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Effects and influencing factors of vestibular rehabilitation in 171 cases / 中华耳鼻咽喉头颈外科杂志
Chinese Journal of Otorhinolaryngology Head and Neck Surgery ; (12): 263-269, 2022.
Article in Chinese | WPRIM | ID: wpr-936206
ABSTRACT

Objective:

To explore the effect of vestibular rehabilitation and to identify factors that can affect rehabilitation outcomes.

Methods:

From December 2018 to October 2020, patients who underwent vestibular rehabilitation in the Eye, Ear, Nose and Throat Hospital of Fudan University were prospectively followed up. A battery of vestibular function examinations and psychological status evaluations were applied before and after rehabilitation initiation. The main outcomes were vertigo/dizziness and unsteadiness, measured by visual analogue scale (VAS); Secondary outcomes were daily activities and participation, assessed by vestibular activities and participation measure (VAP). Paired t-test was used to compare the effects before and after rehabilitation. Binary logistic regressions were applied to analyze the influencing factors of rehabilitation outcomes.

Results:

A total sample of 171 patients was followed up regularly with a median time of 11 months. Of the 171 patients evaluated, 72 were males and 99 were females; age ranged from 10 to 89 years old with a median age of 55 years old. At 6-month follow-up, the difference of VAS score of vertigo/dizziness and unsteadiness pre-post rehabilitation was 1.79±1.80 and 1.56±1.76, respectively; The difference of activity and participation domain of VAP score was 2.51±13 and 1.27±3.75, respectively. All differences pre-post rehabilitation exhibited statistically significant with P values<0.01. Regression analysis demonstrated that the length of symptom onset was a significant predictor of poor balance recovery (OR=6.52; 95%CI2.10, 20.27). Visual dependence (OR=5.44; 95%CI 1.38, 21.47) and suspectable anxiety (OR=6.45; 95%CI 1.49, 28.30) were identified as risk factors for poor recovery of vertigo/dizziness.

Conclusions:

Vestibular rehabilitation effectively reduces dizziness, promotes balance, and improves the function of daily activities. Time from the onset, visual dependence and suspectable anxiety are the main factors hindering a desirable rehabilitation outcome.
Subject(s)
Full text: Available Index: WPRIM (Western Pacific) Main subject: Anxiety / Vertigo / Vestibule, Labyrinth / Treatment Outcome / Dizziness Type of study: Prognostic study Limits: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Year: 2022 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Anxiety / Vertigo / Vestibule, Labyrinth / Treatment Outcome / Dizziness Type of study: Prognostic study Limits: Adolescent / Adult / Aged / Aged80 / Child / Female / Humans / Male Language: Chinese Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery Year: 2022 Type: Article