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自主管理前庭康复对持续的姿势感知头的影响

Chisato Fujimoto¹, Mineko Oka¹, Kentaro Ichijo¹

¹Department of Otolaryngology and Head and Neck Surgery, Graduate School of Medicine The University of Tokyo Bunkyo-ku Tokyo Japan.

Laryngoscope investigative otolaryngology

|August 25, 2023

概括

自主管理前庭康复 (VR) 改善了持久姿势感知性头 (PPPD) 患者的主观头症状. 然而,姿势稳定性没有显著改善,突出显示需要加强患者对VR治疗的坚持.

科学领域:

神经学神经学
静脉直通道康复静脉直通道康复
头乱疾病

背景情况:

持续的姿势感知性头 (PPPD) 是一种慢性疾病,影响平衡和生活质量.
垂体康复 (VR) 是一种常见的治疗方法,但遵守自我管理协议可能具有挑战性.

研究的目的:

评估自我管理VR对PPPD患者的主观头和姿势稳定性的有效性.
为了评估头症状的变化和客观平衡措施在为期2个月的自我管理VR计划后.

主要方法:

对19名被诊断患有PPPD的患者进行了回顾性病例审查.
患者被指示在2个月内进行自我管理VR.
测量结果包括主观问卷 (NPQ,DHI) 和客观姿势稳定性测试 (COP测量,罗姆伯格/泡比率).

主要成果:

在12名完成2个月VR计划的患者中,观察到主观头得分 (NPQ,DHI) 的显著改善 (p < .05).
在姿势稳定性测量方面没有发现显著的改善,包括压力中心 (COP) 速度和面积,或罗姆伯格/泡比率.
自主管理VR协议的遵守程度中等,22%的人停止治疗.

结论:

自主管理VR可以有效地缓解PPPD患者的主观头症状.
当前的自我管理VR协议可能无法充分提高PPPD患者的姿势稳定性.
改善患者对VR治疗的坚持对于优化PPPD管理结果至关重要.

关键词:

头,头,可能会出现.姿势姿势姿势姿势康复康复康复康复康复康复自主管理的自我管理.自我报告自我报告

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