Efficacy of vestibular rehabilitation and its facilitating and hindering factors from real-world clinical data
Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy of customized vestibular rehabilitation using real-world observational data. In this retrospective observational study, we recruited 64 pati...
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Published in | Frontiers in neurology Vol. 15; p. 1329418 |
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29.02.2024
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Abstract | Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy of customized vestibular rehabilitation using real-world observational data.
In this retrospective observational study, we recruited 64 patients (median age = 60, interquartile range = 48-66.3) who completed the customized vestibular rehabilitation from January to December 2022. The outcomes of rehabilitation were evaluated using the dizziness handicap inventory (DHI) or vestibular disorders activities of daily living scale (VADL). The factors associated with outcomes were assessed with a generalized linear model, of which covariates included patients' age, sex, duration of illness, type of vestibular disorders, initial DHI and VADL scores, exercise compliance, and initial hospital anxiety and depression scale (HADS) scores.
After the median of 6 (4-6) weeks of rehabilitation, DHI and VADL scores significantly improved in patients with either peripheral or central vestibular disorders (Wilcoxon signed-rank test,
< 0.05). The initial DHI and VADL scores showed a positive while the sum of HADS scores showed a negative correlation with the outcome. In contrast, the age, sex, duration of illness, types of vestibular disorders, and exercise compliance did not affect the outcome.
Customized vestibular rehabilitation is effective for central as well as peripheral disorders, especially when the symptoms are severe and the psychological distress is mild. |
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AbstractList | Background and purpose
Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy of customized vestibular rehabilitation using real-world observational data.
Methods
In this retrospective observational study, we recruited 64 patients (median age = 60, interquartile range = 48–66.3) who completed the customized vestibular rehabilitation from January to December 2022. The outcomes of rehabilitation were evaluated using the dizziness handicap inventory (DHI) or vestibular disorders activities of daily living scale (VADL). The factors associated with outcomes were assessed with a generalized linear model, of which covariates included patients’ age, sex, duration of illness, type of vestibular disorders, initial DHI and VADL scores, exercise compliance, and initial hospital anxiety and depression scale (HADS) scores.
Results
After the median of 6 (4–6) weeks of rehabilitation, DHI and VADL scores significantly improved in patients with either peripheral or central vestibular disorders (Wilcoxon signed-rank test,
p
< 0.05). The initial DHI and VADL scores showed a positive while the sum of HADS scores showed a negative correlation with the outcome. In contrast, the age, sex, duration of illness, types of vestibular disorders, and exercise compliance did not affect the outcome.
Discussion and conclusion
Customized vestibular rehabilitation is effective for central as well as peripheral disorders, especially when the symptoms are severe and the psychological distress is mild. Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy of customized vestibular rehabilitation using real-world observational data. In this retrospective observational study, we recruited 64 patients (median age = 60, interquartile range = 48-66.3) who completed the customized vestibular rehabilitation from January to December 2022. The outcomes of rehabilitation were evaluated using the dizziness handicap inventory (DHI) or vestibular disorders activities of daily living scale (VADL). The factors associated with outcomes were assessed with a generalized linear model, of which covariates included patients' age, sex, duration of illness, type of vestibular disorders, initial DHI and VADL scores, exercise compliance, and initial hospital anxiety and depression scale (HADS) scores. After the median of 6 (4-6) weeks of rehabilitation, DHI and VADL scores significantly improved in patients with either peripheral or central vestibular disorders (Wilcoxon signed-rank test, < 0.05). The initial DHI and VADL scores showed a positive while the sum of HADS scores showed a negative correlation with the outcome. In contrast, the age, sex, duration of illness, types of vestibular disorders, and exercise compliance did not affect the outcome. Customized vestibular rehabilitation is effective for central as well as peripheral disorders, especially when the symptoms are severe and the psychological distress is mild. Background and purposeCustomized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy of customized vestibular rehabilitation using real-world observational data.MethodsIn this retrospective observational study, we recruited 64 patients (median age = 60, interquartile range = 48-66.3) who completed the customized vestibular rehabilitation from January to December 2022. The outcomes of rehabilitation were evaluated using the dizziness handicap inventory (DHI) or vestibular disorders activities of daily living scale (VADL). The factors associated with outcomes were assessed with a generalized linear model, of which covariates included patients' age, sex, duration of illness, type of vestibular disorders, initial DHI and VADL scores, exercise compliance, and initial hospital anxiety and depression scale (HADS) scores.ResultsAfter the median of 6 (4-6) weeks of rehabilitation, DHI and VADL scores significantly improved in patients with either peripheral or central vestibular disorders (Wilcoxon signed-rank test, p < 0.05). The initial DHI and VADL scores showed a positive while the sum of HADS scores showed a negative correlation with the outcome. In contrast, the age, sex, duration of illness, types of vestibular disorders, and exercise compliance did not affect the outcome.Discussion and conclusionCustomized vestibular rehabilitation is effective for central as well as peripheral disorders, especially when the symptoms are severe and the psychological distress is mild. |
