| Background and Objective:Central Vertigo is a common and frequently occurring disease of the nervous system.Although it is treated,the symptoms of vertigo cannot be eliminated for a long time,which seriously affects the ability of daily activities and the quality of life of patients.The vestibular rehabilitation can be roughly divided into active systemic coordination rehabilitation mode and passive local auxiliary rehabilitation mode.The former,applicable to have ability to do their own activities,the latter,applicable to the vestibular function severely damaged,their activity is limited by large,inability to sustain the balance of patients,such as patients with limited mobility(hemiplegia,the head or neck fixed),cognitive impairment(hard to cooperate with the doctor instruction),psychological barriers(distrust rehabilitation doctor,fear of falling),etc.SRM-IV vestibular diagnosis and treatment system,combined with mechanical,electronic and image processing technologies,can be used as a tool for passive local auxiliary rehabilitation.The significant effect of SRM-IV vestibular diagnosis and treatment system on the treatment and rehabilitation of BPPV has been widely reported at present,but the effect of SRM-IV vestibular diagnosis and treatment system on the rehabilitation treatment of patients with central vertigo has not been reported at home and abroad at present.In this study,mechanically assisted vestibular rehabilitation was carried out with the SRM-IV vestibular diagnosis and treatment system to evaluate its therapeutic effect on patients with central vertigo,which has certain significance for further guiding the clinical treatment of patients with central vertigo,and has certain advanced and innovative features.Methods:A total of 40 patients with central vertigo who were admitted to the outpatient department and inpatient department of the First Hospital of Jilin University from August 2020 to January 2021 were selected.The 40 patients were randomly divided into 2 groups,20 patients in the rehabilitation group were treated with drug therapy combined with SRM-IV vestibular diagnosis and treatment system for vestibular rehabilitation therapy:it was done every 7±2 days,4 times a month,the regimen was:bilateral horizontal and posterior semicircular canal functional exercise,and 20 patients in the control group were treated with drug therapy only,and the specific drug use of the two groups was the same.The scale was evaluated before treatment and one month after treatment,and the results were statistically analyzed using SPSS 22.0 :(1)The severity of dizziness and balance disorders and their impact on life were evaluated by the total score of Dizziness Handicap Inventory(DHI);(2)The Berg Balance Scale(BBS)was used to evaluate patients’ ability of active center of gravity shift and postural control;(3)The functional walking ability of patients was evaluated by The Timed Up and Go test(TUGT);(4)The satisfaction of the patients with the treatment effect was evaluated by the subjective efficacy evaluation scale.The difference of scales between the two groups was compared to making statistical inference.Result:(1)Baseline data: In this study,central vertigo rehabilitation group and control group were included.There were no statistical differences in gender,age,course of disease,occupation,past medical history and auxiliary examination of patients in the two groups(P > 0.05).Baseline data of patients in the two groups were balanced and comparable.(2)DHI scale score: Before treatment,there was no significant difference in the total score of DHI scale between the rehabilitation group and control group(P >0.05).After one month of treatment,the total score of DHI scale in the rehabilitation group and the control group were lower than that before treatment,the difference was statistically significant(P < 0.05).Compared with the control group,the total score of DHI scale in the rehabilitation group was lower than that in the control group,the difference was significant(P < 0.05).(3)Berg scale score: Before treatment,there was no significant difference in Berg scale scores between the rehabilitation group and control group(P > 0.05);After one month of treatment,the Berg scale scores of patients in the rehabilitation group and the control group were both higher than those before treatment,with statistical significance(P < 0.05).After one month of treatment,there was no significant difference in Berg scale scores between the rehabilitation group and the control group(P > 0.05).(4)TUGT: Before treatment,there was no significant difference in TUGT time between the rehabilitation group and the control group(P > 0.05);After one month of treatment,the TUGT time in both the rehabilitation group and the control group was shorter than before treatment,with statistical significance(P < 0.05).After one month of treatment,there was no significant difference in TUGT time between the rehabilitation group and the control group(P > 0.05).(5)Subjective efficacy evaluation: After treatment,the subjective efficacy of the two groups was evaluated,and the data of the two groups were statistically analyzed by "Total effectiveness = effectiveness + apparent effectiveness + cure".The subjective total effective rate of the control group was 40%,and the subjective total effective rate of the rehabilitation group was 75%.There were significant differences in the subjective total effective rate between the two groups(P < 0.05).Conclusion:(1)Both SRM-IV vestibular diagnosis and treatment system vestibular rehabilitation combined with drug therapy and drug therapy alone can improve patients’ vertigo and the quality of life of patients with central vertigo.The effect of alleviating vertigo symptoms and improving the quality of life of patients is better than that of drug therapy alone.(2)After 1 month of vestibular rehabilitation,the SRM-IV vestibular diagnosis and treatment system vestibular rehabilitation combined with drug therapy showed no difference in the improvement of patients’ posture control,center of gravity shift and functional walking compared with drug therapy alone,while the subjective treatment effect was superior to drug therapy alone.(3)SRM-IV vestibular diagnosis and treatment system can stimulate each semicircular canal by changing body position for functional exercise,and can be used as a passive vestibular rehabilitation method for central vertigo. |
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