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Application of clinical indicators in evaluating vestibular compensation efficacy in benign recurrent vestibular vertigo patients with short-term personalized vestibular rehabilitation.

Authors :
Wang, Jinyu
Lei, Yibo
Tian, Liang
Zuo, Jinjing
Shen, Yayun
Wang, Jing
Source :
European Archives of Oto-Rhino-Laryngology. Jul2024, Vol. 281 Issue 7, p3509-3520. 12p.
Publication Year :
2024

Abstract

Background: Short-term personalized vestibular rehabilitation (ST-PVR) can establish stable vestibular compensation. However, there is a lack of a clear definition for clinical indicators that can dynamically reflect the progress of vestibular rehabilitation (VR). Objective: To explore the clinical indicators suitable for evaluating the effectiveness of ST-PVR in treating benign recurrent vertigo (BRV). Methods: In total, 50 patients diagnosed with BRV were enrolled. All patients received the ST-PVR treatment program. At 2 and 4 weeks after rehabilitation, subjective scales, including the visual analogue scale (VAS), dizziness handicap inventory scale (DHI), activities‐specific balance confidence scale (ABC) and generalized anxiety disorder (GAD-7) were assessed. Objective vestibular function tests were performed. VR grading was determined. Results: At 2 weeks after rehabilitation, significant enhancements were observed in VAS, DHI, ABC, GAD-7, UW, vHIT results, and VR grading scores (p < 0.05). The sensory organization test (SOT) results demonstrated statistically significant improvements at 2 weeks and 4 weeks after rehabilitation (p < 0.05). Conclusion and significance: Both subjective scales and partial examination results in objective assessment can serve as indicators to dynamically monitor the compensatory process of vestibular function in patients with BRV. The VR efficacy grading score, which incorporates the above indicators, allows for quantification of the changes that occur during the vestibular rehabilitation process. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
09374477
Volume :
281
Issue :
7
Database :
Academic Search Index
Journal :
European Archives of Oto-Rhino-Laryngology
Publication Type :
Academic Journal
Accession number :
178130492
Full Text :
https://doi.org/10.1007/s00405-024-08457-8