Tanaka Ryozo, Kamo Tomohiko, Ogihara Hirofumi, Kato Takumi, Azami Masato, Tsunoda Reiko, Fushiki Hiroaki
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.
J Phys Ther Sci. 2022 Aug;34(8):584-589. doi: 10.1589/jpts.34.584. Epub 2022 Aug 3.
[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.
[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。