比较门诊与远程保健的前庭物理治疗。

IF 2.9 3区 医学 Q2 NEUROSCIENCES Journal of Vestibular Research-Equilibrium & Orientation Pub Date : 2024-01-01 DOI:10.3233/VES-220094
Morgan Kriz, Sarah Conover, Nicholas Cameron, Meg Conover, Janet Simon, James Prueter, Ravi Samy, Douglas Backous
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引用次数: 0

摘要

背景:前庭康复(VR)是治疗头晕和失衡疾病的常用方法。对于头晕患者来说,去诊所预约康复治疗可能具有挑战性。对于某些患者来说,远程保健可能是诊所 VR 的一种可比替代方法:本研究的目的是在前庭疾病患者的回顾性样本中,通过头晕障碍量表(DHI)测量,确定基于远程医疗的 VR 与传统诊所 VR 相比的疗效:这是一项从 2020 年 5 月到 2021 年 1 月的多机构回顾性研究。分析了三个研究组:远程医疗组、混合组和诊所对照组。治疗效果采用 DHI 进行测量。重复测量方差分析用于比较组间和不同时间点的变化:重复测量方差分析显示,各组(对照组、远程保健组和混合组)与时间(前后)的交互作用不显著(P > 0.05)。但是,时间(前和后)的主效应很明显(P 结论:研究结果表明,诊室内治疗和远程医疗之间存在着明显的主效应:研究结果显示,门诊治疗组、远程保健组和混合治疗组的 DHI 分数均有所下降,这表明自我报告的头晕对日常生活的影响有所改善。建议继续开展研究,探索使用远程保健评估和治疗前庭疾病的效果。
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Comparing in-clinic versus telehealth for vestibular physical therapy.

Background: Vestibular rehabilitation (VR) is a commonly employed treatment method for disorders of dizziness and imbalance. Access to a clinic for rehabilitation appointments can be challenging for a person experiencing dizziness. Telehealth may offer a comparable alternative to clinic-based VR for some patients.

Objective: The objective of this study was to determine the efficacy of telehealth-based VR compared to traditional clinic-based VR, as measured with the Dizziness Handicapped Inventory (DHI) in a retrospective sample of patients with vestibular conditions.

Methods: This is a retrospective, multi-institutional review from May 2020 to January 2021. Three study groups were analyzed: a telehealth group, a hybrid group, and a clinic based control group. Treatment efficacy was measured using the DHI. A repeated measures ANCOVA was performed to compare changes between the groups and across timepoints.

Results: The repeated measures ANCOVA was not significant for the interaction of groups (control, telehealth, and hybrid) by time (pre and post) (p > 0.05). However, there was a significant main effect for time (pre and post) (p < 0.05). Specifically, all groups improved DHI scores from pre to post treatment with mean differences of control: 31.85 points, telehealth: 18.75 points, and hybrid: 21.45 points.

Conclusion: Findings showed that in-clinic, telehealth, and hybrid groups demonstrated a decrease in DHI scores, indicating self-reported improvements in the impact of dizziness on daily life. Continued research is recommended to explore the efficacy of using telehealth in assessing and treating vestibular conditions.

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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
期刊最新文献
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