Department of Health Sciences of Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil; Department of Physiotherapy, University of Franca, Franca, Brazil.
Department of Physiotherapy, University of Franca, Franca, Brazil.
Arch Phys Med Rehabil. 2020 Feb;101(2):249-257. doi: 10.1016/j.apmr.2019.07.012. Epub 2019 Aug 26.
To assess the effectiveness of the anchors in the balance rehabilitation of participants with chronic peripheral vestibulopathy who failed to respond positively to conventional rehabilitation for dynamic balance and gait.
Assessor-blind, randomized controlled trial.
Department of Otoneurology and Laboratory of Assessment and Rehabilitation of Equilibrium.
Women with chronic dizziness of peripheral vestibular origin (N=42), who continued to show otoneurologic symptoms for more than 6 months after starting classic vestibular rehabilitation, with no clinical improvement observed.
Participants were randomly assigned to receive a clinical intervention with the anchor system, a clinical intervention without the anchor system, or no intervention or anchor system. The intervention was based on multi-sensory exercises for 6 weeks, twice a week, totaling 12 sessions, in groups of up to 4 participants, with an average time of 40 minutes per session.
The primary outcome was functional balance as assessed by the short version of the Balance Evaluation Systems Test. The secondary outcomes were gait parameters of step width in meters, step length in meters, and gait speed in meters per second. The measures were assessed preintervention and postintervention, and after a 3-month follow-up period.
The proposed intervention was beneficial for dizziness, balance, and gait for both groups studied. At the 3-month follow-up, only the group that used anchors retained the benefits related to the physical aspects of dizziness, balance, and gait.
The present study found that the proposed intervention protocol, with or without the use of anchors, was beneficial for improving the dizziness, balance, and gait. However, retention of the benefits achieved through the exercise protocol was observed only for those using the anchor system, which promotes the use of haptic information. The use of anchors was effective, in short protocols (12wk), with maintenance of results after 3 months.
评估锚定在慢性周围前庭病变患者平衡康复中的效果，这些患者对传统动态平衡和步态康复治疗反应不佳。
评估者盲法、随机对照试验。
耳神经科和平衡评估与康复实验室。
慢性周围性前庭源性头晕的女性（N=42），在开始经典前庭康复后超过 6 个月仍持续出现耳神经症状，且无临床改善。
参与者被随机分配接受锚定系统的临床干预、无锚定系统的临床干预或不接受干预或锚定系统。干预基于多感官练习，每周 2 次，共 6 周，每组最多 4 名参与者，每次 40 分钟。
主要结果是使用平衡评估系统测试的短版本评估的功能性平衡。次要结果是步幅（米）、步长（米）和步行速度（米/秒）的步态参数。在干预前、干预后和 3 个月随访时进行评估。
拟议的干预措施对两组的头晕、平衡和步态均有益。在 3 个月随访时，仅使用锚定的组保留了与头晕、平衡和步态的身体方面相关的益处。
本研究发现，无论是否使用锚定，所提出的干预方案都有益于改善头晕、平衡和步态。然而，仅通过使用锚定系统观察到保留了通过运动方案获得的益处，该系统促进了触觉信息的使用。锚定系统在短期方案（12 周）中有效，并且在 3 个月后仍保持效果。
