Teh, Carren Sui-Lin and Abdullah, Nurul Ain and Kamaruddin, Noor Rafidah and Mohd Judi, Kamariah Binti and Fadzilah, Ismail and Zainun, Zuraida and Prepageran, Narayanan (2023) Home-based vestibular rehabilitation: A feasible and effective therapy for persistent postural perceptual dizziness (a pilot study). Annals of Otology Rhinology and Laryngology, 132 (5). pp. 566-577. ISSN 0003-4894, DOI https://doi.org/10.1177/00034894221111408.
Full text not available from this repository.Abstract
Introduction: Persistent postural-perceptual dizziness (PPPD) is a chronic functional vestibular disorder where there is persistent dizziness or unsteadiness occurring on most days for more than 3 months duration. Treatment recommendations for PPPD include vestibular rehabilitation therapy (VRT) with or without medications and/or cognitive behavioral therapy. Objectives: This paper is a pilot study designed to compare the effects of Bal Ex as a home-based VRT on the quality of life (EQ-5D), dizziness handicap (DHI) and mental health (DASS-21) against hospital-based VRT. Design: This was an assessor-blinded, randomized controlled pilot study where PPPD patients were randomly selected to undergo Bal Ex, the home-based VRT (intervention group) or hospital-based (control group) VRT. The participants were reviewed at 4 weeks and 12 weeks after the start of therapy to assess the primary endpoints using the subjective improvement in symptoms as reported by patients, changes in DHI scores, DASS-21 scores and EQ5D VAS scores. Results: Thirty PPPD patients successfully completed the study with 15 in each study group. Within 4 weeks, there were significant improvements in the total DHI scores as well as anxiety levels. By the end of 12 weeks, there were significant improvements in the DHI, DASS-21 and EQ5D. The degree of improvement between Bal Ex and the control was comparable. Conclusion: VRT is an effective modality in significantly improving quality of life, dizziness handicap, depression, and anxiety levels within 3 months in PPPD. Preliminary results show Bal Ex is as effective as hospital-based VRT and should be considered as a treatment option for PPPD.
| Item Type: | Article |
|---|---|
| Funders: | UNSPECIFIED |
| Uncontrolled Keywords: | persistent postural-perceptual dizziness; quality of life; anxiety; vestibular rehabilitation therapy; home-based therapy |
| Subjects: | R Medicine > RF Otorhinolaryngology |
| Divisions: | Faculty of Medicine > Otorhinolaryngology Department |
| Depositing User: | Ms Zaharah Ramly |
| Date Deposited: | 14 Jun 2024 07:30 |
| Last Modified: | 14 Jun 2024 07:30 |
| URI: | http://eprints.um.edu.my/id/eprint/39515 |
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