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Analysis of vestibular rehabilitation effects in acute brainstem infarction patients with subjective visual vertical tilting

التفاصيل البيبلوغرافية
العنوان: Analysis of vestibular rehabilitation effects in acute brainstem infarction patients with subjective visual vertical tilting
المؤلفون: ZHAO Qian-qian, YIN Miao-miao, LI Ya-qing, HUANG Mao-juan, YU Chang-shen, ZHANG Yue, WU Jia-ling
المصدر: Chinese Journal of Contemporary Neurology and Neurosurgery, Vol 24, Iss 4, Pp 273-279 (2024)
بيانات النشر: Tianjin Huanhu Hospital, 2024.
سنة النشر: 2024
المجموعة: LCC:Neurology. Diseases of the nervous system
مصطلحات موضوعية: brain stem infarctions, gravity sensing, neurological rehabilitation, vestibule, labyrint, Neurology. Diseases of the nervous system, RC346-429
الوصف: Objective To investigate the rehabilitation effects of vestibular rehabilitation in acute brainstem infarction patients with subjective visual vertical (SVV) tilting, and the correlation between the SVV, balance confidence, dizziness/vertigo and walking function. Methods All 45 acute brainstem infarction patients with SVV tilting who were hospitalized in Tianjin Huanhu Hospital from July 2022 to July 2023 were collected. Patients were divided into vestibular rehabilitation group (n = 25) and general rehabilitation group (n = 20), Bucket Test was used to test SVV tilting angle, Activities-Specific Balance Confidence Scale (ABC) was used to evaluate balance confidence, Visual Analog Scales (VAS) was used to evaluate dizziness/vertigo and Functional Ambulation Category Scale (FAC) was used to evaluate walking function before and after 2 weeks of treatment. Results The SVV tilting angle (F = 4.356, P = 0.043), ABC score (F = 4.389, P = 0.042), dizziness/vertigo VAS score (F = 4.138, P = 0.048) were significantly different between vestibular rehabilitation group and general rehabilitation group. After treatment, the SVV tilting angle (t = - 2.139, P = 0.038) and the dizziness/vertigo VAS score (t = - 2.952, P = 0.005) in vestibular rehabilitation group were lower than those in general rehabilitation group, and the ABC score was higher than that in general rehabilitation group (t = 2.920, P = 0.006). SVV tilting angle (F = 196.923, P = 0.000), ABC score (F = 89.050, P = 0.000), dizziness/vertigo VAS score (F = 81.803, P = 0.000), FAC grade (F = 72.866, P = 0.000) were statistically significant. The SVV tilting angle (t = 0.763, P = 0.000; t = 0.972, P = 0.000) and dizziness/vertigo VAS score (t = 8.815, P = 0.000; t = 5.107, P = 0.000) after treatment were lower than those before treatment of 2 groups, and the ABC score (t = 0.689, P = 0.001; t = 0.703, P = 0.001) and FAC grade (t = - 6.721, P = 0.000; t = - 5.772, P = 0.000) were higher than those before treatment of 2 groups. Correlation analysis showed a positive correlation between SVV tilting angle and dizziness/vertigo VAS score in acute brainstem infarction patients with SVV tilting (r = 0.627, P = 0.000). Conclusions Vestibular rehabilitation can effectively improve the SVV tilting, balance confidence and dizziness/vertigo symptoms of acute brainstem infarction patients with SVV tilting, and the SVV tilting angle is closely related to the degree of dizziness/vertigo.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Chinese
تدمد: 1672-6731
Relation: http://www.cjcnn.org/index.php/cjcnn/article/view/2853; https://doaj.org/toc/1672-6731
DOI: 10.3969/j.issn.1672-6731.2024.04.012
URL الوصول: https://doaj.org/article/cea899189a1149ac96aeb1b16fa87b93
رقم الأكسشن: edsdoj.899189a1149ac96aeb1b16fa87b93
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:16726731
DOI:10.3969/j.issn.1672-6731.2024.04.012