Smaerup Michael, Grönvall Erik, Larsen Simon B, Laessoe Uffe, Henriksen Jens-Jacob, Damsgaard Else Marie
Department of Geriatrics, Aarhus University Hospital, Aarhus C, Denmark.
Computer Games and Interaction Design, IT University of Copenhagen, Copenhagen S, Denmark.
Arch Phys Med Rehabil. 2015 Mar;96(3):395-401. doi: 10.1016/j.apmr.2014.10.005. Epub 2014 Oct 25.
To compare a computer-assisted home exercise program with conservative home-training following printed instructions in the rehabilitation of elderly patients with vestibular dysfunction.
Single-blind, randomized, controlled trial.
Geriatric department of a university hospital.
Patients with chronic dizziness due to vestibular dysfunction (N=63) were randomly assigned to either rehabilitation in the clinic followed by computer-assisted home exercises (intervention group: n=32) or rehabilitation in the clinic followed by home exercises according to printed instructions (control group: n=31).
Patients in the intervention group received assisted rehabilitation by a computer program.
Measurements at baseline and at 8 and 16 weeks were compared. These included the One Leg Stand Test, Dynamic Gait Index, Chair Stand Test, Motion Sensitivity Test, Short Form-12, Dizziness Handicap Inventory, and visual analog scale.
Both groups improved significantly during 16 weeks of rehabilitation. However, neither t tests nor repeated-measures analysis of variance demonstrated any significant differences between the 2 groups. The overall compliance rate to computer program exercises during 16 weeks was 57%.
A computer-assisted program to support the home training of elderly patients with vestibular dysfunction did not improve rehabilitation more than did printed instructions.
比较计算机辅助家庭锻炼计划与遵循书面指导的保守家庭训练对老年前庭功能障碍患者康复的效果。
单盲、随机、对照试验。
一所大学医院的老年科。
因前庭功能障碍导致慢性头晕的患者（N = 63）被随机分为两组，一组在诊所接受康复治疗后进行计算机辅助家庭锻炼（干预组：n = 32），另一组在诊所接受康复治疗后按照书面指导进行家庭锻炼（对照组：n = 31）。
干预组患者接受计算机程序辅助的康复治疗。
比较基线、8周和16周时的测量结果。这些指标包括单腿站立试验、动态步态指数、起立试验、运动敏感性试验、简短健康调查量表12项、头晕残障量表和视觉模拟量表。
两组在16周的康复过程中均有显著改善。然而，t检验和重复测量方差分析均未显示两组之间存在任何显著差异。16周内计算机程序锻炼的总体依从率为57%。
对于老年前庭功能障碍患者，计算机辅助家庭训练计划在康复效果上并不比书面指导更好。
