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J Phys Ther Sci. 2022 Aug;34(8):584-589. doi: 10.1589/jpts.34.584. Epub 2022 Aug 3.
2
Erratum.勘误
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本文引用的文献

1
Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline From the Academy of Neurologic Physical Therapy of the American Physical Therapy Association.周围性前庭功能减退的前庭康复治疗:美国物理治疗协会神经病学物理治疗学会的更新临床实践指南。
J Neurol Phys Ther. 2022 Apr 1;46(2):118-177. doi: 10.1097/NPT.0000000000000382.
2
Improvement After Vestibular Rehabilitation Not Explained by Improved Passive VOR Gain.前庭康复后的改善并非由被动视动反射增益的改善所解释。
Front Neurol. 2020 Feb 20;11:79. doi: 10.3389/fneur.2020.00079. eCollection 2020.
3
Rehabilitation of dynamic visual acuity in patients with unilateral vestibular hypofunction: earlier is better.单侧前庭功能低下患者动态视敏度的康复:早治为佳。
Eur Arch Otorhinolaryngol. 2020 Jan;277(1):103-113. doi: 10.1007/s00405-019-05690-4. Epub 2019 Oct 21.
4
Effects of Supervised vs. Unsupervised Training Programs on Balance and Muscle Strength in Older Adults: A Systematic Review and Meta-Analysis.监督训练与非监督训练方案对老年人平衡和肌肉力量的影响:系统评价和荟萃分析。
Sports Med. 2017 Nov;47(11):2341-2361. doi: 10.1007/s40279-017-0747-6.
5
An overview of vestibular rehabilitation.前庭康复概述。
Handb Clin Neurol. 2016;137:187-205. doi: 10.1016/B978-0-444-63437-5.00013-3.
6
Effects of Vestibular Rehabilitation on Balance Control in Older People with Chronic Dizziness: A Randomized Clinical Trial.前庭康复对慢性头晕老年人平衡控制的影响:一项随机临床试验。
Am J Phys Med Rehabil. 2016 Apr;95(4):256-69. doi: 10.1097/PHM.0000000000000370.
7
Vestibular rehabilitation for unilateral peripheral vestibular dysfunction.单侧外周前庭功能障碍的前庭康复治疗
Cochrane Database Syst Rev. 2015 Jan 13;1(1):CD005397. doi: 10.1002/14651858.CD005397.pub4.
8
Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review.老年人锻炼计划的坚持受计划特点和个人因素的影响:系统评价。
J Physiother. 2014 Sep;60(3):151-6. doi: 10.1016/j.jphys.2014.06.012. Epub 2014 Aug 3.
9
Randomized trial of supervised versus unsupervised optokinetic exercise in persons with peripheral vestibular disorders.随机对照试验研究监督与非监督视动性眼球运动训练治疗外周前庭障碍患者的疗效。
Neurorehabil Neural Repair. 2013 Mar-Apr;27(3):208-18. doi: 10.1177/1545968312461715. Epub 2012 Oct 16.
10
Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: single blind, parallel group, pragmatic, randomised controlled trial.基于手册的前庭康复治疗在初级保健中慢性头晕的临床和成本效益:单盲、平行组、实用、随机对照试验。
BMJ. 2012 Jun 6;344:e2237. doi: 10.1136/bmj.e2237.

监督性前庭康复对慢性前庭功能减退患者功能活动能力的疗效。

Efficacy of supervised vestibular rehabilitation on functional mobility in patients with chronic vestibular hypofunction.

作者信息

Tanaka Ryozo, Kamo Tomohiko, Ogihara Hirofumi, Kato Takumi, Azami Masato, Tsunoda Reiko, Fushiki Hiroaki

机构信息

Department of Physical Therapy, Faculty of Health Sciences, Mejiro University: 320 Ukiya, Iwatsuki-ku, Saitama-shi, Saitama 339-8501, Japan.

Division of Otolaryngology, Mejiro University Ear Institute Clinic, Japan.

出版信息

J Phys Ther Sci. 2022 Aug;34(8):584-589. doi: 10.1589/jpts.34.584. Epub 2022 Aug 3.

DOI:10.1589/jpts.34.584
PMID:35937631
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9345747/
Abstract

[Purpose] This study aimed to compare the effects of different intervention frequencies on walking ability and balance in patients with chronic unilateral vestibular hypofunction. [Participants and Methods] Participants included in this case-control study were assigned to one of two groups: the multiple-intervention (once a week) and single-intervention groups. Results for the Timed Up and Go test, Dynamic Gait Index, Functional Gait Assessment, and Activities-specific Balance Confidence scale were determined at baseline and four weeks after initiating the vestibular rehabilitation program. Thereafter, intra- and inter-group differences in the rates of change of these parameters were determined. [Results] The Timed Up and Go test values, Dynamic Gait Index, and Functional Gait Assessment scores improved significantly after four weeks in the multiple-intervention group. The improvement rate in the Timed Up and Go test differed significantly between the two groups. The Activities-specific Balance Confidence scale scores did not significantly change in either group after four weeks. [Conclusion] Compared to a single intervention, multiple interventions by a physical therapist produced significantly greater benefits in a relatively shorter period of time in patients with chronic unilateral vestibular hypofunction.

摘要

[目的] 本研究旨在比较不同干预频率对慢性单侧前庭功能减退患者步行能力和平衡能力的影响。[参与者与方法] 本病例对照研究纳入的参与者被分为两组之一:多次干预组(每周一次)和单次干预组。在启动前庭康复计划的基线和四周后,测定起立行走试验、动态步态指数、功能性步态评估和特定活动平衡信心量表的结果。此后,确定这些参数变化率的组内和组间差异。[结果] 多次干预组在四周后,起立行走试验值、动态步态指数和功能性步态评估得分显著改善。两组之间起立行走试验的改善率差异显著。四周后,两组的特定活动平衡信心量表得分均无显著变化。[结论] 与单次干预相比,物理治疗师进行多次干预在相对较短的时间内为慢性单侧前庭功能减退患者带来了显著更大的益处。