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作为基层医疗中头晕患者的一种治疗选择:一项随机对照试验。

as a Therapeutic Treatment Option in Primary Care for Patients with Dizziness: A Randomized Controlled Trial.

作者信息

Lopes Aline Lamas, Lemos Stela Maris Aguiar, Figueiredo Pedro Henrique Scheidt, Gonçalves Denise Utsch, Santos Juliana Nunes

机构信息

Universidade Federal de Minas Gerais, Faculdade de Medicina, Programa de Pós-Graduação em Ciências Fonoaudiológicas, Belo Horizonte, MG, Brazil.

Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Faculdade de Ciências Biológicas e da Saúde, Diamantina, MG, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2020 Dec 8;25(4):e509-e516. doi: 10.1055/s-0040-1718956. eCollection 2021 Oct.

Abstract

Dizziness is one of the most common reasons for seeking primary health care. Vestibular rehabilitation (VR) is a conventional treatment method for peripheral balance disorders that effectively decreases symptoms. Lian gong [LG] is believed to benefit patients with dizziness and to reduce the impact of the condition on quality of life by stimulating visual fixation, attention, body balance, and neuroplasticity.  The present study aimed to evaluate the effects of LG on the impact of dizziness on quality of life and fear of falling in primary health care patients.  This was a two-arm, parallel randomized clinical trial that included 36 patients with dizziness not caused by central changes. After specific medical evaluations and indications for treatment, the participants were randomly assigned to 3 groups: the LG group (  = 11), the VR group (  = 11), and the control group (  = 14). The interventions were conducted collectively over a period of 12 weeks.  Lian gong reduced the influence of dizziness on quality of life in physical (1.8 points, 95% confidence interval [CI]: 0.2-3.4), functional (4.0 points, 95% CI: 2.1-5.9), and emotional domains of quality of life (4.4 points, 95% CI: 1.7-7.2), with no differences compared with VR. There were similar concerns among the groups about the risk of falling.  Lian gong was shown to be an effective balance rehabilitation strategy to reduce the impact of dizziness on quality of life, with similar results to those of VR.

摘要

头晕是寻求初级卫生保健最常见的原因之一。前庭康复(VR)是治疗外周平衡障碍的传统方法,能有效减轻症状。练功法(LG)被认为可使头晕患者受益,并通过刺激视觉注视、注意力、身体平衡和神经可塑性来降低该病对生活质量的影响。本研究旨在评估练功法对初级卫生保健患者头晕对生活质量和跌倒恐惧的影响。这是一项双臂平行随机临床试验,纳入了36例非中枢性病变引起的头晕患者。经过特定的医学评估和治疗指征判断后,参与者被随机分为3组:练功法组(n = 11)、前庭康复组(n = 11)和对照组(n = 14)。干预措施共进行12周。练功法降低了头晕对生活质量身体领域(1.8分,95%置信区间[CI]:0.2 - 3.4)、功能领域(4.0分,95%CI:2.1 - 5.9)和情感领域(4.4分,95%CI:1.7 - 7.2)的影响,与前庭康复组相比无差异。各组对跌倒风险的担忧相似。练功法被证明是一种有效的平衡康复策略,可降低头晕对生活质量的影响,结果与前庭康复组相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c528/8558947/e1d7ad179711/10-1055-s-0040-1718956-i200030or-1.jpg

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