Department of Otolaryngology - Head and Neck Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Texas, USA.
Department of Otolaryngology - Head and Neck Surgery, Icahn School of Medicine at Mount Sinai, New York, USA.
J Laryngol Otol. 2023 Jun;137(6):651-660. doi: 10.1017/S0022215122001785. Epub 2022 Aug 2.
This study aimed to evaluate the effectiveness of tai chi on balance in patients with improved but persistent dizziness and imbalance following completion of traditional vestibular rehabilitation therapy.
Patients who completed vestibular rehabilitation therapy with persistent imbalance were prospectively enrolled in a tai chi programme comprising eight weekly classes. Balance was assessed before the first and after the eighth session using the Dynamic Gait Index, Activities-Specific Balance Confidence scale and Dizziness Handicap Inventory.
A total of 37 participants (34 females, 3 males) completed the programme with balance testing. Mean age was 76.8 years (range, 56-91 years). Mean Dynamic Gait Index significantly increased after completion of tai chi ( 0.00001). Mean Activities-Specific Balance Confidence scale score increased from 63.6 to 67.9 per cent ( 0.046). A subset ( 18) of patients completed a Dizziness Handicap Inventory without significant post-therapeutic change ( 0.62). Most (36 of 37; 97.3 per cent) patients demonstrated post-therapy improvement on one or more assessments.
Tai chi is a viable adjunct to improve balance in patients who complete a vestibular rehabilitation therapy programme.
本研究旨在评估太极拳对完成传统前庭康复治疗后仍存在头晕和平衡障碍的患者平衡能力的影响。
本前瞻性研究纳入了完成前庭康复治疗后仍存在平衡障碍的患者，这些患者参加了为期 8 周的太极拳项目。在第一节课前和第八节课后，使用动态步态指数、活动特异性平衡信心量表和头晕残疾量表评估平衡。
共有 37 名参与者（34 名女性，3 名男性）完成了平衡测试。平均年龄为 76.8 岁（56-91 岁）。完成太极拳训练后，平均动态步态指数显著增加（ 0.00001）。活动特异性平衡信心量表评分从 63.6%增加到 67.9%（ 0.046）。有一部分（ 18 名）患者完成了头晕残疾量表，治疗后无明显变化（ 0.62）。大多数（37 名患者中的 36 名；97.3%）患者在一项或多项评估中表现出治疗后改善。
对于完成前庭康复治疗计划的患者，太极拳是改善平衡的可行辅助手段。
