Papa L, Amodio A, Biffi F, Mandara A
European Research Centre for Osteopathic Medicine, Italy; International College of Osteopathic Medicine, Cinisello Balsamo (Milan), Italy.
International College of Osteopathic Medicine, Cinisello Balsamo (Milan), Italy.
J Bodyw Mov Ther. 2017 Oct;21(4):866-872. doi: 10.1016/j.jbmt.2017.03.001. Epub 2017 Mar 6.
The aim of the study was to evaluate the efficacy of osteopathic manipulative treatment (OMT) in patients with Benign-Paroxysmal-Positional Vertigo (BPPV). Thirty-one patients with BPPV were randomly assigned into two groups: 19 patients received osteopathic treatments (TG) and 12 patients received sham therapy (SG), both in four weekly sessions. Before the first and the last treatment, those patients were evaluated using Dizziness Handicap Inventory (DHI) and stabilometric platform to assess lifestyle modification and balance functions. After the treatment session, TG compared to SG showed an improvement in DHI global (p = 0.02), functional (p = 0.03) and physical (p = 0.03) components, as well as a reduction of swinging area (p = 0.02). An association between swinging area and lifestyle measures (global [r = 0.53; p = 0.02]; functional [r = 0.50; p = 0.03]; physical [r = 0.60; p = 0.01]) changes were found in TG. These findings suggest that OMT could be a useful approach to reduce imbalance symptoms and to improve the quality of life in patients suffering from dizziness.
本研究的目的是评估整骨手法治疗(OMT)对良性阵发性位置性眩晕(BPPV)患者的疗效。31例BPPV患者被随机分为两组:19例患者接受整骨治疗(治疗组),12例患者接受假治疗(假治疗组),两组均每周治疗一次,共治疗四周。在第一次和最后一次治疗前,使用头晕残障量表(DHI)和稳定测量平台对这些患者进行评估,以评估生活方式的改变和平衡功能。治疗后,与假治疗组相比,治疗组在DHI总体(p = 0.02)、功能(p = 0.03)和身体(p = 0.03)方面均有改善,摆动面积也有所减少(p = 0.02)。在治疗组中发现摆动面积与生活方式指标(总体[r = 0.53;p = 0.02];功能[r = 0.50;p = 0.03];身体[r = 0.60;p = 0.01])变化之间存在关联。这些发现表明,整骨手法治疗可能是减轻头晕患者失衡症状和改善生活质量的一种有效方法。