护理学报 ›› 2023, Vol. 30 ›› Issue (14): 46-51.doi: 10.16460/j.issn1008-9969.2023.14.046
外周前庭功能低下患者前庭康复训练的最佳证据总结
李菲, 官春燕, 王淼, 张卓雅, 刘波
- 华中科技大学同济医学院附属协和医院 耳鼻咽喉头颈外科,湖北 武汉 430022
Best evidence summary for vestibular rehabilitation training in patients with peripheral vestibular dysfunction
LI Fei, GUAN Chun-yan, WANG Miao, ZHANG Zhuo-ya, LIU Bo
- Dept. of Otolaryngology-Head &Neck Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
摘要： 目的 检索、评价和总结与外周前庭功能低下患者行前庭康复训练的最佳证据。方法 计算机检索BMJ Best Practice、UpToDate、Cochrane Library、PubMed、Embase等资源,检索时间为建库至2023年3月31日。结果 共纳入26篇文献,包括指南4篇、证据总结6篇、专家共识3篇、系统评价7篇、随机对照研究6篇,总结的最佳证据包括前庭康复评估、康复管理、康复方法、康复剂量、相关疾病康复原则及效果评估等6个方面,共31条证据。结论 本研究结果为医护人员对外周前庭功能低下患者行前庭康复提供治疗决策循证依据,应用证据时需结合国情和临床情况,可开展原始研究探讨外周前庭功能低下患者前庭康复训练康复剂量、评估指标。
中图分类号:
- R473.76
| [1] Ward BK, Agrawal Y, Hoffman HJ, et al.Prevalence and impact of bilateral vestibular hypofunction: results from the 2008 US National Health Interview Survey[J]. JAMA Otolaryngol Head Neck Surg, 2013,139(8):803-810.DOI: 10.1001/jamaoto.2013.3913. [2] Hall CD, Herdman SJ, Whitney SL, et al.Vestibular rehabilitation for peripheral vestibular hypofunction: an updated clinical practice guideline from the academy of neurologic physical therapy of the american physical therapy association[J]. J Neurol Phys Ther, 2022,46(2):118-177. DOI: 10.1097/NPT.0000000000000382. [3] Agrawal Y, Carey JP, Della SC, et al.Disorders of balance and vestibular function in us adults: data from the national health and nutrition examination survey,2001-2004[J]. Arch Intern Med, 2009,169(10):938-944. DOI:10.1001/archinternmed.2009.66. [4] 胡雁, 郝玉芳. 循证护理学[M]. 2版. 北京:人民卫生出版社, 2017:30-31,36-46,52-80,87-90. [5] 吕俭霞, 叶丽, 李彬, 等. 头颈肿瘤放化疗患者吞咽困难预防性训练指导方案的最佳证据总结[J]. 护理学报, 2023,30(2):54-59.DOI:10.16460/j.issn1008-9969.2023.02.054. [6] Van Gompel JJ, Agazzi S, Carlson ML, et al.Congress of neurological surgeons systematic review and evidence-based guidelines on emerging therapies for the treatment of patients with vestibular schwannomas[J]. Neurosurgery, 2018,82(2):E52-E54. DOI: 10.1093/neuros/nyx516. [7] Bhattacharyya N, Gubbels SP, Schwartz SR, et al.Clinical practice guideline: benign paroxysmal positional vertigo (update)[J]. Otolaryngol Head Neck Surg, 2017,156(3_suppl):S1-S47.DOI: 10.1177/0194599816689667. [8] Basura GJ, Adams ME, Monfared A, et al.Clinical practice guideline: Meniere's disease executive summary[J]. Otolaryngol Head Neck Surg,2020, 162(4):415-434.DOI:10.1177/0194599820909439. [9] British Society of Audiology. Practice guidance: vestibular rehabilitation[EB/OL].(2019-04-01)[2023-5-10].https://www.thebsa.org.uk/wp-content/uploads/2019/12/Practice-Guidance-VRT-November-2019.pdf. [10] 国家卫生健康委员会能力建设和继续教育中心耳鼻喉科专家委员会, 中国中西医结合学会耳鼻咽喉科专业委员会, 中国医疗保健国际交流促进会眩晕医学分会, 等. 前庭康复专家共识[J]. 