Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2025, Vol. 39 ›› Issue (1): 23-28.doi: 10.6040/j.issn.1673-3770.0.2024.308

• Original Article • Previous Articles    

Analysis of the curative efficacy of low-frequency vibration shear stress on patients with unilateral vestibular dysfunction

ZHAO Zhen1, ZHENG Guiliang2, WANG Jun1, ZHANG Bingwen1   

  1. 1. Department of Otorhinolaryngology & Head and Neck Surgery, Nanjing First Hospital, Nanjing Medical University, Nanjing 210006, Jiangsu, China2. Department of Otorhinolaryngology & Head and Neck Surgery, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China
  • Published:2025-01-17

PDF (PC)

10

Abstract: Objective To investigate the effect and value of low frequency vibration on vestibular rehabilitation in patients with unilateral vestibular dysfunction. Methods From July, 2019 to December, 2023, all patients admitted to the Department of Otolaryngology Head and Neck Surgery of our Hospital with a history of vestibular neuritis and sequelae of vertigo were diagnosed with unilateral vestibular dysfunction. 152 patients were randomly divided into low-frequency vibration therapy group and vestibular rehabilitation therapy group, excluding patients with poor medical compliance and lost to follow-up, there were 76 cases in each group. The patients in the low-frequency vibration treatment group were treated with 100 Hz low-frequency vibration through the affected side mastoid for 2 weeks. Patients in the vestibular rehabilitation treatment group were received routine rehabilitation training for 2 weeks. The relevant score tests were performed before treatment and at the 2nd week after treatment. We performed a comparative statistical analysis of the Dizziness Handicap Inventory(DHI)and the Visual Vertigo Analogue Scale(VVAS)before and after treatment, respectively. The DHI score was calculated with three sub-dimensions, namely soma score(DHI-P), emotion score(DHI-E), function score(DHI-F)and total score(DHI-T), and then to evaluate the value of low-frequency vibration therapy on vertigo rehabilitation in patients with unilateral vestibular dysfunction. Results The total DHI score improvement of more than 18 points was effective. The total effective rate was 77.63% in the low-frequency vibration treatment group and 82.89% in the vestibular rehabilitation group, with no statistical significance(P=0.415). There were significant differences in the scores of DHI-P, DHI-E, DHI-F, DHI-T and VVAS in the pre-treatment and post-treatment scores between the low-frequency vibration treatment and vestibular rehabilitation groups(P<0.01). Conclusion The effective rates between the two groups of low-frequency vibration delivered to the mastoid process and the conventional vestibular rehabilitation exercises in improving vertigo symptoms are equivalent, and low-frequency vibration delivered to the mastoid process has no other adverse effects on patients. However, compared with vestibular rehabilitation exercises that require professional rehabilitators and professional sites, low-frequency vibration therapy for vertigo rehabilitation in patients with unilateral vestibular dysfunction is simple to operate, has no special site requirements, and has little difficulty in technician training.

Key words: Low-frequency vibration, Shear stress, Vestibular hypofunction, Vertigo

CLC Number: 

