[The curative effect of manual reduction combined with vestibular rehabilitation exercise in the treatment of benign paroxysmal positional vertigo].
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
; 33(11): 1044-1048, 2019 Nov.
Article
em Zh
| MEDLINE
| ID: mdl-31914291
ABSTRACT
Objective:
To investigate the effect of vestibular rehabilitation exercise combined with manual reduction in the treatment of benign paroxysmal positional vertigoï¼BPPVï¼.Method:
A total of 186 patients with benign paroxysmal positional vertigo were selected and randomly divided into experimental group and control group . The control group was treated with manual reduction, while the experimental group was treated with manual reduction combined with vestibular rehabilitation exercises. Patients with posterior semicircular canal BPPV carried out Brandt-Daroff exercises, while patients with horizontal semicircular canal BPPV carried out Cawthorne-Cooksey exercises and position restriction. To analyze the clinical curative effect, DHI score, residual dizziness and recurrence of the two groups.Result:
There was no significant difference in total efficiency rate and DHI score between the two groups at the first diagnosisï¼P>0.05ï¼. After 1 week, 2 weeks and 1 month of follow-up, the total efficiency rate of the experimental group were 90.3%, 91.4% and 93.5% respectively, which were significantly higher than those of the control groupï¼P<0.05ï¼. Synchronously, the scores of DHI in experimental group were respectively 14.33±5.71, 12.25±4.98 and 9.45±3.70, which were significantly lower than the control groupï¼P<0.05ï¼. For the experimental group, in the first diagnosis, 1 week, 2 weeks and 1 month after follow-up, residual dizziness patients were 29 cases, 13 cases, 8 cases and 0 cases. The mean duration of residual dizziness was ï¼5.86±4.71ï¼ days, which was significantly lower than that in the control groupï¼P<0.05ï¼. One month after follow-up, the recurrence of patients in the experimental group were 5 cases, while the control group were 11 cases, significant difference between the two groupsï¼χ²=4.704, P=0.030ï¼.Conclusion:
Manual reduction combined with vestibular rehabilitation exercise can significantly improve the therapeutic effect of BPPV, ameliorate the residual dizziness symptoms and reduce the recurrence rate, meanwhile improve the balance function and quality life of patients.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tontura
/
Vertigem Posicional Paroxística Benigna
Tipo de estudo:
Guideline
Limite:
Humans
Idioma:
Zh
Ano de publicação:
2019
Tipo de documento:
Article