PDF(Pubmed)
Abstract：
BACKGROUND: We aimed to explore the role of comprehensive vestibular rehabilitation based on virtual reality (VR) technology in residual symptoms after canalith repositioning procedure.
METHODS: A total of 124 patients, who were diagnosed with benign paroxysmal positional vertigo from September 2020 to July 2023 and had residual symptoms 24 hours after the canalith repositioning procedure, were selected as the subjects. They were randomly divided into a normal control (NC) group, a Cawthorne-Cooksey exercise group (n=41), a Brandt-Daroff exercise group (n=41), and a VR group (n=42). The NC group received no intervention, the Cawthorne-Cooksey exercise group underwent Cawthorne-Cooksey exercise, the Brandt-Daroff exercise group was subjected to Brandt-Daroff exercise, and the VR group was given comprehensive vestibular rehabilitation based on VR technology.
RESULTS: After treatment, the Dizziness Handicap Inventory (DHI) and vestibular symptom index (VSI) scores of the virtual reality (VR), Cawthorne-Cooksey exercise, and Brandt-Daroff exercise groups were significantly lower than those of the NC group (P <.05). The scores of the VR group were lower than those of the Cawthorne-Cooksey exercise and Brandt-Daroff exercise groups (P < .05). The abnormality rates of ocular vestibular evoked myogenic potentials (oVEMP) and cervical vestibular evoked myogenic potentials (cVEMP) in VR, Cawthorne-Cooksey exercise, and Brandt-Daroff exercise groups were lower than those of the NC group (P <05). The rates of the VR group were lower than those of the Cawthorne-Cooksey exercise and Brandt-Daroff exercise groups (P <05).
CONCLUSIONS: Comprehensive vestibular rehabilitation based on VR technology can cure the residual symptoms after the canalith repositioning procedure, reduce the abnormality rates of oVEMP and cVEMP, and reconstruct the balance ability.
METHODS: A total of 124 patients, who were diagnosed with benign paroxysmal positional vertigo from September 2020 to July 2023 and had residual symptoms 24 hours after the canalith repositioning procedure, were selected as the subjects. They were randomly divided into a normal control (NC) group, a Cawthorne-Cooksey exercise group (n=41), a Brandt-Daroff exercise group (n=41), and a VR group (n=42). The NC group received no intervention, the Cawthorne-Cooksey exercise group underwent Cawthorne-Cooksey exercise, the Brandt-Daroff exercise group was subjected to Brandt-Daroff exercise, and the VR group was given comprehensive vestibular rehabilitation based on VR technology.
RESULTS: After treatment, the Dizziness Handicap Inventory (DHI) and vestibular symptom index (VSI) scores of the virtual reality (VR), Cawthorne-Cooksey exercise, and Brandt-Daroff exercise groups were significantly lower than those of the NC group (P <.05). The scores of the VR group were lower than those of the Cawthorne-Cooksey exercise and Brandt-Daroff exercise groups (P < .05). The abnormality rates of ocular vestibular evoked myogenic potentials (oVEMP) and cervical vestibular evoked myogenic potentials (cVEMP) in VR, Cawthorne-Cooksey exercise, and Brandt-Daroff exercise groups were lower than those of the NC group (P <05). The rates of the VR group were lower than those of the Cawthorne-Cooksey exercise and Brandt-Daroff exercise groups (P <05).
CONCLUSIONS: Comprehensive vestibular rehabilitation based on VR technology can cure the residual symptoms after the canalith repositioning procedure, reduce the abnormality rates of oVEMP and cVEMP, and reconstruct the balance ability.
摘要：
背景：我们旨在探讨基于虚拟现实（VR）技术的综合前庭康复在耳石复位术后残留症状中的作用。
方法：共124例患者，从2020年9月至2023年7月被诊断为良性阵发性位置性眩晕，并在耳石复位手术后24小时出现残留症状，被选为主题。随机分为正常对照组(NC),Cawthorne-Cooksey锻炼组(n=41)，aBrandt-Daroff锻炼组(n=41)，和一个VR组（n=42）。NC组未接受干预,Cawthorne-Cooksey锻炼组接受了Cawthorne-Cooksey锻炼,勃兰特-达罗夫运动组接受了勃兰特-达罗夫运动，VR组给予基于VR技术的综合前庭康复治疗。
结果：治疗后，虚拟现实(VR)的头晕障碍量表(DHI)和前庭症状指数(VSI)评分，Cawthorne-Cooksey练习,Brandt-Daroff运动组明显低于NC组(P<0.05)。VR组的得分低于Cawthorne-Cooksey运动组和Brandt-Daroff运动组（P<0.05）。VR中眼前庭诱发肌源性电位（oVEMP）和颈前庭诱发肌源性电位（cVEMP）的异常率，Cawthorne-Cooksey练习,Brandt-Daroff运动组低于NC组（P<05）。VR组的发生率低于Cawthorne-Cooksey运动组和Brandt-Daroff运动组（P<05）。
结论：基于VR技术的综合前庭康复可以治愈耳石复位术后的残留症状，降低OVEMP和cVEMP的异常率，重建平衡能力。
方法：共124例患者，从2020年9月至2023年7月被诊断为良性阵发性位置性眩晕，并在耳石复位手术后24小时出现残留症状，被选为主题。随机分为正常对照组(NC),Cawthorne-Cooksey锻炼组(n=41)，aBrandt-Daroff锻炼组(n=41)，和一个VR组（n=42）。NC组未接受干预,Cawthorne-Cooksey锻炼组接受了Cawthorne-Cooksey锻炼,勃兰特-达罗夫运动组接受了勃兰特-达罗夫运动，VR组给予基于VR技术的综合前庭康复治疗。
结果：治疗后，虚拟现实(VR)的头晕障碍量表(DHI)和前庭症状指数(VSI)评分，Cawthorne-Cooksey练习,Brandt-Daroff运动组明显低于NC组(P<0.05)。VR组的得分低于Cawthorne-Cooksey运动组和Brandt-Daroff运动组（P<0.05）。VR中眼前庭诱发肌源性电位（oVEMP）和颈前庭诱发肌源性电位（cVEMP）的异常率，Cawthorne-Cooksey练习,Brandt-Daroff运动组低于NC组（P<05）。VR组的发生率低于Cawthorne-Cooksey运动组和Brandt-Daroff运动组（P<05）。
结论：基于VR技术的综合前庭康复可以治愈耳石复位术后的残留症状，降低OVEMP和cVEMP的异常率，重建平衡能力。
