Effects of Vestibular Rehabilitation on Physical Activity and Subjective Dizziness in Patients With Chronic Peripheral Vestibular Disorders: A Six-Month Randomized Trial

• Material Type: 博士論文
• Title: Effects of Vestibular Rehabilitation on Physical Activity and Subjective Dizziness in Patients With Chronic Peripheral Vestibular Disorders: A Six-Month Randomized Trial
• Author/Editor: Shiozaki, Tomoyuki; Ito, Taeko; Wada, Yoshiro; Yamanaka, Toshiaki; Kitahara, Tadashi
• Author Heading: Shiozaki, Tomoyuki; Ito, Taeko; Wada, Yoshiro; Yamanaka, Toshiaki; Kitahara, Tadashi
• Publication, Distribution, etc.: Frontiers
• Publication Date: 2021-04-29
• Publication Date (W3CDTF): 2021-04-29
• Alternative Title: 慢性期末梢前庭障害に対する前庭リハビリテーションの身体活動量と主観的なめまい感に対する効果：6カ月間のランダム化比較試験
• Periodical title: Frontiers in neurology
• No. or year of volume/issue: 12
• Volume: 12
• Pages: Article No.656157-
• ISSN (Periodical Title): ISSN : 1664-2295
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2023-03-15
• Dissertation Number: 甲第878号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: vestibular rehabilitation; physical therapist; physical activity; randomized control trail; chronic peripheral vestibular disorders
• Target Audience: 一般
• Note (General): type:Thesis; Introduction: The present study aimed to determine whether supervised vestibular rehabilitation therapy (VRT) by physical therapists (PTs) affects subjective dizziness in patients with chronic vestibular disorders, and whether supervised VRT-induced changes in subjective dizziness are related to the changes in physical activity levels in daily life. Methods: Patients (n = 47) with chronic peripheral vestibular disorders were randomly divided into the VRT group (n = 25) and control group (n = 22). Patients in the VRT group received weekly supervised visits from PTs for a period of 6 months. Every other month, both groups were advised by neuro-otologists to increase the amount of activity in their daily life. All patients wore an accelerometer device, which recorded their physical activity for seven successive days before the end of the intervention. Patients also completed the dizziness and unsteadiness questionnaires before and after the intervention. Results: Subjective dizziness decreased significantly regardless of whether supervised VRT was administered; however, dizziness evoked by social activity and head and body movements improved more significantly in the VRT group than in the control group. In the VRT group, there was a significant negative correlation between the increase in sedentary behavior and improvement in subjective dizziness, and a significant positive correlation between the increase in light physical activity and improvement in subjective dizziness at the second month of intervention. The VRT group showed a significantly higher rate of increase in light physical activity than the control group, after 6 months of intervention. Conclusion: Supervised VRT could be highly effective in treating subjective dizziness in patients with chronic peripheral vestibular disorders. We believe frequent (weekly) and medium-term (6 months) PT-guided interventions may be highly effective in enhancing physical activity in daily life, and may subsequently improve subjective dizziness in these patients. Trial registration: This clinical study was registered with University hospital Medical Information Network (identification number: 000028832). https://www.umin.ac.jp/; 博士（医学）・甲第878号・令和5年3月15日; © 2021 Shiozaki, Ito, Wada, Yamanaka and Kitahara. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.; identifier:Frontiers in neurology Vol.12 Article No.656157 (2021 Apr); identifier:16642295; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4110; identifier:Frontiers in neurology, 12: Article No.656157
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.3389/fneur.2021.656157
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU

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http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4110/1/01%e7%94%b2878%e6%9c%ac%e6%96%87%e3%81%ae%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4110/2/02%e7%94%b2878%e5%af%a9%e6%9f%bb%e8%a6%81%e6%97%a8.pdf fulltext

http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4110/6/03%e7%94%b2878%e6%9c%ac%e6%96%87.pdf fulltext