Ardıç Fazıl Necdet, Alkan Hakan, Tümkaya Funda, Ardıç Füsun
Department of Otolaryngology, School of Medicine, Pamukkale University, Denizli, Turkey.
Department of Physical Medicine and Rehabilitation, School of Medicine, Pamukkale University, Denizli, Turkey.
J Vestib Res. 2021;31(3):181-190. doi: 10.3233/VES-190753.
The efforts to achieve better functional results in vestibular rehabilitation have been continued by using different visual and somatosensory stimuli for a long time. Whole-body vibration (WBV) is a mechanical vertical stimulation that provides high frequency vibration stimulus to the proprioceptive receptors. Biofeedback provides continuous information to the subject regarding postural changes. These techniques may aid to improve vestibular rehabilitation.
We aimed to investigate the effect of adding WBV or biofeedback postural training (BPT) to standard rehabilitation exercises in patients with chronic unilateral vestibular weakness.
Ninety patients were randomized into three groups. Group 1 had WBV and Group 2 BPT in addition to the standard rehabilitation exercises. Group 3 only carried out the home-based exercises and served as the control. Outcome measures such as static posturography, Berg Balance Scale, Timed Up-and-Go test, Visual Analog Scale, and Dizziness Handicap Inventory (DHI) were used for comparison.
Statistically significant gains were achieved in all groups with all parameters at the end of treatment when compared to baseline (p < 0.05). The patients in Group 1 (WBV), however, were significantly better than those in Groups 2 and 3 at the static posturographic stability score, Berg Balance Scale, and DHI (p < 0.05).
Adding WBV to a rehabilitation program may be an effective strategy to improve postural stability and achieve better physical, functional and emotional outcomes.
长期以来，人们一直在努力通过使用不同的视觉和体感刺激来在前庭康复中取得更好的功能效果。全身振动（WBV）是一种机械垂直刺激，可向本体感受器提供高频振动刺激。生物反馈为受试者提供有关姿势变化的持续信息。这些技术可能有助于改善前庭康复。
我们旨在研究在慢性单侧前庭功能减退患者的标准康复锻炼中添加全身振动或生物反馈姿势训练（BPT）的效果。
90名患者被随机分为三组。第1组除标准康复锻炼外还进行全身振动，第2组进行生物反馈姿势训练。第3组仅进行家庭锻炼并作为对照。使用静态姿势描记法、伯格平衡量表、定时起立行走测试、视觉模拟量表和头晕残障量表（DHI）等结果指标进行比较。
与基线相比，治疗结束时所有组在所有参数上均取得了统计学上的显著改善（p<0.05）。然而，第1组（全身振动）患者在静态姿势描记法稳定性评分、伯格平衡量表和头晕残障量表方面明显优于第2组和第3组（p<0.05）。
在康复计划中添加全身振动可能是提高姿势稳定性并取得更好的身体、功能和情感结果的有效策略。
