PDF(Pubmed)
Abstract：
Persistent dizziness and balance deficits are common, often with unknown etiology. Persistent Postural-Perceptual Dizziness (3PD) is a relatively new diagnosis with symptoms that may include dizziness, unsteadiness, or non-vertiginous dizziness and be persistent the majority of time over a minimum of 90 days. The purpose of this case series was to investigate short-term outcomes of reducing dizziness symptoms using a manual therapy intervention focused on restoring mobility in the fascia using a pragmatically applied biomechanical approach, the Fascial Manipulation® method (FM®), in patients with 3PD. The preliminary prospective case series consisted of twelve (n = 12) patients with persistent complaints of dizziness who received systematic application of manual therapy to improve fascial mobility after previously receiving vestibular rehabilitation. The manual therapy consisted of strategic assessment and palpation based on the model proposed in the FM® Stecco Method. This model utilizes tangential oscillations directed toward the deep fascia at strategic points. Six males (n = 6) and females (n = 6) were included with a mean age of 68.3 ± 19.3 years. The average number of interventions was 4.5 ± 0.5. Nonparametric paired sample t-tests were performed. Significant improvements were observed toward the resolution of symptoms and improved outcomes. The metrics included the Dizziness Handicap Inventory and static and dynamic balance measures. The Dizziness Handicap Inventory scores decreased (i.e., improved) by 43.6 points (z = -3.1 and p = 0.002). The timed up and go scores decreased (i.e., improved) by 3.2 s (z = -2.8 and p = 0.005). The tandem left increased (i.e., improved) by 8.7 s (z = 2.8 and p = 0.005) and the tandem right increased (i.e., improved) by 7.5 s (z = 2.8 and p = 0.005). Four to five manual therapy treatment sessions appear to be effective for short-term improvements in dizziness complaints and balance in those with 3PD. These results should be interpreted with caution as future research using rigorous methods and a control group must be conducted.
摘要：
持续的头晕和平衡缺陷是常见的，通常病因不明。持续姿势知觉头晕（3PD）是一种相对较新的诊断，症状可能包括头晕，不稳定,或非眩晕性头晕，并且在至少90天内持续大部分时间。本病例系列的目的是调查使用手动治疗干预减少头晕症状的短期结果，该治疗干预侧重于使用实用的生物力学方法恢复筋膜的活动性。筋膜操纵®方法(FM®)，3PD患者。初步的前瞻性病例系列包括12名（n=12）患有持续头晕的患者，他们在先前接受前庭康复后接受了系统的手动治疗以改善筋膜活动度。手动治疗包括基于FM®Stecco方法中提出的模型的战略评估和触诊。该模型利用指向战略点的深筋膜的切向振荡。包括6名男性（n=6）和女性（n=6），平均年龄为68.3±19.3岁。平均干预次数为4.5±0.5。进行非参数配对样本t检验。观察到症状的解决和改善的结果的显着改善。指标包括头晕障碍库存以及静态和动态平衡指标。头晕障碍库存得分下降(即，改进)43.6点(z=-3.1和p=0.002)。计时和前进分数下降(即，改进)3.2s(z=-2.8和p=0.005)。左边的串联增加(即，改进)8.7s(z=2.8和p=0.005)，右边的串联增加(即，改进)7.5s(z=2.8和p=0.005)。四到五个手动治疗疗程似乎对3PD患者的头晕投诉和平衡的短期改善有效。这些结果应谨慎解释，因为未来的研究必须使用严格的方法和对照组进行。