  • R764.35
[1] Quatman-Yates CC, Hunter-Giordano A, Shimamura KK, et al. Physical therapy evaluation and treatment after concussion/mild traumatic brain injury[J]. J Orthop Sports Phys Ther, 2020, 50(4): CPG1-CPG73. doi:10.2519/jospt.2020.0301
[2] García-Muñoz C, Cortés-Vega MD, Heredia-Rizo AM, et al. Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis[J]. J Clin Med, 2020, 9(2): 590. doi:10.3390/jcm9020590
[3] Huang TC, Wang SJ, Kheradmand A. Vestibular migraine: an update on current understanding and future directions[J]. Cephalalgia, 2020, 40(1): 107-121. doi:10.1177/0333102419869317
[4] Weidt S, Bruehl AB, Straumann D, et al. Health-related quality of life and emotional distress in patients with dizziness: a cross-sectional approach to disentangle their relationship[J]. BMC Health Serv Res, 2014, 14: 317. doi:10.1186/1472-6963-14-317
[5] Arnold SA, Stewart AM, Moor HM, et al. The effectiveness of vestibular rehabilitation interventions in treating unilateral peripheral vestibular disorders: a systematic review[J]. Physiother Res Int, 2017, 22(3). doi:10.1002/pri.1635
[6] Hillier S, McDonnell M. Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane Review[J]. Eur J Phys Rehabil Med, 2016, 52(4): 541-556
[7] Lilios A, Chimona T, Nikitas C, et al. The effect of supervision in vestibular rehabilitation in patients with acute or chronic unilateral vestibular dysfunction: a systematic review[J]. Otol Neurotol, 2021, 42(10): 1422-1431. doi:10.1097/MAO.0000000000003354
[8] Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: an updated clinical practice guideline from the academy of neurologic physical therapy of the American physical therapy association[J]. J Neurol Phys Ther, 2022, 46(2): 118-177. doi:10.1097/NPT.0000000000000382
[9] Pyykko I. Outcomes of endolymphatic shunt surgery in ménière's disease indicate potential contribution of shear stress instead of relieving the endolymphatic Hydrops[J]. Otolaryngology, 2014, 4(3). doi:10.4172/2161-119x.1000171
[10] 邹静,Ilmari Pyykkö.内淋巴囊手术治疗梅尼埃病与剪切应激反应[J].中华耳科学杂志,2012,10(2):255-259. doi:10.3969/i.issn.1672-2922.2012.02.028
[11] Zou J, Peng R, Zheng G, et al. Improvement in the inner ear symptoms of patients with Meniere's disease after treatment using low-frequency vibration: a preliminary report[J]. Edorium Journal of Otolaryngology, 2015. doi:10.5348/O04-2015-5-OA-2
[12] 彭日顺子, 郑贵亮, 张青, 等. 低频旋转乳突振动对正常志愿者听力的影响[J]. 中华耳科学杂志, 2015, 13(1): 110-114. doi:10.3969/j.issn.1672-2922.2015.01.021 PENG Rishunzi, ZHENG Guiliang, ZHANG Qing, et al. Effects of rotatory low-frequency mastoid vibrations on auditory function in normal volunteers[J]. Chinese Journal of Otology, 2015, 13(1): 110-114. doi:10.3969/j.issn.1672-2922.2015.01.021
[13] Shepard NT, Jacobson GP. The caloric irrigation test[J]. Handb Clin Neurol, 2016, 137: 119-131. doi:10.1016/b978-0-444-63437-5.00009-1
[14] 张祎, 刘博, 王拥军, 等. 头晕评价量表中文版信度和效度分析[J]. 中华耳鼻咽喉头颈外科杂志, 2015, 50(9): 738-743. doi:10.3760/cma.j.issn.1673-0860.2015.09.008 ZHANG Yi, LIU Bo, WANG Yongjun, et al. Analysis of reliability and validity of the Chinese Version of Dizziness Handicap Inventory(DHI)[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2015, 50(9): 738-743. doi:10.3760/cma.j.issn.1673-0860.2015.09.008
[15] Dannenbaum E, Chilingaryan G, Fung J. Visual vertigo analogue scale: an assessment ouestionnaire for visual Vertigo[J]. Journal of Vestibular Research, 2011, 21(3): 153-159
[16] 余海芸, 刘小龙, 李衍菲,等. 视觉性眩晕量表的汉化及信效度分析[J].中华耳科学杂志, 2019, 17(3): 371-375. doi:10.3969/j.issn.1672-2922.2019.03.018 YU Haiyun, LIU Xiaolong, LI Yanfei, et al. The chinese translation and reliability and validity analysis of the visual vertigo scale[J]. Chinese Journal of Otology, 2019,17(3):371-375. doi:10.3969/j.issn.1672-2922.2019.03.018
[17] 祁晓媛, 宋宁, 顾平, 等. 前庭康复机制及治疗的研究进展[J]. 中国全科医学, 2022, 25(11): 1399-1405. doi:10.12114/j.issn.1007-9572.2021.01.104 QI Xiaoyuan, SONG Ning, GU Ping, et al. Research advances in vestibular rehabilitation mechanism and treatment[J]. Chinese General Practice, 2022, 25(11): 1399-1405. doi:10.12114/j.issn.1007-9572.2021.01.104
[18] Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: an updated clinical practice guideline from the academy of neurologic physical therapy of the American physical therapy association[J]. J Neurol Phys Ther, 2022, 46(2): 118-177. doi:10.1097/NPT.0000000000000382
[19] García-Muñoz C, Cortés-Vega MD, Heredia-Rizo AM, et al. Effectiveness of vestibular training for balance and dizziness rehabilitation in people with multiple sclerosis: a systematic review and meta-analysis[J]. J Clin Med, 2020, 9(2): 590. doi:10.3390/jcm9020590
[20] Sulway S, Whitney SL. Advances in vestibular rehabilitation[J]. Adv Otorhinolaryngol, 2019, 82: 164-169. doi:10.1159/000490285
[21] Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders[J]. Curr Opin Neurol, 2019, 32(1): 137-144. doi:10.1097/WCO.0000000000000632
