Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland.
University of Tartu, Faculty of Medicine, Tartu, Estonia.
J Int Adv Otol. 2023 Jul;19(4):323-332. doi: 10.5152/iao.2023.21559.
The aim of the current study was to explore the associations among different therapeutic procedures, self-administered exercise, and characteristics of Ménière's disease.
The study used a retrospective design and included 539 people with Ménière's disease who were focusing on self-administered exercise. The mean age and history of Ménière's disease among these participants were 61.9 years and 15.6 years, respectively. Of the participants, 79.5% were female. The data were collected by an electronic questionnaire that focused on symptoms of Ménière's disease, exercise and training habits, balance problems, impacts of the complaints, quality of life, medical treatment, physiotherapy, and psychotherapy.
Of the participants, 79.3% used medical treatment. Betahistine (56.8%) was the most popular followed by periodical anti-emetic use (41.0%) and diuretics (22.4%). Of the participants 70% were doing some self-administered training. The frequency of training depended on age, severity of balance problems, vestibular drop attacks, and gait problems. The type of training depended on age, quality of life, vestibular drop attacks, and gait problems. No association was found between vertigo and frequency/type of balance training.
The use or effect of therapeutic procedures for Ménière's disease patients was not related to symptoms experienced. Most participants with Ménière's disease used training programs that aimed to alleviate their condition, especially balance-, gait-, and vestibular drop attack-associated problems. Patient support organizations should be working to help characterize the types of balance disorders people are dealing with in order to individually tailor a rehabilitation program to the patient's needs.
本研究旨在探讨不同治疗方法、自我管理运动与梅尼埃病特征之间的关联。
本研究采用回顾性设计，纳入 539 例专注于自我管理运动的梅尼埃病患者。这些参与者的平均年龄和梅尼埃病病史分别为 61.9 岁和 15.6 年，其中 79.5%为女性。通过电子问卷收集数据，重点关注梅尼埃病的症状、运动和训练习惯、平衡问题、投诉的影响、生活质量、治疗、物理治疗和心理治疗。
79.3%的参与者接受了药物治疗。倍他司汀（56.8%）是最受欢迎的药物，其次是周期性止吐治疗（41.0%）和利尿剂（22.4%）。70%的参与者进行了一些自我管理训练。训练频率取决于年龄、平衡问题的严重程度、前庭发作和步态问题。训练类型取决于年龄、生活质量、前庭发作和步态问题。眩晕与平衡训练的频率/类型之间没有关联。
梅尼埃病患者治疗方法的使用或效果与症状无关。大多数梅尼埃病患者使用旨在缓解病情的训练计划，特别是针对平衡、步态和前庭发作相关问题。患者支持组织应努力帮助确定人们正在处理的平衡障碍类型，以便根据患者的需求为其量身定制康复计划。
