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ORIGINAL RESEARCH article

Front. Neurol.
Sec. Neurorehabilitation
Volume 14 - 2023 | doi: 10.3389/fneur.2023.1329418

Efficacy of Vestibular Rehabilitation and Its Facilitating and Hindering Factors from Real-World Clinical Data

Min-Ku Kim1 So-Yeon Yun1 Seonkyung Lee1 Ja-Ok Lee1 Soo-Yun Sung1 Ju-Young Lee1 Hyo-Jung Kim2 Hye youn Park1 Jeong-Yoon Choi3* Jae-Jin Song1 Byung Yoon Choi1 Ja- Won Koo1 Ji Soo Kim1
  • 1Dizziness center, Seoul National University Bundang Hospital, Republic of Korea
  • 2Research Administration Team, Seoul National University Bundang Hospital, Republic of Korea
  • 3Seoul National University Bundang Hospital, Republic of Korea

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Background and Purpose: Customized vestibular rehabilitation improved dizziness and imbalance in several randomized controlled trials. In the present study, we determined the efficacy of customized vestibular rehabilitation using real-world observational data. Methods:We retrospectively recruited 64 patients (median age = 60, interquartile range = 48 -66.3) who completed the customized vestibular rehabilitation from January to December 2022. The outcomes of rehabilitation were evaluated using the dizziness handicap inventory (DHI) or vestibular disorders activities of daily living scale (VADL). The factors associated with outcomes were assessed with a generalized linear model, of which covariates included patients' age, sex, duration of illness, type of vestibular disorders, initial DHI and VADL scores, exercise compliance, and initial hospital anxiety and depression scale (HADS) scores. Results: After the median of 6 (4-6) weeks of rehabilitation, DHI and VADL scores significantly improved in patients with either peripheral or central vestibular disorders (Wilcoxon signed-rank test, p < 0.05). The initial DHI and VADL scores showed a positive while the sum of HADS scores showed a negative correlation with the outcome. In contrast, the age, sex, duration of illness, types of vestibular disorders, and exercise compliance did not affect the outcome. Discussion and Conclusions: Customized vestibular rehabilitation is effective for central as well as peripheral disorders, especially when the symptoms are severe and the psychological distress is mild.

Keywords: Vestibular Rehabilitation, Vertigo, Dizziness, vestibular disorders, psychological distress

Received: 28 Oct 2023; Accepted: 27 Dec 2023.

Copyright: © 2023 Kim, Yun, Lee, Lee, Sung, Lee, Kim, Park, Choi, Song, Yoon Choi, Koo and Kim. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Mx. Jeong-Yoon Choi, Seoul National University Bundang Hospital, Seongnam-si, Republic of Korea