Dizzy Day Clinics, East Richmond, Melbourne, Australia.
J Neurol Phys Ther. 2010 Jun;34(2):70-5. doi: 10.1097/NPT.0b013e3181dde5dd.
Vestibular rehabilitation (VR) is a successful approach to the treatment of vestibular dysfunction. The purpose of this study was to investigate the influence of otolith dysfunction on the response to VR in individuals with a peripheral vestibular disorder.
Eighteen participants with loss of semicircular canal function only, and 29 participants with combined loss of semicircular canal and otolith organ function were recruited. All participants received a comprehensive clinical assessment before and after an 8-week customized program of VR.
Both groups achieved significant improvements on most measures at the end of the 8-week VR program. However, no significant differences were identified between participants with versus without otolith dysfunction with respect to change in symptom severity (P = .81), self-perceived handicap (P = .92), functional limitations (P = .93), or balance performance after VR.
Otolith dysfunction does not significantly influence the response to rehabilitation of individuals with a peripheral vestibular disorder. Vestibular rehabilitation is associated improvements in symptom severity, self-perceived handicap, and balance function in individuals with otolith dysfunction.
前庭康复（VR）是治疗前庭功能障碍的一种成功方法。本研究旨在探讨耳石功能障碍对单侧外周前庭疾病患者对 VR 反应的影响。
招募了 18 名仅丧失半规管功能的参与者和 29 名同时丧失半规管和耳石器官功能的参与者。所有参与者在接受 8 周的定制 VR 方案前后均接受了全面的临床评估。
两组在 8 周 VR 方案结束时，大多数指标都有显著改善。然而，在症状严重程度（P =.81）、自我感知障碍（P =.92）、功能限制（P =.93）或 VR 后平衡表现方面，有耳石功能障碍的参与者与无耳石功能障碍的参与者之间无显著差异。
耳石功能障碍对单侧外周前庭疾病患者康复反应的影响不显著。前庭康复与耳石功能障碍患者的症状严重程度、自我感知障碍和平衡功能的改善相关。
