Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2018, Vol. 32 ›› Issue (6): 64-68.doi: 10.6040/j.issn.1673-3770.0.2018.290

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Effect of vestibular rehabilitation on residual dizziness in elderly patients with benign paroxysmal positional vertigo

DING Jian1,2, LIU Yiming1   

  1. Department of Vertigo and Cerebrovascular Disease, Taishan Hospital of Shandong Province, Taian 27100, Shandong, China
  • Published:2018-11-29

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Abstract: Objective To examine the therapeutic effect of vestibular rehabilitation on residual dizziness after successful canalith repositioning maneuvers in elderly patients with benign paroxysmal positional vertigo(BPPV). Methods Between January 2015 and December 2017, we treated 86 patients with nystagmus that resolved within 3 days after successful canalith repositioning maneuvers and 86 patients with residual dizziness after treatment. Using a random table method, patients with residual dizziness were divided into 43 cases in an observation group and 43 in a control group. Both groups were treated with dioxetine mesylate, and the observation group also received vestibular rehabilitation training. Both groups were treated for 7 days. The curative effect was compared, using The Berg Balance Scale(BBS)score, the Vestibular Symptom Index(VSI)score, and the Dizziness Handicap Inventory(DHI)score. Results The efficacy rate in the observation group(95.35%)was higher than that in the control group(72.09%)(P<0.05). The BBS score in the observation group before treatment was 7.39±1.24 and increased to 49.81±4.56 after treatment. The BBS score in the control group before treatment was 7.61±1.27 and increased to 39.62±3.21 after treatment. The score in the control group was higher than that in the control group(P<0.05). The VSI score in the observation group before treatment was 32.78±2.41 and decreased to 24.87±3.28 after treatment. The VSI score in the control group before treatment was 32.54±2.39 and decreased to 28.46±2.80 after treatment. The score in the control group was lower than that in the control group(P<0.05). The DHI score in the observation group before treatment was 76.44±6.57 and decreased to 30.81±3.24 after treatment. The DHI score in the control group before treatment was 76.36±5.82 and decreased to 42.36±4.67 after treatment. The score in the control group was lower than that in the control group(P<0.05). Conclusion Vestibular rehabilitation is effective for residual dizziness in elderly patients with BPPV.

Key words: Vestibular rehabilitation, Benign paroxysmal positional vertigo, Residual dizziness, Therapeutic effect

CLC Number: 

  • R764.34
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