Department of Physical Therapy, Hasan Kalyoncu University, Gaziantep, Turkey.
Department of Audiology, Ear-Nose-Throat Department, Mustafa Kemal University Medicine Faculty, Hatay, Turkey,
ORL J Otorhinolaryngol Relat Spec. 2021;83(1):7-13. doi: 10.1159/000509486. Epub 2020 Sep 9.
Vertigo appears as a result of a sudden neural activity imbalance of the vestibular system. The vertigo prevalence is higher in patients over 60 years of age compared to patients under 40 years of age.
The purpose of this study was to analyze the effect of craniosacral osteopathy on dizziness and balance in individuals who have peripheral vestibular pathology.
A total of 30 individuals, aged 24-50 years, participated in this study. Twenty-four of the participants were female (80%) and 6 were male (20%). The participants were separated into 2 groups, with 15 patients included in the cranial osteopathy treatment group (study group) and 15 patients included in the group that used dimenhydrinate (control group). The individuals were evaluated in terms of dizziness and balance. A visual analog scale was used to evaluate dizziness. Balance was evaluated using the Berg balance scale and the Activities-Specific Balance Confidence scale. The craniosacral treatment program was applied once per week for 6 sessions. All of the individuals included in this study were evaluated 3 times, i.e., prior to treatment, on the third week of treatment, and on the sixth week of treatment.
Significant improvement was noted within each group in terms of dizziness and balance (p < 0.05). When the groups were compared with each other, it was observed that craniosacral osteopathy was more effective than dimenhydrinate treatment for dizziness and balance (p < 0.05).
Craniosacral osteopathy is an effective treatment choice in individuals who have chronic peripheral vestibular pathology. In individuals who have resistant and chronic vestibular pathology, craniosacral osteopathy should be evaluated among the treatment choices.
眩晕是由于前庭系统的突然神经活动失衡引起的。与 40 岁以下的患者相比,60 岁以上的患者眩晕发病率更高。
本研究旨在分析颅骶骨疗法对患有周围性前庭病变的个体头晕和平衡的影响。
共有 30 名年龄在 24-50 岁的个体参与了这项研究。其中 24 名参与者为女性(80%),6 名参与者为男性(20%)。将参与者分为 2 组,15 名患者接受颅骶骨治疗(研究组),15 名患者接受茶苯海明治疗(对照组)。评估患者的头晕和平衡情况。采用视觉模拟量表评估头晕,采用 Berg 平衡量表和活动特异性平衡信心量表评估平衡。颅骶骨治疗方案每周进行 1 次,共 6 次。所有入组患者均在治疗前、治疗第 3 周和治疗第 6 周进行 3 次评估。
每个组在头晕和平衡方面均有显著改善(p<0.05)。当将两组进行比较时,发现颅骶骨疗法对头晕和平衡的疗效优于茶苯海明(p<0.05)。
颅骶骨疗法是慢性周围性前庭病变患者的有效治疗选择。对于患有难治性和慢性前庭病变的患者,应将颅骶骨疗法作为治疗选择之一进行评估。