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Advantages of Short-term Personalized Vestibular Rehabilitation at Home Guided by Professional Therapist for Treatment of Decompensated Vestibular Vertigo

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Abstract

Objective

Patients suffered a lot from decompensated vestibular vertigo. Pharmacotherapy and vestibular rehabilitation training have been proven to be effective in prompting vestibular compensation. Routine rehabilitation training is faced with the challenges of patients’ compliance, completion, the average recuperation time and so on. This study is aimed to investigate advantages of short-term personalized vestibular rehabihitation at home guided by professional therapist.

Methods

A short-term personalized vestibular rehabilitation program (ST-PVR) was designed for patients with decompensated vestibular vertigo in this study.

Results

Patients experiencing the ST-PVR program showed significant improvement of Self-Rating Anxiety Scale (SAS), Dizziness Handicap Inventory (DHI), Activities-Specific Balance Confidence Scale (ABC) scores by the second follow-up (at 2nd week after treatment, P<0.05). However-improvement in the medication group occurred slightly later, DHI for 1 month and SAS for 2 months after treatment (P<0.05). Also, the improvement in the onset time of unilateral weakness (UW) at 2nd week after treatment in the personalized vestibular rehabilitation (PVR) group was faster than that in the medication group.

Conclusion

In general, the short-term PVR program showed great advantages by prompting vestibular compensation quickly and putting forward future direction for clinical treatment on decompensated vestibular vertigo.

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Author notes

  1. These authors contributed equally to this work.

Authors and Affiliations

  1. Department of Otology and Skull Base Surgery, Eye Ear Nose & Throat Hospital, Fudan University, Shanghai, 200031, China

    Chen-ru Ding, Ying-qi Gao, Yu-juan Zhou, Jun Gu & Jing Wang

  2. Shanghai Auditory Medical Center, Shanghai, 200031, China

    Chen-ru Ding, Ying-qi Gao, Yu-juan Zhou, Jun Gu & Jing Wang

  3. Key laboratory of Hearing Science, Ministry of Health, Shanghai, 200031, China

    Chen-ru Ding, Ying-qi Gao, Yu-juan Zhou, Jun Gu & Jing Wang

Authors
  1. Chen-ru Ding
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  2. Ying-qi Gao
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  3. Yu-juan Zhou
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  4. Jun Gu
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  5. Jing Wang
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Corresponding author

Correspondence to Jing Wang.

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None of the authors have potential conflict of interests to be disclosed.

Additional information

This study was supported by grants from the General Program of National Natural Science Foundation of China (No. 81870724), the Innovation Project of Shanghai Municipal Science and Technology Commission (No. 19441900400), and the Shanghai Municipal Health Commission (No. 201740018).

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Ding, Cr., Gao, Yq., Zhou, Yj. et al. Advantages of Short-term Personalized Vestibular Rehabilitation at Home Guided by Professional Therapist for Treatment of Decompensated Vestibular Vertigo. CURR MED SCI 41, 687–694 (2021). https://doi.org/10.1007/s11596-021-2420-4

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  • DOI: https://doi.org/10.1007/s11596-021-2420-4

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