Effect of Vestibular Rehabilitation Program Using a Booklet in Patients with Chronic Peripheral Vestibular Hypofunction: A Randomized Controlled Trial

Ryozo Tanaka; Hiroaki Fushiki; Reiko Tsunoda; Tomohiko Kamo; Takumi Kato; Hirofumi Ogihara; Masato Azami; Kaoru Honaga; Toshiyuki Fujiwara

doi:10.2490/prm.20230002

Ryozo Tanaka, Hiroaki Fushiki, Reiko Tsunoda, Tomohiko Kamo, Takumi Kato, Hirofumi Ogihara, Masato Azami, Kaoru Honaga, Toshiyuki Fujiwara

著者情報

Ryozo Tanaka
Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan
Mejiro University Ear Institute Clinic, Saitama, Japan
Department of Physical Therapy, Faculty of Health Sciences, Mejiro University, Saitama, Japan
Hiroaki Fushiki
Mejiro University Ear Institute Clinic, Saitama, Japan
Reiko Tsunoda
Mejiro University Ear Institute Clinic, Saitama, Japan
Tomohiko Kamo
Mejiro University Ear Institute Clinic, Saitama, Japan
Department of Physical Therapy, Faculty of Rehabilitation, Gunma Paz University, Takasaki, Japan
Takumi Kato
Mejiro University Ear Institute Clinic, Saitama, Japan
Hirofumi Ogihara
Mejiro University Ear Institute Clinic, Saitama, Japan
Division of Physical Therapy, Department of Rehabilitation, Faculty of Health Sciences, Nagano University of Health and Medicine, Nagano, Japan
Masato Azami
Mejiro University Ear Institute Clinic, Saitama, Japan
Department of Physical Therapy, Faculty of Health Sciences, Japan University of Health Sciences, Satte, Japan
Kaoru Honaga
Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan
Toshiyuki Fujiwara
Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, Tokyo, Japan

キーワード: booklets, dizziness, gait, rehabilitation, vestibular diseases

ジャーナルオープンアクセス HTML

2023 年 8 巻論文ID: 20230002

DOI https://doi.org/10.2490/prm.20230002

詳細

抄録

Objectives: This study investigated the effects of a supervised home-based vestibular rehabilitation program using a booklet on gait function and dizziness in patients with chronic peripheral vestibular hypofunction.

Methods: This was a non-blinded, randomized, controlled trial. Patients (n=42) with chronic peripheral vestibular hypofunction were randomly divided into the vestibular rehabilitation group (VR group; n=20) or the control group (n=22). Patients in the VR group received a supervised home-based vestibular rehabilitation program using a booklet in addition to physician care for 4 weeks. The physical therapist checked the home program when the VR group visited the outpatient clinic once a week. Patients in the control group received physician care only during the trial period. The primary outcome was functional gait assessment (FGA). The secondary outcomes were the dynamic gait index (DGI) and the dizziness handicap inventory (DHI).

Results: Two-way repeated measures analysis of variance showed a significant interaction for FGA, DGI, DHI total, and DHI emotional scores (P<0.05) with the VR group improving more than the control group. No significant interactions were found for DHI physical and DHI functional scores (P≥0.05).

Conclusions: The home-based vestibular rehabilitation program in this study was effective in improving gait function and dizziness in patients with chronic peripheral vestibular hypofunction. Regular supervision may have improved adherence to home exercise and contributed to the effectiveness of vestibular rehabilitation.

責任著者(Corresponding author)

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