中华医学杂志, 2021,101(26):2037-2043. DOI:10.3760/cma.j.cn112137-20210318-00685. [11] 中国医师协会神经内科分会眩晕专业委员会, 中国卒中学会卒中与眩晕分会, 李斐, 等. 前庭神经炎诊治多学科专家共识[J]. 中华老年医学杂志, 2020,39(9):985-994. DOI:10.3760/cma.j.issn.0254-9026.2020.09.001. [12] Magtoto L. Unilateral peripheral vestibular dysfunction: Rehabilitation[J]. The JBI EBP Database.2021: JBI-ES-848-1. [13] Fong E. Meniere's disease: vestibular rehabilitation[J]. The JBI EBP Database.2022: JBI-ES-3565-3. [14] Ndegwa M. Bilateral vestibular hypofunction: vestibular rehabilitation[J]. The JBI EBP Database.2022: JBI-ES-2268-2. [15] Sivapuram M. Vestibular rehabilitation: migraine-related dizziness[J]. The JBI EBP Database.2022: JBI-ES-2139-2. [16] Magtoto L. Benign paroxysmal positional vertigo: vestibular rehabilitation[J]. The JBI EBP Database.2022:JBI-ES-3663-2. [17] Lizarondo L, Pearson V. Peripheral vestibular disorder: virtual reality[J]. The JBI EBP Database.2023: JBI-ES-256-3. [18] Hazzaa NM, Manzour AF, Yahia E, et al. Effectiveness of virtual reality-based programs as vestibular rehabilitative therapy in peripheral vestibular dysfunction: a Meta-analysis[J]. Eur Arch Otorhinolaryngol, 2023: Epub ahead of print. DOI: 10.1007/s00405-023-07911-3. [19] Hidayati HB, Imania H, Octaviana DS, et al.Vestibular rehabilitation therapy and corticosteroids for vestibular neuritis: a systematic review and Meta-analysis of randomized controlled trials[J]. Medicina (Kaunas), 2022,58(9): 1221. DOI: 10.3390/medicina58091221. [20] Sun X, Li X, Yang D.Efficacy and safety of mecobalamin combined with vestibular rehabilitation training for acute vestibular neuritis: a systematic review and Meta-analysis[J]. Ann Palliat Med, 2022,11(2):480-489. DOI:10.21037/apm-21-3171. [21] Heffernan A, Abdelmalek M, Nunez DA.Virtual and augmented reality in the vestibular rehabilitation of peripheral vestibular disorders: systematic review and Meta-analysis[J]. Sci Rep,2021,11(1):17843.DOI:10.1038/s41598-021-97370-9. [22] Lilios A, Chimona T, Nikitas C, et al.The Effect of Supervision in vestibular rehabilitation in patients with acute or chronic unilateral vestibular dysfunction: a systematic review[J]. Otol Neurotol, 2021,42(10):e1422-e1431.DOI: 10.1097/MAO.0000000000003354. [23] 王晶晶. 前庭康复治疗常见眩晕疾病预后影响因素的Meta分析及系统评价[D]. 吉林: 长春中医药大学, 2021. [24] 秦余. 药物及康复预防性治疗前庭性偏头痛眩晕症状的Meta分析[D]. 重庆: 重庆医科大学, 2022. [25] Lilios A, Chimona T, Papadakis C, et al.Different vestibular rehabilitation modalities in unilateral vestibular hypofunction: a prospective study[J]. Otol Neurotol, 2023,44(4):e246-e255.DOI: 10.1097/MAO.0000000000003836. [26] Herdman D, Norton S, Murdin L, et al.The INVEST trial: a randomised feasibility trial of psychologically informed vestibular rehabilitation versus current gold standard physiotherapy for people with persistent postural perceptual dizziness[J]. J Neurol, 2022,269(9):4753-4763. DOI: 