Affiliation:
1. Department of Rehabilitation Medicine, Mie University Graduate School of Medicine, Mie, Japan
2. Otolaryngology, Mejiro University Ear Institute Clinic, Saitama
Abstract
ObjectivesTo investigate the effect of early vestibular rehabilitation on physical function and dizziness in patients with acute vestibular disorders.Databases ReviewedThe electronic databases examined included PubMed (MEDLINE), Cochrane Central Register of Controlled Trials (CENTRAL), EMBASE (via Dialog), and PEDro.MethodsThe inclusion criteria in terms of the study participants were patients 20 years and older with an acute unilateral peripheral vestibular disorder. We included individual randomized controlled trials (RCTs), cluster-RCTs, quasi-RCTs, and crossover trials. The outcomes were gait, balance (eyes open, eyes close), activities of daily living, dizziness, and vestibular function. Early vestibular rehabilitation was defined as rehabilitation within 14 days of vestibular disorder onset or surgery. Main outcome measures were gait, balance (eyes open, eyes close), activities of daily living, dizziness, and vestibular function.ResultsTwelve trials involving 542 participants were included. Early vestibular rehabilitation improved the Dizziness Handicap Inventory by −7.18 (95% confidence interval [CI], −10.48 to −3.88), balance during eyes close by −1.40 (95% CI, −2.42 to −0.39), and dizziness by −1.47 (95% CI, −2.74 to −0.21) compared with no intervention or placebo.ConclusionThe present study demonstrated that early vestibular rehabilitation improved the Dizziness Handicap Inventory, balance (eyes close), and subjective dizziness in a patient with acute vestibular disorders. This result indicates that early vestibular rehabilitation can promote vestibular compensation.
Publisher
Ovid Technologies (Wolters Kluwer Health)
Subject
Neurology (clinical),Sensory Systems,Otorhinolaryngology
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献