맞춤전정재활운동의 효과, 순응도와 만족도: 단일 병원 경험

Lee, Hyung; Kim, Hyun Ah

Research in Vestibular Science > Accepted Articles

Hyung Lee, Hyun Ah Kim

계명대학교 신경과, Daegu, Korea

Correspondence

Hyun Ah Kim ,Tel: 053-250-7475, Fax: 053-250-7840, Email: kha0206@dsmc.or.kr

Received: February 19, 2019; Accepted: March 11, 2019. Published online: March 11, 2019.

ABSTRACT

Background: Over the last decades, numerous studies on the effect of Vestibular rehabilitation (VR) have been reported in western countries, but there has been no report about real experiences of customized VR in Korea. Objectives:   The aim of this study was to analyze of the efficacy, compliance and satisfaction in patients with acute and chronic dizziness.
Method:   Patients with dizziness were treated with a customized VR at least 4 weeks. Subjects were assessed before and after at least 4 weeks of customized VR for visual analog scale (VAS) and disability scale (DS). Patients were asked to score the satisfaction of their treatment as 1 (very poor) to 5 (excellent). Compliance to exercise program were graded as 1 (regularly performed), 2 (frequently performed) or 3 (rarely performed).
Results:   32 patients with dizziness were included. Diagnosis of patients were vestibular migraine (n=5), Meniere’s disease (n=2), vestibular neuritis (n=10), persistent perceptual positional dizziness (n=10), bilateral vestibulopathy (n=3) and central dizziness (n=2). Mean VAS and DS before VR were 15.3 and 2.4, respectively. Mean VAS and DS after VR were 4.5 and 0.7, respectively. Significant improvements in VAS and DS were observed after VR. (p=0.00) Mean treatment satisfaction score was 3.3± 1.0 and mean compliance score was 2.3 ± 0.8. Satisfaction to VR showed positive correlation with patient’s compliance. (p=0.00, r=0.644)
Conclusion:   Significant improvements were seen in symptom and disability in patients with acute and chronic dizziness after customized VR. Patients showed moderate compliance to exercise program and overall satisfaction was fair.

Keywords: Vestibular diseases; Dizziness; Disease Management ; 전정질환