UNASSIGNED:这是一项分组随机对照研究,旨在评估前庭-眼反射(VOR)适应训练对复发性眩晕伴单侧前庭功能障碍(UVD)和正常平衡功能的儿童的有效性和接受度。
未经批准:30个孩子,4-13岁,分析诊断为儿童复发性眩晕(RVC)的UVD(根据热量测试)和正常平衡功能。根据相似的年龄和眩晕的严重程度,将这30名儿童分为10个街区。每个组的3名儿童被随机分配到三组中的一组,接受1个月的治疗。A组接受前庭眼反射(VOR)适应训练,B组接受了Cawthorne-Cooksey训练,对照组没有接受训练。所有儿童均接受药物治疗[银杏叶提取物(滴剂)]。头晕障碍清单(DHI),眩晕患者生活质量视觉模拟量表(VAS-QLV),并在治疗前后进行热量测试(CP)记录,并对治疗效果进行评价。采用视觉接受模拟量表(VAS-A)评价两组接受训练的接受情况。
未经评估:A组各有10名儿童,B组,和对照组;男女比例为1,各组平均年龄为9.0±3.2,8.4±3.0,8.3±2.6岁,分别。A组有效率100%,B组65%,C组60%。处理后的热量测试回收率为100%,70%和50%,分别。A组训练前后DHI评分分别为56.8±12.4和8.8±6.1,B组57.8±12.6和18.8±9.7,C组分别为56.8±12.4和24.0±15.3(P均=0.000)。A组训练前后VAS-QLV评分分别为7.5±1.0和0.9±0.9,B组6.4±2.2和2.7±1.1,C组分别为6.6±1.6和2.6±1.4(均P<0.05)。A组训练前后CP值分别为35.7±15.1和12.9±8.7,B组33.6±20.1和23.6±19.3,C组38.6±21.1和24.8±17.9(分别为P=0.001,P=0.015和P=0.050)。组间比较显示,训练后DHI和VAS-QLV评分的降低有显著性差异(P=0.015,P=0.02),而CP值没有(P=0.139)。培训后,与C组相比,A组DHI值明显下降(P<0.05),但是没有其他区别。培训后,与B、C组比较,A组VAS-QLV评分下降更明显(P<0.05)。在接受方面,A组VAS-A评分为7.6±2.2,B组为3.1±2.8(P=0.004),A组接受率为70%,B组接受率为10%,A组和B组年龄与VAS-A无明显相关性(P>0.05)。
UNASSIGNED:这项研究强烈建议对眩晕患儿进行前庭康复训练以改善症状。对于患有UVD但平衡功能正常的RVC的儿童,单一的VOR适应方案可以有效改善眩晕症状,考虑到它的简单性,时效,和出色的结果,与经典的Cawthorne-Cooksey训练相比,它与儿童更好的接受度有关。
UNASSIGNED: This was a block randomized controlled study to evaluate the effectiveness and acceptance of Vestibulo-Ocular Reflex (VOR) adaptation training in children with recurrent vertigo with unilateral vestibular dysfunction (UVD) and normal balance function.
UNASSIGNED: Thirty children, aged 4-13 years, diagnosed with recurrent vertigo of childhood (RVC) with UVD (according to a caloric test) and normal balance function were analyzed. These 30 children were divided into 10 blocks based on similar age and severity of vertigo. Three children in each block were randomly assigned to one of three groups to receive 1 month of treatment. Group A received vestibular-ocular reflex (VOR) adaptation training, Group B received Cawthorne-Cooksey training, and a control group received no training. All children were administered pharmacotherapy [Ginkgo biloba leaf extract (drops)]. The Dizziness Handicap Inventory (DHI), Visual Analog Scale of Quality of Life with Vertigo (VAS-QLV), and canal paralysis (CP) on the caloric test were recorded before and after treatment, and the effectiveness of treatment was evaluated. The Visual Analog Scale of Acceptance (VAS-A) was used to evaluate the acceptance of the training in the two groups that received training.
UNASSIGNED: There were 10 children each in Group A, Group B, and the control group; the male to female ratio was 1, and the average age in each group was 9.0 ± 3.2, 8.4 ± 3.0, and 8.3 ± 2.6 years, respectively. The effective rate was 100% in Group A, 65% in Group B, and 60% in Group C. The recovery rate on caloric testing after treatment was 100, 70, and 50%, respectively. DHI scores before and after training were 56.8 ± 12.4 and 8.8 ± 6.1 in Group A, 57.8 ± 12.6 and 18.8 ± 9.7 in Group B, and 56.8 ± 12.4 and 24.0 ± 15.3 in Group C (all P = 0.000). VAS-QLV scores before and after training were 7.5 ± 1.0 and 0.9 ± 0.9 in Group A, 6.4 ± 2.2 and 2.7 ± 1.1 in Group B, and 6.6 ± 1.6 and 2.6 ± 1.4 in Group C (all P < 0.05). The CP values before and after training were 35.7 ± 15.1 and 12.9 ± 8.7 in Group A, 33.6 ± 20.1 and 23.6 ± 19.3 in Group B, and 38.6 ± 21.1 and 24.8 ± 17.9 in Group C (P = 0.001, P = 0.015, and P = 0.050, respectively). Between-group comparisons showed that the decreases in DHI and VAS-QLV scores after training were significantly different (P = 0.015, P = 0.02), while CP values were not (P = 0.139). After training, the DHI value had decreased significantly more in Group A compared with Group C (P < 0.05), but there were no other differences. After training, VAS-QLV scores in Group A had decreased significantly more compared with Group B and C (P < 0.05). In terms of acceptance, the VAS-A score was 7.6 ± 2.2 in Group A and 3.1 ± 2.8 in Group B (P =0.004), The acceptance rate was 70% in group A and 10% in group B. there was no significant correlation between age and VAS-A in either group A or group B (P > 0.05).
UNASSIGNED: This study strongly suggests that vestibular rehabilitation training should be performed in children with vertigo to improve symptoms. For children with RVC with UVD but normal balance function, a single VOR adaptation program can effectively improve vertigo symptoms, and given its simplicity, time-effectiveness, and excellent outcomes, it is associated with better acceptance in children compared to classic Cawthorne-Cooksey training.