Hasimova Zohre, Sahbaz Tugba, Karacay Basak Cigdem, Karan Ayse
Department of Physical Medicine and Rehabilitation, Istanbul University Istanbul Faculty of Medicine, Istanbul, Türkiye.
Department of Physical Medicine and Rehabilitation, Beykent University Faculty of Medicine, Istanbul, Türkiye.
Turk J Phys Med Rehabil. 2023 Jul 7;69(3):286-293. doi: 10.5606/tftrd.2023.12360. eCollection 2023 Sep.
The aim of the study was to investigate the superiority of rehabilitation with virtual reality (Nintendo Wii) over habituation exercises in chronic vestibular hypofunction.
Eighty-seven patients (44 males, 43 females; mean age: 45.8±12.2 years; range, 19 to 70 years) with chronic unilateral vestibular hypofunction were included in the prospective randomized controlled study conducted between October 2017 and June 2018. Patients were randomized into two groups: the treatment group (TG; n=45) and the control group (n=42). Each group received vestibular rehabilitation exercises. The TG exercised with visual stimulation (virtual reality) in addition to the standard exercises. The patients were evaluated before the treatment and at two and three months. The frequency of dizziness was questioned. Visual analog scale, timed up and go test, Berg balance test, Romberg test, and Dizziness Handicap Inventory questionnaire were used to assess the patients.
There was a statistically significant decrease in the severity of dizziness in both groups at two- and three-month controls (p<0.001). In the comparison between the groups, severity of dizziness, frequency of attacks, and daily frequency were significantly improved in the TG (p<0.001).
Adding virtual reality therapy to habituation exercises is effective in reducing the frequency of attacks.
本研究旨在探讨虚拟现实（任天堂Wii）康复治疗相对于慢性前庭功能减退的习服训练的优越性。
87例慢性单侧前庭功能减退患者（44例男性，43例女性；平均年龄：45.8±12.2岁；范围19至70岁）纳入了2017年10月至2018年6月进行的前瞻性随机对照研究。患者被随机分为两组：治疗组（TG；n = 45）和对照组（n = 42）。每组均接受前庭康复训练。治疗组除标准训练外还进行视觉刺激（虚拟现实）训练。在治疗前以及治疗后两个月和三个月对患者进行评估。询问头晕的频率。使用视觉模拟量表、计时起立行走测试、伯格平衡测试、罗姆伯格测试和头晕残障量表问卷对患者进行评估。
在两个月和三个月的对照中，两组头晕严重程度均有统计学显著降低（p < 0.001）。在组间比较中，治疗组的头晕严重程度、发作频率和每日发作次数均有显著改善（p < 0.001）。
在习服训练中增加虚拟现实治疗可有效降低发作频率。
