中国听力语言康复科学杂志2025，Vol.23Issue(3)：312-316,5.DOI:10.3969/j.issn.1672-4933.2025.03.021
远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析
Feasibility and Effect of Video-Guided Family Vestibular Rehabilitation under Remote Supervision in Children with Recurrent Vertigo with Unilateral Vestibular Dysfunction
摘要
Abstract
Objective As for the children with recurrent vertigo with unilateral peripheral vestibular dysfunction but normal balance function,the video-guided family vestibular rehabilitation training was carried out for 4 weeks under nurse supervision remotely.The feasibility and effectiveness of this strategy were studied.Methods Fifty participants(4-13 years old)diagnosed with recurrent vertigo,unilateral peripheral vestibular dysfunction,and normal balance function were randomly divided into two groups:observation group(supervised by nurse)and control group(unsupervised).The both groups underwent remote vestibular rehabilitation training via rehabilitation video.The Pediatric Vestibular Symptoms Questionnaire(PVSQ)score was evaluated before and after training for 2 and 4 weeks.The canal paralysis(CP)value of caloric test and normal ratio of calorie test were evaluated before and after 4-week training.Results Training completion degree:69.29%in the observation group higher than 53.14%in the control group at the end of the training period(P<0.05).The PVSQ score:The observation group 0.21(0.18,0.23),0.05(0.01,0.09),0.00(0.00,0.01)and the control group 0.21(0.18,0.23),0.13(0.06,0.17),0.01(0.00,0.07)before and after training for 2 and 4 weeks,respectively.The difference of each group before and after training was statistically significant.After training for 2 and 4 weeks,the difference between the two groups was statistically significant.The training completion rate at 4 weeks was negatively correlated with PVSQ score(r=-0.302,P<0.05)and CP value(r=-0.331,P<0.05).The ratio of caloric test returning normal after 4 weeks of training was 80%in the observation group and 68%in the control group,and the difference was not statistically significant.The CP value:before and after training for 4 weeks,the observation group were(37.16±12.33,14.16±10.91)and the control group were(32.32±8.69,19.04±9.30)showed statistically significant differences before and after training within each group,but there was no statistically significant difference between the two groups after training for 4 weeks.Conclusion For the children with recurrent vertigo accompanied by unilateral vestibular dysfunction and normal balance function,the remote supervision vestibular rehabilitation training mode is effective for the both groups of children,and the obsevation group is superior compared to the control group as the completion rate of the experimental group was significantly higher than that of the control group at various stages of the entire training cycle,indicating that the training mode with researcher supervision has a significant advantage in completion rate,which is feasible.关键词
远程/前庭康复训练/复发性眩晕/单侧前庭功能障碍/儿童/前庭眼反射Key words
Romte training/Vestibular rehabilitation/Recurrent vertigo/Unilateral vestibular dysfunction/Child/Vestibulo-ocular reflex引用本文复制引用
焦雪梅,刘瀚迪,刘冰,刘薇,马宁..远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析[J].中国听力语言康复科学杂志,2025,23(3):312-316,5.基金项目
首都医科大学教育教学改革研究课题(2022JYY268) （2022JYY268）
