Clinical efficacy of low-frequency repetitive transcranial magnetic stimulation combined with vestibular rehabilitation training for persistent postural-perceptual dizziness
10.16016/j.2097-0927.202509041
- VernacularTitle:低频重复经颅磁刺激联合前庭康复训练对持续性姿势-感知性头晕的临床效果
- Author:
Binbin LIU
1
;
Ning WANG
Author Information
1. 海军青岛特勤疗养中心骨关节康复科
- Keywords:
persistent posture-perceived dizziness;
low frequency repetitive transcranial magnetization;
vestibular training;
recovery
- From:
Journal of Army Medical University
2025;47(23):2972-2978
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the efficacy of low-frequency repetitive transcranial magnetic stimulation(rTMS)combined with vestibular rehabilitation training(VRT)for persistent postural-perceptual dizziness(PPPD).Methods In this retrospective case-control study,48 PPPD patients admitted to our rehabilitation center(September 2023 to September 2024)were divided into control group(n=24,VRT only)and study group(n=24,VRT+rTMS).Assessments at baseline and post-treatment included Dizziness Handicap Inventory(DHI),Vestibular Symptom Index(VSI),Hamilton Depression Rating Scale(HAMD),Pittsburgh Sleep Quality Index(PSQI),Numeric PPPD Questionnaire(NPQ),and overall response rate.Results After 6 weeks,the study group showed significantly higher overall response rate compared to control group(91.67%vs 66.67%,P=0.033).The study group demonstrated significantly lower scores than control group:DHI(37.85±6.46 vs 48.53±7.54,P=0.007),VSI(3.85±0.46 vs 5.53±1.54,P=0.002),HAMD(10.20±6.30 vs 15.74±7.05,P=0.006),PSQI(6.24±1.88 vs 8.89±2.79,P=0.003),and NPQ(15.44±3.26 vs 20.81±9.14,P=0.009).Conclusion Combined low-frequency rTMS and VRT effectively alleviates dizziness symptoms and improves treatment efficacy in PPPD patients.
