RESUMO
Vestibular rehabilitation is an excellent treatment option that can improve dizziness and balance through specific exercises in patients with dizziness who cannot be expected to improve with medication or surgical treatment. Vestibular rehabilitation treatment, especially customized exercise requires a long and complicated process of various evaluation processes, customized prescription of exercise, education, and training. Effective vestibular rehabilitation requires specialists with knowledge of vestibular rehabilitation, patient's commitment to recovery and understanding for the vestibular rehabilitation, and a medical system that can support the time, human resources, and place needed for vestibular rehabilitation. In 2017, customized vestibular exercise is finally approved as a new medical technology, and active treatment for dizziness has become possible for patients who need vestibular rehabilitation. Customized vestibular exercise is an individualized exercises in accordance with the symptoms and disabilities of the patient to improve dizziness and balance problem. Customized exercise consists of an evaluation process to find out the patient's problem, and exercise prescription and training.
Assuntos
Humanos , Tontura , Educação , Exercício Físico , Prescrições , Reabilitação , EspecializaçãoRESUMO
BACKGROUND AND OBJECTIVES: This study aims to evaluate the usefulness of customized vestibular exercise through literature review. MATERIALS AND METHOD: We searched several literature database such as Ovid-MEDLINE, Ovid-EMBASE, and Cochrane Library etc., with the following inclusion criteria: 1) studies of patients with dizziness and balance disorders, 2) studies in which a customized vestibular exercise was performed, and 3) studies in which one or more of the appropriate medical outcomes have been reported. At the same time, we excluded the following: 1) non-human studies and pre-clinical studies, 2) non-original articles, for example, non-systematic reviews, editorial, letter and opinion pieces, 3) research not published in Korean and English, 4) grey literature (thesis, congress or conference materials, abstract etc.), and 5) case studies. Finally, 10 studies were selected and analyzed. RESULTS: The safety of customized vestibular exercise was reported in three documents which reported no side effects related to the procedure. The effectiveness of customized vestibular exercise was proven by the assessment of symptom change, functional change, and other physiological measures based on a total of 10 randomized clinical trial studies. CONCLUSION: For patients with vestibular dysfunction, a customized vestibular exercise can be a safe and effective technique for improving dizziness and balance function.