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振动触觉反馈可改善双侧严重前庭损失患者的平衡和活动能力。

Vibrotactile feedback improves balance and mobility in patients with severe bilateral vestibular loss.

机构信息

Division of Balance Disorders, Department of Otorhinolaryngology and Head and Neck Surgery, Faculty of Health Medicine and Life Sciences, School for Mental Health and Neuroscience, Maastricht University Medical Centre, Maastricht, The Netherlands.

Faculty of Physics, Tomsk State University, Tomsk, Russian Federation.

出版信息

J Neurol. 2019 Sep;266(Suppl 1):19-26. doi: 10.1007/s00415-018-9133-z. Epub 2018 Dec 5.

Abstract

The impact of vibrotactile feedback of the gravity vector, provided by a "balance" belt worn around the waist, was evaluated in 39 patients with a severe bilateral vestibular loss, confirmed by extensive laboratory testing and suffering from a low quality of life, mainly due to imbalance. The mobility and balance score (MBS) of all patients prior to the use of the belt was equal or less than 5 out of a scale of 10. Thirty-one out of the 39 patients experienced the effect of the belt on their balance and mobility as positive in a preselection trial of 2 h in the hospital. The 31 positive responders then used the belt for 1 month in daily life. The average MBS increased significantly from 4.2 to 7.9 (paired T test, T = 9.82, p < 0.00001). Twenty-three out of 31 patients reported a benefit ranging from an improvement of 60-200% in their MBS. Eight patients did not experience any benefit. In summary, 23 out of 39 patients with a severe imbalance due to a bilateral vestibular loss experienced a clear benefit of vibrotactile feed = back in daily life. We conclude that vibrotactile feedback via the waist can serve as an effective prothesis for patients with severe bilateral vestibular loss to improve the quality of life.

摘要

佩戴在腰部的“平衡”带提供重力矢量的振动反馈,我们评估了其对 39 例双侧严重前庭损失患者的影响,这些患者经广泛实验室检查证实,生活质量低,主要是由于平衡问题。所有患者在使用腰带前的移动和平衡评分(MBS)均为 10 分制中的 5 分或更低。39 例患者中有 31 例在医院进行的 2 小时预筛选试验中体验到了腰带对其平衡和移动能力的积极影响。31 例阳性反应者随后在日常生活中使用腰带 1 个月。平均 MBS 从 4.2 显著增加到 7.9(配对 T 检验,T=9.82,p<0.00001)。31 例中有 23 例报告 MBS 改善 60-200%。8 例患者没有受益。总之,39 例因双侧前庭损失导致严重失衡的患者中有 23 例在日常生活中体验到振动反馈的明显益处。我们的结论是,通过腰部提供的振动反馈可以作为严重双侧前庭损失患者的有效假体,以提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/475b/6722250/b129bbb4e10a/415_2018_9133_Fig1_HTML.jpg

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