| Objective: To explore and evaluate the efficacy of individualized vestibular rehabilitation training by head-eye exercise video in patients with chronic peripheral vestibular dysfunction. Methods: A total of 60 patients with chronic peripheral vestibular dysfunction were randomly divided into the observation group and the control group, n=30 each. The observation group received individualized vestibular rehabilitation training through the video of head-eye exercise. The control group was given traditional Cawthorne-Cooksey vestibular rehabilitation training. The patients were evaluated before, 2, 4 and 12 weeks after the training. Results: In the observation group, DHI-P scores after 2 weeks of training were significantly lower than those before training (P<0.05), after 4 weeks and 12 weeks of training, DHI scores were significantly lower than those before training (all P<0.01); and ABC scores were significantly higher than those before training (all P<0.01). DHI-P, DHI-E and DHI-T scores in the control group were significantly decreased at 4th week of training as compared with those before training (all P<0.05), DHI scores at 12th week of training were significantly decreased as compared with those before training (all P<0.01), and ABC scores were significantly increased as compared with those before training (all P<0.01). For comparison at the same period between the two groups, after 4 weeks of training, DHI scores in the observation group were significantly lower than those in the control group (P<0.05, 0.01), and ABC scores were significantly increased (P<0.05); after 12 weeks of training, the positive rate of Romberg test was significantly decreased (P<0.05), but the positive rate of Fukuda step test and bithermal caloric test between two groups had no significant difference. Conclusion: For patients with chronic peripheral vestibular dysfunction, vestibular rehabilitation training can achieve satisfactory results. Individualized vestibular rehabilitation training through head-eye exercise video can obtain the efficacy faster than the traditional Cawthorne-Cooksey training method, which is worthy of clinical promotion. |
