2011 年 70 巻 2 号 p. 57-66
We have previously reported on the effectiveness of our in-hospital rehabilitation program for patients with treatment-resistant dizziness that have been referred to us by other hospitals. For this study, we undertook a comparative review of the respective benefits of dizziness rehabilitation in 37 ambulatory patients and 58 inpatients with Benign Paroxysmal Positional Vertigo(BPPV).
We compared the therapeutic efficacy of dizziness rehabilitation in 37 ambulatory BPPV patients and 58 BPPV inpatients in the group therapy program. The Dizziness Handicap Inventory (DHI), posturography, the Short Form 8 Health Survey (SF-8; Japanese version), Self-rating Depression Scale (SDS), State-trait Anxiety Inventory (Form JY-2), Profile of Mood States (brief Japanese version) and a the period during which nystagmus disappeared captured on a CCD camera were used to evaluate the physiological and psychological effects of the respective therapy regimens.
(1) A comparative review of therapy outcomes for the 37 ambulatory BPPV patients and the 58 BPPV patients receiving inpatient treatment revealed inpatient therapy to be markedly more effective in treating dizziness.
(2) The results suggest that the rehabilitative effects to be gained from an in-hospital program of group therapy for dizziness both improved dizziness and provided clear evidence for a group therapy effect, thus offering both physiological and psychological improvements for patients with the symptoms of dizziness.