Şahin Ethem, Dinç Mehmet Emre, Yayla Özker Berna, Çöpürgensli Canan, Konaklıoğlu Mustafa, Özçelik Tuncay
Clinic of Otorhinolaryngology, Bayındır Hospital, İstanbul, Turkey.
Clinic of Otorhinolaryngology, Okmeydanı Training and Research Hospital, İstanbul, Turkey.
J Int Adv Otol. 2017 Dec;13(3):385-389. doi: 10.5152/iao.2017.3856. Epub 2017 Apr 27.
The value of vestibular rehabilitation in patients with bilateral vestibular dysfunction was investigated.
This study assessed 17 patients (9 males, 8 females) with bilateral vestibular dysfunction. Vestibular rehabilitation continued for 1.5 months. Videonystagmography tests (including oculomotor testing, positional testing, and caloric tests), vestibular evoked myogenic potential (VEMP) testing, and computerized dynamic posturography were performed during the pre-, mid-, and post-treatment periods. The patients underwent cranial and internal acoustic canal MRI. Consultant physicians from the neurology and physical medicine and rehabilitation departments reviewed all patients.
The post-treatment anteroposterior somatosensorial (APSO), anteroposterior global (APGLO), mediolateral visual (MLVI), and mediolateral global values and anteroposterior and mediolateral trials and conditions were significantly higher than those measured in the pre-treatment period. Similarly, mid-treatment values of the APSO, APGLO, and the anteroposterior sensory organization test (SOT) 2 were significantly higher than those measured in the pre-treatment period.
Vestibular rehabilitation was effective in patients with bilateral vestibular dysfunction. As the vestibular rehabilitation duration increased, so did the efficacy of the treatment.
研究前庭康复对双侧前庭功能障碍患者的价值。
本研究评估了17例双侧前庭功能障碍患者（9例男性，8例女性）。前庭康复持续1.5个月。在治疗前、治疗中期和治疗后期进行了视频眼震图测试（包括动眼神经测试、位置测试和冷热试验）、前庭诱发肌源性电位（VEMP）测试以及计算机动态姿势描记法。患者接受了头颅和内耳道MRI检查。神经科和物理医学与康复科的会诊医生对所有患者进行了评估。
治疗后的前后躯体感觉（APSO）、前后整体（APGLO）、内外侧视觉（MLVI）和内外侧整体值以及前后和内外侧试验及条件均显著高于治疗前期测量值。同样，治疗中期的APSO、APGLO和前后感觉组织测试（SOT）2的值也显著高于治疗前期测量值。
前庭康复对双侧前庭功能障碍患者有效。随着前庭康复时间的延长，治疗效果也随之提高。
