Lilios Andreas, Nikitas Christos, Skoulakis Charalampos, Alagianni Aggeliki, Chatziioannou Ioannis, Asimakopoulou Panagiota, Chimona Theognosia
Department of Otolaryngology, Head and Neck Surgery, University Hospital of Larisa, 413 34 Larisa, Greece.
1st Department of Otolaryngology, Head and Neck Surgery, National and Kapodistrian University of Athens, Hippocrateion General Hospital, 115 27 Athens, Greece.
J Clin Med. 2024 Nov 21;13(23):7015. doi: 10.3390/jcm13237015.
Unilateral vestibular hypofunction (UVH) in cases of insufficient central nervous system compensation leads to chronic dizziness. A customized vestibular rehabilitation (VR) program is more beneficial than a generic set of exercises for patients with chronic UVH. The purpose of the present study is to compare a customized remotely supervised VR program with a customized unsupervised VR program in chronic UVH patients. Participants were randomly allocated into two groups (Group A and Group B) and received an individualized 6-week home-based VR program that included adaptation and habituation exercises, balance and gait training. All individuals' VR program implementation was evaluated weekly, allowing for exercise modifications. Moreover, Group A received additional remote supervision via phone communication (twice per week). The effectiveness of each VR program was evaluated using the scores of the Mini-BESTest, the Functional Gait Assessment (FGA), and the Dizziness Handicap Inventory (DHI). At the 6-week assessment, participants in Group A had significantly better scores in objective and subjective evaluated parameters than those in Group B ( < 0.001). Group A also showed better compliance with the VR program. On the contrary, participants' conformity in their individualized exercises was not affected by gender, duration of symptoms, or BMI ( > 0.05). Our clinical study highlights the advantages of using telephone communication, with a structured design and implementation, to assist individuals in successfully following a VR protocol.
在中枢神经系统代偿不足的情况下，单侧前庭功能减退（UVH）会导致慢性头晕。对于慢性UVH患者，定制的前庭康复（VR）计划比一般的运动方案更有益。本研究的目的是比较定制的远程监督VR计划与定制的非监督VR计划对慢性UVH患者的效果。参与者被随机分为两组（A组和B组），接受为期6周的个性化家庭VR计划，其中包括适应性和习惯化训练、平衡和步态训练。每周评估所有个体的VR计划实施情况，以便对运动进行调整。此外，A组通过电话沟通接受额外的远程监督（每周两次）。使用简短Berg平衡量表（Mini-BESTest）、功能性步态评估（FGA）和头晕残障量表（DHI）的得分来评估每个VR计划的效果。在6周评估时，A组参与者在客观和主观评估参数方面的得分明显高于B组（<0.001）。A组对VR计划的依从性也更好。相反，参与者在个性化训练中的一致性不受性别、症状持续时间或体重指数的影响（>0.05）。我们的临床研究强调了采用结构化设计和实施的电话沟通来帮助个体成功遵循VR方案的优势。
