一项随机对照试验比较了在家进行的修改Epley机动和Brandt-Daroff练习,用于后运河良性发性定位的症状
Nor Hanim Mohamad Hanapi1, Nurul Firdausi Hasnol Basri2,3, Adi Rizal Abdul Rahman3
1Department of Rehabilitation Medicine, Hospital Kuala Lumpur, Kuala Lumpur, Malaysia.
Korean journal of family medicine
|December 30, 2025
概括
自我埃普利机动 (SEM) 和布兰特-达罗夫练习 (BDE) 均有效治疗后运河良性发性定位 (BPPV). 虽然这些练习并不能完全消除,但可以降低的强度,并改善BPPV患者的日常生活.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 物理疗法物理治疗
背景情况:
- 良性性发性位置性 (BPPV) 是一种常见的前体障碍.
- 后道BPPV是最常见的亚型.
- 有效的家庭治疗对于管理BPPV至关重要.
研究的目的:
- 为了比较自我埃普利机动 (SEM) 和布兰特-达罗夫运动 (BDE) 对后运河BPPV的疗效.
- 为了评估的分辨率,Dix-Hallpike测试转换和症状减少.
- 评估对生活质量和患者耐受性的影响.
主要方法:
- 50名单边后运河BPPV的门诊患者被随机分配到SEM或BDE组.
- 进行了2周的家庭练习.
- 结果包括头的解决,Dix-Hallpike测试状态,头强度和头障碍清单 (DHI) 在1个月和6个月的得分.
主要成果:
- 在两组中,头解决率在1个月后为40%,在6个月后为48%.
- 一个月后,Dix-Hallpike测试的正负转换率为SEM的92%和BDE的84%.
- 观察到的强度和DHI得分显著降低,耐受性良好.
结论:
- 两种SEM和BDE都是后运河BPPV的有效家庭治疗方法.
- 虽然总是无法完全解决,但症状强度和对日常生活的影响显著下降.
- 这些练习为BPPV患者提供了可行的,耐受良好的治疗选择.
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