Author | Choi, Jeong-Yoon Lee, Ja-Ok Yun, So-Yeon Lee, Seonkyung Kim, Ji-Soo Kim, Hyo-Jung Koo, Ja-Won Lee, Ju-Young Sung, Soo-Yun Song, Jae-Jin Choi, Byung Yoon Kim, Min-Ku Park, Hye Youn |
AuthorAffiliation | 3 Department of Psychiatry, Dizziness Center, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea 4 Department of Otorhinolaryngology-Head and Neck Surgery, Dizziness Center, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea 1 Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea 2 Biomedical Research Institute, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea |
AuthorAffiliation_xml | – name: 1 Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea – name: 3 Department of Psychiatry, Dizziness Center, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea – name: 2 Biomedical Research Institute, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea – name: 4 Department of Otorhinolaryngology-Head and Neck Surgery, Dizziness Center, Seoul National University Bundang Hospital , Seongnam-si , Republic of Korea |
Author_xml | – sequence: 1 givenname: Min-Ku surname: Kim fullname: Kim, Min-Ku organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 2 givenname: So-Yeon surname: Yun fullname: Yun, So-Yeon organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 3 givenname: Seonkyung surname: Lee fullname: Lee, Seonkyung organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 4 givenname: Ja-Ok surname: Lee fullname: Lee, Ja-Ok organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 5 givenname: Soo-Yun surname: Sung fullname: Sung, Soo-Yun organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 6 givenname: Ju-Young surname: Lee fullname: Lee, Ju-Young organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 7 givenname: Hyo-Jung surname: Kim fullname: Kim, Hyo-Jung organization: Biomedical Research Institute, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 8 givenname: Hye Youn surname: Park fullname: Park, Hye Youn organization: Department of Psychiatry, Dizziness Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 9 givenname: Jeong-Yoon surname: Choi fullname: Choi, Jeong-Yoon organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 10 givenname: Jae-Jin surname: Song fullname: Song, Jae-Jin organization: Department of Otorhinolaryngology-Head and Neck Surgery, Dizziness Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 11 givenname: Byung Yoon surname: Choi fullname: Choi, Byung Yoon organization: Department of Otorhinolaryngology-Head and Neck Surgery, Dizziness Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 12 givenname: Ja-Won surname: Koo fullname: Koo, Ja-Won organization: Department of Otorhinolaryngology-Head and Neck Surgery, Dizziness Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea – sequence: 13 givenname: Ji-Soo surname: Kim fullname: Kim, Ji-Soo organization: Department of Neurology, Dizziness Center, Clinical Neuroscience Center, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea |
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Cites_doi | 10.1002/14651858.CD005397.pub4 10.3233/VES-120464 10.1017/S0022215108002983 10.3233/VES-170627 10.1080/14737175.2022.2106129 10.1016/S0194-59989570317-9 10.1212/wnl.48.4.916 10.1111/j.1600-0447.1983.tb09716.x 10.1001/archotol.1990.01870040046011 10.1136/bjsports-2016-096081 10.1177/000348949310200306 10.1016/S0733-8619(18)30367-0 10.1001/archotol.126.7.881 10.1016/j.jpsychores.2011.06.008 10.1097/MAO.0000000000002443 10.1590/S0034-72992003000400015 10.1007/s00415-020-10228-4 10.1097/NPT.0000000000000120 10.1097/WCO.0000000000000632 10.1001/archotol.133.4.383 10.3233/VES-150551 10.1097/00005537-200210000-00015 10.3342/kjorl-hns.2018.00325 10.1288/00005537-199211000-00019 10.3233/VES-130475 10.1007/s00415-022-11250-4 10.1016/j.apmr.2020.11.017 10.1177/0003489418823017 10.3233/NRE-182427 10.3390/healthcare11010090 10.1016/j.jpsychores.2007.02.007 10.3988/jcn.2011.7.4.184 10.3109/00016485909129172 |
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Copyright | Copyright © 2024 Kim, Yun, Lee, Lee, Sung, Lee, Kim, Park, Choi, Song, Choi, Koo and Kim. Copyright © 2024 Kim, Yun, Lee, Lee, Sung, Lee, Kim, Park, Choi, Song, Choi, Koo and Kim. 2024 Kim, Yun, Lee, Lee, Sung, Lee, Kim, Park, Choi, Song, Choi, Koo and Kim |
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Keywords | dizziness vestibular disorders psychological distress Vertigo vestibular rehabilitation |
Language | English |
License | Copyright © 2024 Kim, Yun, Lee, Lee, Sung, Lee, Kim, Park, Choi, Song, Choi, Koo and Kim. 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. |
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Snippet | Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy... Background and purpose Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we... Background and purposeCustomized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we... |
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StartPage | 1329418 |
SubjectTerms | dizziness Neurology psychological distress Vertigo vestibular disorders vestibular rehabilitation |
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Title | Efficacy of vestibular rehabilitation and its facilitating and hindering factors from real-world clinical data |
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