[22] 杨军,郑贵亮. 外周前庭疾病的诊断和治疗[J]. 山东大学耳鼻喉眼学报, 2020, 34(5):1-6. doi: 10.6040/i.issn.1673-3770.1.2020.074 YANG Jun, ZHENG Guiliang. Diagnosis and management of peripheral vestibular diseases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 1-6. doi: 10.6040/i.issn.1673-3770.1.2020.074
[23] Allum JH, Honegger F. Vibro-tactile and auditory balance biofeedback changes muscle activity patterns: possible implications for vestibularimplants[J]. J Vestib Res, 2017, 27(1): 77-87. doi:10.3233/VES-170601
[24] Toshishige Y, Kondo M, Kabaya K, et al. Cognitive-behavioural therapy for chronic subjective dizziness: Predictors of improvement in Dizziness Handicap Inventory at 6 months posttreatment[J]. Acta Otolaryngol, 2020, 140(10): 827-832. doi:10.1080/00016489.2020.1772994
[25] Lilios A, Chimona T, Nikitas C, et al. The effect of supervision in vestibular rehabilitation in patients with acute or chronic unilateral vestibular dysfunction: a systematic review[J]. Otol Neurotol, 2021, 42(10): e1422-e1431. doi:10.1097/MAO.0000000000003354
[26] Lempert T, Olesen J, Furman J, et al. Vestibular migraine: diagnostic criteria1[J]. J Vestib Res, 2022, 32(1): 1-6. doi:10.3233/VES-201644
[27] Teixido M, Casserly R, Melley LE. Lateral modified brandt-daroff exercises: a novel home treatment technique for horizontal canal BPPV[J]. J Int Adv Otol, 2021, 17(1): 52-57. doi:10.5152/iao.2020.9452
[28] Koc A, Cevizci Akkılıc E. Effects of vestibular rehabilitation in the management of patients with and without vestibular migraine[J]. Braz J Otorhinolaryngol, 2022, 88(3): S25-S33. doi:10.1016/j.bjorl.2021.07.011
[29] 中国老年医学学会眩晕/前庭医学分会, 国家卫生健康委员会能力建设和继续教育中心耳鼻喉科专家委员会. 前庭疾病前庭康复专家共识[J]. 中华医学杂志, 2024, 104(14): 1097-1107. doi: 10.3760/cma.j.cn112137-20231129-01237 Chinese Geriatrics Society for Vestibular Disorders Expert Committee on Otolaryngology, National Health Commission Capacity Building and Continuing Education Center.Expert consensus on vestibular rehabilitation in vestibular disorders[J]. National Medical Journal of China, 2024, 104(14): 1097-1107. doi: 10.3760/cma.j.cn112137-20231129-01237
[1] ZHOU Yixing, LI Dan, CHEN Tengyu, ZHOU Min, HUANG Jiaqian, WANG Sen, LUO Shiwei, HE Weiping. Data mining on the pattern of medication in the management of vertigo by famous veteran Chinese medicine practitioners in modern times [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2023, 37(3): 11-20.
[2] XU Jia, LI Xin, CHEN Wenjing, GAO Juanjuan, LU Xingxing, YI Haijin. Short-term and long-term outcomes of endolymphatic sac decompression with instillation of local steroids for intractable Meniere's disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2022, 36(4): 17-21.
[3] ZHANG Yaoyao,WANG Haitao. The application of MRI technology with intratympanic gadolinium injection in the diagnosis and treatment of Meniere's disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2021, 35(6): 101-107.
[4] JIANG Lina, YU Qianru, YU Jie, GUAN Benling, LU Yu, YU Shudong. Anxiety and depression in patients with common types of vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(6): 1-5.
[5] . Diagnosis and management of peripheral vestibular diseases [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 1-6.
[6] . A new grade of vestibular function abnormality in Menieres disease: a pilot study [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 14-19.
[7] . Therapeutic effectiveness of 75 cases of retrolabyrinthine vestibular neurectomy for intractable Menieres disease [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 46-50.
[8] . Abnormality rate of vestibular evoked myogenic potentials in patients with primary and recurrent benign paroxysmal positional vertigo: a clinical observation [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 51-55.
[9] . Study of the relationship of dizziness and vertigo sensations with the nystagmus intensity [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 56-60.
[10] . Development and application of a vestibular rehabilitation training guidance platform [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 78-81.
[11] . The role of three-dimensional fluid attenuated inversion recovery magnetic resonance imaging in diagnosis of sudden sensorineural hearing loss caused by inner ear hemorrhage [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 97-101.
[12] . The progress of otogenic bacterial labyrinthitis research [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 102-107.
[13] . Research progress on the effect of sleep on benign paroxysmal positional vertigo [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(5): 108-112.
[14] Haijin YI,Shiming YANG. Value the diagnosis and treatment of ear trauma [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 1-3.
[15] Jia XU,Haijin YI. Standardized treatment of auricular complications with temporal bone fractures [J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2020, 34(1): 4-8.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd