Effect of public square dancing combined with serotonin reuptake inhibitors on persistent postural-perceptual dizziness (PPPD) in middle-aged and older women.

IF 2.9 3区 医学 Q2 NEUROSCIENCES Journal of Vestibular Research-Equilibrium & Orientation Pub Date : 2024-01-01 DOI:10.3233/VES-230045
Bo Tang, Wei Jiang, Chuang Zhang, Hong Tan, Minghua Luo, Yuqin He, Xiaojun Yu
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Abstract

Background: Persistent postural-perceptual dizziness (PPPD) is a functional vestibular disorder that causes chronic dizziness and limits daily activities. Although pharmacology, vestibular rehabilitation, and cognitive behavioral therapy have been proposed to have some efficacy, they have certain limitations. Some patients with PPPD report that public square dancing can effectively relieve the symptoms of dizziness and instability, and their mood improves.

Objective: To evaluate the effects of combining public square dancing with serotonin reuptake inhibitors (SSRIs/SNRIs) on the subjective sensations of dizziness, balance enhancement, anxiety, and depressive symptom regulation in middle-aged and older women with PPPD.

Materials and methods: In this trial, 124 patients diagnosed with PPPD were enrolled. Among them, 64 patients were randomly assigned to the experimental group (EG), where they received square dance training combined with serotonin reuptake inhibitors. The remaining 60 cases were randomly assigned to the control group (CG), where they received only serotonin reuptake inhibitors and did not participate in organized sports activities, allowing them freedom in their daily lives. Data from the Dizziness Handicap Inventory (DHI), Hospital Anxiety and Depression Scale (HADS), Active-specific Balance Confidence Scale (ABC), and Vestibular Disorder Activities of Daily Living Scale (VADL) were collected and compared at the beginning, 3 months, and 6 months of the trial to evaluate the effect of public square dancing on middle-aged and older women with PPPD.

Results: There were no significant differences between the EG and CG before the trial. Compared with baseline measures, DHI, HADS, ABC, and VADL scores improved as the experiment progressed, and the improvements were more pronounced in the EG.

Conclusion: Public square dancing combined with serotonin reuptake inhibitors has a positive impact on the subjective sensations of dizziness, balance enhancement, anxiety, and depressive symptom regulation in middle-aged and older women with PPPD.

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广场舞联合血清素再摄取抑制剂对中老年妇女持续性体位知觉头晕(PPPD)的影响。
背景:持续性体位知觉头晕(PPPD)是一种前庭功能障碍,可引起慢性头晕并限制日常活动。虽然药理学、前庭康复和认知行为疗法被认为有一定的疗效,但它们也有一定的局限性。一些PPPD患者报告说,公共广场舞可以有效缓解头晕和不稳定的症状,并改善他们的情绪。目的:评价广场舞联合5 -羟色胺再摄取抑制剂(SSRIs/SNRIs)对中老年PPPD女性主观感觉头晕、平衡增强、焦虑和抑郁症状调节的影响。材料和方法:本试验纳入124例诊断为PPPD的患者。其中,64名患者被随机分配到实验组(EG),他们接受广场舞训练并结合血清素再摄取抑制剂。其余60例被随机分配到对照组(CG),他们只接受5 -羟色胺再摄取抑制剂,不参加有组织的体育活动,允许他们自由地进行日常生活。收集头晕障碍量表(DHI)、医院焦虑抑郁量表(HADS)、活动特异性平衡信心量表(ABC)和前庭日常生活障碍活动量表(VADL)的数据,并在试验开始、3个月和6个月进行比较,以评估公共广场舞对中老年PPPD妇女的影响。结果:试验前心电图与心电图无显著性差异。与基线测量值相比,DHI、HADS、ABC和VADL评分随着实验的进展而改善,EG的改善更为明显。结论:广场舞联合5 -羟色胺再摄取抑制剂对中老年PPPD妇女的主观感觉头晕、平衡增强、焦虑和抑郁症状调节有积极影响。
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来源期刊
CiteScore
5.00
自引率
4.30%
发文量
66
审稿时长
>12 weeks
期刊介绍: Journal of Vestibular Research is a peer-reviewed journal that publishes experimental and observational studies, review papers, and theoretical papers based on current knowledge of the vestibular system. Subjects of the studies can include experimental animals, normal humans, and humans with vestibular or other related disorders. Study topics can include the following: Anatomy of the vestibular system, including vestibulo-ocular, vestibulo-spinal, and vestibulo-autonomic pathways Balance disorders Neurochemistry and neuropharmacology of balance, both at the systems and single neuron level Neurophysiology of balance, including the vestibular, ocular motor, autonomic, and postural control systems Psychophysics of spatial orientation Space and motion sickness Vestibular rehabilitation Vestibular-related human performance in various environments
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