太极拳锻炼对眩晕患者前庭康复治疗的效果

Effect of tai chi practice on vestibular rehabilitation in patients with peripheral vestibular vertigo

目的评价太极拳锻炼对外周性眩晕患者的前庭康复治疗的效果。方法选择解放军总医院第三医学中心9例外周性眩晕患者,男1例,女8例,年龄27~61岁,平均(50.9±8.4)岁,接受太极拳锻炼(周一至周五每日1次,每次1 h,持续4周)。对患者锻炼前、锻炼4周进行平衡功能检测,评价太极拳锻炼的前庭康复治疗的效果。结果与锻炼前相比,患者在太极拳锻炼4周后其起立-行走用时明显缩短[(11.6±4.2)s比(8.6±3.4)s,P=0.007];起立-行走评分明显降低[(4.0±0.9)分比(1.3±0.5)分,P=0.000];头晕残障量表得分也明显降低[50(0,78)分比6(0,82)分,P=0.036];而闭眼单脚站立时间明显延长[3.6(0,19.9)s比26.9(1.6,68.8)s,P=0.021]。结论太极拳锻炼是一种有效的前庭康复锻炼方法,可明显改善外周性眩晕患者的平衡功能。

Objective To investigate the effects of tai chi practice on vestibular rehabilitation in patients with peripheral vestibular disorders.Methods Nine patients with vestibular vertigo were enrolled,including eight females and one male,aged from 27 to 61 years,the average age was 50.9 years.The patients underwent four-week tai chi practice(one time each day from Monday to Friday,one hour for each time).The equilibrium functions of patients were examined respectively before and after four-week tai chi practice to evaluate the effects of tai chi practice on vestibular rehabilitation.Results There were significant differences between before and after four-week tai chi practice for the patients with peripheral vestibular disorders in the mean time[(11.6±4.2)s vs.(8.6±3.4)s,P=0.007)],in the mean score[(4.0±0.9)vs.(1.3±0.5),P=0.000]of the get-up and go test,in the mean existence time for the stand-up on single foot with closed eyes[3.6(0,19.9)s vs.26.9(1.6,68.8)s,P=0.021],and in the mean score of the dizziness handicap inventory(50(0,78)vs.6(0,82),P=0.036)It was indicated that the patients’s equilibrium functions were effectively improved with 4-week tai chi practice.Conclusions Tai chi practice as a vestibular rehabilitation technique can effectively improve the equilibrium functions of the patients with peripheral vestibular disorders.