Tag: zawroty głowy

双侧前庭功能减退患者接受结构化运动计划对眩晕严重程度、运动恐惧症、平衡能力、睡眠质量、日常生活活动能力及生活质量的影响：病例研究

Sena Gizem Arslan, Miray Budak, Mahmut Sinan Yılmaz

 

Sena Gizem Arslan, Miray Budak, Mahmut Sinan Yılmaz – Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, quality of sleep, activities of daily living and quality of life in bilateral vestibular hypofunction: case study –  Fizjoterapia Polska 2024; 24(1); 18-22

DOI: https://doi.org/10.56984/8ZG2EF8475

摘要
背景与目的。前庭康复是一种基于运动的方法，旨在最大化中枢神经系统（CNS）在前庭核及其他CNS水平对前庭病理的补偿。仅有少数研究记录了前庭康复对双侧前庭功能减退（BVH）患者恢复速度的影响。本研究的目的是调查结构化前庭康复（VR）计划对慢性BVH患者的眩晕严重程度、运动恐惧症、平衡能力、睡眠质量、日常生活活动（ADL）和生活质量（QoL）的有效性。
病例描述。本研究纳入了三名被诊断为BVH的参与者，他们患有眩晕严重程度、运动恐惧症、平衡能力、睡眠质量、ADL和QoL问题。
干预。一个结构化的VR程序每周一次，每次50分钟，作为家庭练习程序每周3天，持续8周。
结果。参与者使用视觉模拟量表（VAS）评估眩晕严重程度，使用坦帕运动恐惧症量表（TSK）评估运动恐惧症，使用半跟踪、跟踪和站立测试评估平衡能力，使用匹兹堡睡眠质量指数（PSQI）评估睡眠质量，使用前庭障碍日常生活活动（VADL）评估ADL，使用眩晕障碍库存（DHI）评估QoL，在研究开始时（T0）、第4周（T1）、第8周（T2）和第20周（T3）进行评估。
结论。总之，一个为期十二周的结构化VR程序可能会增强慢性BVH参与者的眩晕严重程度、运动恐惧症、平衡能力、睡眠质量、ADL和QoL。
关键词
双侧前庭功能减退，眩晕，运动恐惧症，平衡，睡眠质量，生活质量
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Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction

Joanna Jaczewska, Witold Rongies, Marek Zaleski

Joanna Jaczewska, Witold Rongies, Marek Zaleski – Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction. Fizjoterapia Polska 2012; 12(3); 201-212

Abstract
The aim of this study was to evaluate the effectiveness of physical exercises used in the treatment of vertigo and balance disorders caused by vestibular dysfunction. The study group consisted of 30 patients (22 women and 8 men, aged 30-84) with vertigo and/or balance disorders of vestibular origin. Half of the patients (10 women and 5 men, aged 30-79) took the medicine. All patients attended in an individually selected programme of exercises dependent on diagnosis. The control group consisted of 15 patients (10 women and 5 men, aged 30-74) treated only pharmacologically. In order to investigate the effect of rehabilitation, a modified DHI questionnaire was used. For statistical evaluation, an analysis of variance with repeated measurements was performed. Statistical significance was assumed at a level of 0.05.In the group of patients who participated only in the programme of vestibular rehabilitation, an improvement of the questionnaire score was on average 48%. The result in the group performing exercises and additionally taking medication improved on average by 45%. In the control group only 15% of improvement was achieved. The difference in the results is statistically significant. 1. Vestibular rehabilitation has proved to be an effective treatment approach for vertigo and balance disorders caused by diseases of the vestibular system. 2. The age had no significant effect on the result of rehabilitation. 3. An improvement was noted, both in structural, functional and emotional aspects.
Key words:
vestibular system, vertigo, dizziness, balance, vestibular rehabilitation
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Fascial Manipulation for Cervicogenic Headache: A Single Blinded Randomized Controlled Trial

Bassam A. El-Nassag, Ahmed Baghdadi

Bassam A. El-Nassag, Ahmed Baghdadi – Fascial Manipulation for Cervicogenic Headache: A Single Blinded Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 16-21

Streszczenie

Background. Cervicogenic Headache (CGH) is a common type of secondary headaches which has a great socioeconomic impact. Several therapeutic approaches have been used for treatment of CGH. Objective. To investigate the effect of Fascial Manipulation (FM) on CGH, cervical range of motion and CGH associated dizziness. Design. Single blinded, parallel randomized controlled trial. Settings. Out-Patient department at Al-Wakra Hospital, Hamad Medical Corporation, Qatar. Participants. 48 patients with Cervicogenic Headache associated with dizziness. Intervention. Patients were randomized to a study (A) (n = 24) and control (B) (n = 24) groups. Over two successive weeks, patients in group (A) received two sessions of FM as one session/week, while group (B) performed low load cervico-scapular endurance training for two weeks as a three sessions/week. Outcomes measures. The six items Headache Impact Test (HIT-6), Neck Disability Index (NDI), Flexion rotation test (FRT) and Dizziness Handicap Inventory (DHI). Results. There was a statistically significant improvement in the HIT-6, NDI, FRT and DHI within and between groups after treatment in favor for the study group (P < 0.05). Correlation between FRT, HIT-6 and DHI post treatment revealed a negative moderate (r = -0.3) to weak (r = -0.24) correlations respectively. Conclusion. Fascial manipulation is an effective therapeutic approach in comparison to exercise program in treating CGH associated with dizziness.

Słowa kluczowe:
Cervicogenic Headache, Dizziness, Fascial Manipulation
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