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KMID : 0361020010440030256
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Korean Journal of Otolaryngology - Head and Neck Surgery
2001 Volume.44 No. 3 p.256 ~ p.260
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Vestibular rehabilitation in incompletely compensated acuteunilateral vestibular loss
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이원상/Won Sang Lee
이용훈/홍정표/권오휘/정운교/Yong Hoon Lee/Jung Pyo Hong/Oh Whi Kwon/Woon Kyo Chung
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Abstract
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Background and objective : Vestibular rehabilitation has been recommended as the treatment of choice for patients with persisting dizziness due to vestibular dysfunction, since surgery is seldom appropriate and the available pharmacological
treatments
are not curative and can have undesirable side-effects. This study investigated the effects of vestibular rehabilitation therapy on recovery following acute unilateral vestibular loss. Materials and Methods : Twenty-four patients were randomly
assigned
to two groups of either with-treatment or without treatment. The outcome measures included equilibrium scores in dynamic posturography, motion sensitivity quotient(MSQ), and dizziness handicap inventory(DHI). Results : When individual comparison
measures were compared, equilibrium score results at the end of the 8-week treatment period revealed improvement of postural control in the group who received vestibular rehabilitation therapy. The DHI and MSQ results revealed less motion
sensitivity
and dizziness handicap, but not the acquired statistical significance compared with the non-treatment group. Conslusion : This results suggest that after acute unilateral vestibular loss, most patients can effectively utilize the central
compensation
mechanisms to recover from such an injury, but the vestibular rehabilitation therapy could provide a more rapid and complete recovery for these patients.
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