Department of Surgery, Otology, Neurotology, Skull Base Surgery, University of British Columbia, Vancouver, British Columbia, Canada.
Audiology and Speech Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Acta Otolaryngol. 2023 May;143(5):396-401. doi: 10.1080/00016489.2023.2208615. Epub 2023 May 12.
Balance deficits increase the risk of falls and compromise quality of life. Current treatment modalities do not resolve symptoms for many patients.
AIMS/OBJECTIVES: To measure changes in objective posturography after a computerized vestibular retraining therapy protocol.
This was a single-arm interventional study of individuals with a stable unilateral vestibular deficit present for greater than six months. Participants underwent 12 twice-weekly sessions of computerized vestibular retraining therapy. Objective response was measured by the Sensory Organization Test and questionnaires were administered to measure subjective changes.
We enrolled 13 participants (5 females and 8 males) with a median age of 51 years (range 18 to 67). After retraining, the Sensory Organization Test composite score improved by 8.8 (95% CI 0.6 to 19.1) and this correlated with improvement in the Falls Efficacy Scale-International questionnaire (r -0.6472; 95% CI -0.8872 to - 0.1316). Participants with moderate-to-severe disability at baseline ( = 7) demonstrated greater improvement in the composite score (14.6; 95% CI 7.0 to 36.9).
Computerized vestibular retraining therapy for stable unilateral vestibular deficits is associated with improvement in dynamic balance performance. Posturography improvements correlated with a reduction in perceived fall risk. Trial Registration Information Clinicaltrials.gov registration NCT04875013; 04/27/2021.
平衡障碍会增加跌倒的风险，并降低生活质量。目前的治疗方法并不能解决许多患者的症状。
目的/目标：测量计算机前庭康复训练疗法方案后客观姿势图的变化。
这是一项针对单侧前庭功能稳定缺陷超过 6 个月的个体的单臂干预研究。参与者接受了 12 次每周两次的计算机前庭康复训练治疗。通过感觉组织测试来测量客观反应，并通过问卷调查来评估主观变化。
我们招募了 13 名参与者（5 名女性和 8 名男性），中位年龄为 51 岁（范围 18 至 67 岁）。经过训练后，感觉组织测试综合评分提高了 8.8（95%CI 0.6 至 19.1），这与跌倒效能国际问卷（FES-I）的改善相关（r=-0.6472；95%CI-0.8872 至-0.1316）。基线时中度至重度残疾的参与者（n=7）在综合评分方面的改善更为显著（14.6；95%CI 7.0 至 36.9）。
针对单侧前庭功能稳定缺陷的计算机前庭康复训练疗法与动态平衡表现的改善有关。姿势图的改善与感知跌倒风险的降低相关。
临床试验注册信息 Clinicaltrials.gov 注册号 NCT04875013；2021 年 4 月 27 日。
