良性阵发性位置性眩晕患者耳石复位与个体化前庭康复训练联合干预效果分析OA

Objective To investigate the clinical efficacy of individualized vestibular rehabilitation training combined with otolith repositioning device in the treatment of benign paroxysmal positional vertigo(BPPV).Methods 76 patients with BPPV treated at to our hospital from January 2021 to June 2023 were selected and divided into two groups based on the presence of residual symptoms after otolith repositioning:the residual symptoms group(38 cases)and the asymptomatic group(38 cases).The residual symptoms group received individualized vestibular rehabilitation training,while the asymptomatic group underwent only routine follow-up.The distribution of otolith types before repositioning,the efficacy of repositioning,improvement of residual symptoms,and recurrence rates within 6 months were compared between the two groups.Results The distribution of otolith types was similar between the two groups,with posterior semicircular canal BPPV accounting for the majority 25 cases(65.79%)in the residual symptoms group,and 24 cases(63.16%)in the asymptomatic group.Repositioning efficacy was comparable between the two groups 92.11%(35/38)in the residual symptoms group,94.74%(36/38)in the asymptomatic group.After 2 weeks of vestibular rehabilitation training,mild dizziness/unsteadiness in the residual symptoms group was significantly improved VAS score:4.87±0.92 pre-training vs.2.15±0.65 post-training,P<0.05.At the 6-month follow-up,the recurrence rate was 13.16%(5/38)in the residual symptoms group and 15.79%(6/38)in the asymptomatic group,with no statistically significant difference(P>0.05).Conclusion Vestibular rehabilitation training has a significant ameliorative effect on residual symptoms following otolith repositioning in BPPV patients;however,its efficacy in reducing disease recurrence rate remains unclear and requires further investigation.