Haciabbasoğlu Reyyan, Araci Ayça, Günizi Hüseyin
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Üsküdar University, Istanbul, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Alanya Alaaddin keykubat University (ALKU), Kestel mh. Cimento cd no:80, Alanya, Antalya Turkey.
Indian J Otolaryngol Head Neck Surg. 2023 Apr;75(Suppl 1):557-567. doi: 10.1007/s12070-023-03631-6. Epub 2023 Mar 15.
The aim of this study was to investigate the effectiveness of classical Vestibular Rehabilitation Exercises (Control Group-CG) given as home exercise program and VR + balance exercises (Experimental Group-EG) applied with telerehabilitation method on patients with Benign Paroxysmal Positional Vertigo (BPPV). The patients were randomly divided into 2 therapy groups in the ALKU Hospital (CG; 21 patients, and EG;22 patients). six-week training was offered. The participants' balance ability (Romberg, tandem and semi-tandem tests), vertigo severity (Vertigo Symptom Scale-VSS, VAS), vertigo-related disability level (Dizziness Handicap Inventory-DHI), anxiety (Beck Anxiety Inventory-BAI) and quality of life (Vertigo Dizziness Imbalance Questionnaire-VDI) were assessed. alance ability, findings in tandem and semi-tandem tests were significantly increased in the EG compared to CG ( < 0.05). According to VAS, the severity of dizziness decreased significantly compared to the CG ( < 0.05). Regarding the DHI score, symptoms of vertigo were reduced considerably after the treatment compared to the CG ( < 0.05). A significant improvement was observed in the quality of life of the EG group according to VDI scoring ( < 0.05). Although gains were observed in both groups, it was observed that the EG group obtained more effective improvement in the severity of vertigo, disability level due to vertigo, and quality of life compared to the home exercise group.These results confirmed the hypothesis that EG applications are effective and clinically applicable in patients with BPPV.
本研究旨在调查作为家庭锻炼计划的经典前庭康复训练（对照组-CG）以及采用远程康复方法进行的虚拟现实（VR）+平衡训练（实验组-EG）对良性阵发性位置性眩晕（BPPV）患者的有效性。患者在ALKU医院被随机分为2个治疗组（CG组21例患者，EG组22例患者）。提供为期六周的训练。评估参与者的平衡能力（Romberg试验、串联试验和半串联试验）、眩晕严重程度（眩晕症状量表-VSS、视觉模拟评分法-VAS）、眩晕相关残疾水平（头晕残障量表-DHI）、焦虑（贝克焦虑量表-BAI）和生活质量（眩晕头晕失衡问卷-VDI）。与CG组相比，EG组在串联试验和半串联试验中的平衡能力及结果显著提高（P<0.05）。根据VAS评分，与CG组相比，眩晕严重程度显著降低（P<0.05）。关于DHI评分，与CG组相比，治疗后眩晕症状明显减轻（P<0.05）。根据VDI评分，EG组的生活质量有显著改善（P<0.05）。虽然两组均有改善，但与家庭锻炼组相比，EG组在眩晕严重程度、眩晕所致残疾水平和生活质量方面获得了更有效的改善。这些结果证实了以下假设：EG治疗方法对BPPV患者有效且具有临床适用性。