10.1007/s00415-022-11107-w. [27] Sedeño-Vidal A, Hita-Contreras F, Montilla-Ibáñez M A. The effects of vestibular rehabilitation and manual therapy on patients with unilateral vestibular dysfunction: a randomized and controlled clinical study[J]. Int J Environ Res Public Health, 2022, 19(22):15080.DOI:10.3390/ijerph192215080. [28] Tekin DB, Bumin G, Aksoy S, et al.Comparison of activity-based home program and cawthorne-cooksey exercises in patients with chronic unilateral peripheral vestibular disorders[J]. Arch Phys Med Rehabil, 2021,102(7):1300-1307. DOI: 10.1016/j.apmr.2020.12.022. [29] Van Vugt VA, Bosmans JE, Finch AP, et al.Cost-effectiveness of internet-based vestibular rehabilitation with and without physiotherapy support for adults aged 50 and older with a chronic vestibular syndrome in general practice[J]. BMJ Open, 2020, 10(10):e35583. DOI:10.1136/bmjopen-2019-035583. [30] 葛畅, 席淑新. 前庭功能障碍患者基于微信平台的个性化前庭康复管理[J]. 护理学杂志, 2020,35(10):86-89.DOI:10.3870/j.issn.1001-4152.2020.10.086. [31] 祁晓媛, 宋宁, 顾平, 等. 前庭康复机制及治疗的研究进展[J]. 中国全科医学, 2022,25(11):1399-1405. DOI:10.12114/j.issn.1007-9572.2021.01.104. [32] 李文妍, 吴沛霞, 李华伟. 171例患者前庭康复效果与影响因素分析[J]. 中华耳鼻咽喉头颈外科杂志, 2022,57(3):263-269.DOI:10.3760/cma.j.cn115330-20210601-00321. [33] 刘晓卫, 廖黎, 徐建珍, 等. 以专科护士为主导的多学科团队管理在持续性姿势-知觉性头晕病人前庭康复训练中的应用[J]. 全科护理, 2023,21(3):379-382. DOI:10.12104/j.issn.1674-4748.2023.03.022. [34] 王媛, 曹春婷, 张晨, 等. 个体化前庭康复训练应用于慢性周围性前庭功能障碍的疗效评估[J]. 中国康复, 2021,36(2):82-85.DOI:10.3870/zgkf.2021.02.004. [35] De Vestel C, De Hertogh W, Van Rompaey V, et al.How do patients with chronic dizziness experience a web-based home rehabilitation programme for customised vestibular therapy(‘WeBaVeR')? A qualitative study[J]. Int J Med Inform, 2023(170):104927. DOI:10.1016/j.ijmedinf.2022.104927. [36] Micarelli A, Viziano A, Augimeri I, et al.Three-dimensional head-mounted gaming task procedure maximizes effects of vestibular rehabilitation in unilateral vestibular hypofunction: a randomized controlled pilot trial[J]. Int J Rehabil Res,2017,40(4):325-332.DOI:10.1097/MRR.0000000000000244. [37] Saki N, Bayat A, Nikakhlagh S, et al.Vestibular rehabilitation therapy in combination with transcranial direct current stimulation (tDCS) for treatment of chronic vestibular dysfunction in the elderly: a double-blind randomized controlled trial[J]. Braz J Otorhinolaryngol, 2022,88(5):758-766. DOI: 10.1016/j.bjorl.2020.11.004. [38] 崔庆佳, 王蕊, 闫瑾, 等. 前庭外周性眩晕患者前庭康复短期疗效及其影响因素[J].临床耳鼻咽喉头颈外科杂志, 2022,36(3):217-221. DOI:10.13201/j.issn.2096-7993.2022.03.012. [39] 周任红, 冷杨名, 刘波. 国际功能、残疾和健康分类(ICF)在前庭康复中的应用[J]. 中华耳鼻咽喉头颈外科杂志, 2022,57(3):367-372. DOI:10.3760/cma.j.cn115330-20210430-00244. [40] 葛畅, 席淑新, 吴沛霞. 中文版前庭康复获益量表的汉化及信效度研究[J]. 临床耳鼻咽喉头颈外科杂志, 2020,34(6):511-515.DOI:10.13201/j.issn.2096-7993.2020.06.008. |
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