Effects of Vestibular Function Rehabilitation Combined with Proprioceptive Sense Training on Senile Posterior Circulation Ischemic Vertigo
10.3969/j.issn.1006-9771.2018.11.015
- VernacularTitle:前庭功能康复结合本体觉训练对老年性后循环缺血性眩晕的疗效
- Author:
Ruwei XU
1
;
Youqiang FAN
1
;
Di WU
2
;
Peng JIANG
3
;
Lin XU
4
;
Liang XU
1
;
Ming MA
1
;
Yana JIANG
Author Information
1. Department of Rehabilitation Medicine, Zhongda Hospital of Southeast University, Nanjing, Jiangsu 210009, China
2. b. Department of Neurology, Zhongda Hospital of Southeast University, Nanjing, Jiangsu 210009, China
3. 2. Department of Rehabilitation Medicine, Futian Rehabilitation Hospital, Changzhou, Jiangsu 213331, China
4. 3. Department of Rehabilitation Medicine, Dianjiangtai Social Welfare Home, Nanjing, Jiangsu 210031, China
- Publication Type:Journal Article
- Keywords:
posterior circulation ischemic vertigo, vestibule, proprioception, balance, aged, rehabilitation
- From:
Chinese Journal of Rehabilitation Theory and Practice
2018;24(11):1333-1337
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effects of vestibular function training and proprioception training on vertigo and balance function after postoperative circulatory ischemia under the visual participation. Methods From June, 2016 to May, 2018, 72 patients with posterior circulation ischemic vertigo aged more than 60 were randomly divided into proprioception group (n = 24), vestibular group (n = 24) and comprehensive group (n = 24). All the patients received routine medicine and rehabilitation training. Moreover, the proprioception group accepted proprioception training, the vestibular group accepted vestibular function training, and the comprehensive group accepted both proprioception training and vestibular function training. They were assessed with Dizziness Assessment Rating Scale (DARS), Dizziness Handicap Inventory (DHI) and Berg Balance Scale (BBS) before and after four weeks of treatment, while the mean velocity (Vm) of blood flow in the basilar artery was measured with transcranial Doppler, and the stability index (ST) was measured with Tetrax. Results The scores of DARS, DHI and BBS, and Vm and ST improved in all the groups after treatment (t > 57.825, P < 0.001). However, the scores of DHI and BBS, and ST improved more in the comprehensive group than in the proprioception group and the vestibular training group (P < 0.05), Vm and score of DARS improved more in the vestibular group and the comprehensive group than in the proprioception group (P < 0.05). Conclusion With the participation of the vision, vestibular function training combined with proprioception training can further alleviate vertigo caused by postoperative circulatory ischemia, and improve balance and quality of life.
