
Individualized vestibular rehabilitation decreased fall risk and improved gaze stability for a patient with significant unilateral vestibular hypofunction.
部分或完全单侧前庭功能丧失是外周前庭功能障碍的第三大常见原因。前庭机制的一方或双方功能障碍在身体上可表现为姿势、平衡和/或视力异常。本病例报告描述了对一名单侧前庭功能减退患者进行的物理治疗检查及个性化前庭康复干预。
该患者为一名80岁男性，经眼震电图证实单侧前庭功能丧失98.3%。他表现出平衡和注视稳定性改变，将其归类为跌倒风险增加。
经过5周的个性化前庭康复训练，患者在动态步态指数上的跌倒风险从24分中的11 - 20分显著降低。通过动态视力测试，他的注视稳定性也从4级改善到1级视差。患者在眩晕残障量表上的感知残疾程度也从评估时的30/100降至出院时的12/100。
个性化前庭康复降低了一名严重单侧前庭功能减退患者的跌倒风险并改善了注视稳定性。
