关键词: 前庭神经炎, 运动疗法, 个体化

Abstract:

Objective To investigate the clinical efficacy of individualized vestibular rehabilitation program in the treatment of vestibular neuritis. Methods Seventy-six patients with vestibular neuritis who visited the outpatient department from June 2020 to June 2023 were randomly divided into the control group and experimental group. Routine medication was given to patients of both groups. Based on physical examination, vestibular function examination, and subjective scale scores, the impairment of the vestibulo-ocular reflex (VOR) pathway and vestibular spinal reflex (VSR) pathway were assessed in patients of the experimental group, and thus managed by individualized vestibular rehabilitation plans. After three months of treatment, the various examination indicators and clinical treatment effects of the two groups were compared. Results The clinical indicators of both groups significantly improved compared to before treatment. Compared with those of the control group, patients in the experimental group had significantly better improvements in indicators such as Romberg test (ROM), directional preference (DP), video head impulse test (vHIT) gain, dizziness handicap inventory (DHI), and Berg balance scale (BBS) score (P<0.05). The clinical treatment effective was significantly higher in the experimental group than that of the control group (97.37% vs 81.57%, P<0.05). An individualized rehabilitation treatment provided a superior effective outcome to patients with VSR pathway damage. Conclusion Accurately developing individualized vestibular rehabilitation plans based on clinical examination results of patients with vestibular neuritis has significant effects and advantages in improving subjective scores, symptoms and signs, objective indicators of vestibular function. It is worth further promotion.

Key words: vestibular neuritis, exercise therapy, customized