Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions...Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions at bay,and reduce the extent of the condition.This letter investigates the impact of the informationmotivation-behavioral skills model as a medium for health education on patient outcomes.While offering encouraging observations,there are certain limitations,such as the study’s retrospective design,small sample size,use of subjective measures,and lack of longer follow-ups that challenge the cogency of the study.The study is a step toward transforming vestibular dysfunction treatment through health education.展开更多
Background: To verify the efficacy of caloric vestibular stimulation in patients with peripheral vestibular dysfunction after cerebral hypertensive crisis. Methods: Enrolled in the study were 60 patients with peripher...Background: To verify the efficacy of caloric vestibular stimulation in patients with peripheral vestibular dysfunction after cerebral hypertensive crisis. Methods: Enrolled in the study were 60 patients with peripheral vestibular dysfunction caused by a cerebral hypertensive crisis, docu-mented by vestibulometry. Thirty patients underwent standard treatment plus caloric vestibular stimulation, and 30 control group patients received standard treatment alone. Results: After the two-week treatment course, the sensation of vertigo was observed in 40.0% ± 8.9% of treatment group patients compared with 80.0% ± 7.3% of control group patients (t = 3.46;p < 0.001). Spontaneous vestibular somatic reactions were found in 46.7% ± 9.1% of the study treatment group in contrast to 86.7% ± 6.2% of the control group (t = 3.63;p < 0.001). Spontaneous nystagmus was seen in 40.0% ± 8.9% of treatment group patients compared with 93.3% ± 4.6% of control subjects (t = 5.31;p < 0.001). Spontaneous vestibular vegetative reactions were observed in 33.3% ± 8.6% of patients receiving study treatment in contrast to 93.3% ± 4.6% of control group patients (t = 6.16;p < 0.001). Also, 53.3% ± 9.1% of study treatment group patients showed asymmetry of labyrinths compared with 86.7% ± 6.2% of patients from the control group (t = 3.03;p < 0.001). Conclusion: Caloric vestibular stimulation was shown to be an effective treatment for peripheral vestibular dysfunction in patients with cerebral hypertensive crisis. During the 14-day treatment of cerebral hypertensive crisis, complete labyrinthine function recovery occurred in 46.7% of treatment group patients who underwent caloric vestibular stimulation as opposed to 13.3% of control group patients who received standard treatment alone.展开更多
Recent years have seen a burgeoning interest in elucidating the intricate relationship between vestibular dysfunction and sleep disorders,owing to their substantial impact on daily functioning and overall health.Despi...Recent years have seen a burgeoning interest in elucidating the intricate relationship between vestibular dysfunction and sleep disorders,owing to their substantial impact on daily functioning and overall health.Despite significant advancements,the precise mechanisms underpinning this interplay remain elusive.This review aims to synthesize the current literature on the association between vestibular dysfunction and sleep disorders,focusing on potential causal mechanisms and therapeutic implications.We systematically examine various sleep disorders,including insomnia,circadian rhythm disorders,and sleep apnea,in association with specific vestibular dysfunctions,such as Meniere’s disease(MD),vestibular migraine(VM),benign paroxysmal positional vertigo(BPPV),vestibular neuritis(VN),and persistent postural perceptual dizziness(PPPD).By exploring these complex interactions,our goal is to provide a comprehensive understanding that contributes to the ongoing discourse in this field.We seek to encourage further investigations into innovative diagnostic and therapeutic strategies,ultimately aiming to improve the clinical management and enhance the quality of life for patients affected by both vestibular dysfunction and sleep disorders.展开更多
文摘Unilateral vestibular dysfunction is a one-sided impairment of vestibular function in one ear.Incorporating health education in treatment and rehabilitation plans can improve vestibular function,keep negative emotions at bay,and reduce the extent of the condition.This letter investigates the impact of the informationmotivation-behavioral skills model as a medium for health education on patient outcomes.While offering encouraging observations,there are certain limitations,such as the study’s retrospective design,small sample size,use of subjective measures,and lack of longer follow-ups that challenge the cogency of the study.The study is a step toward transforming vestibular dysfunction treatment through health education.
文摘Background: To verify the efficacy of caloric vestibular stimulation in patients with peripheral vestibular dysfunction after cerebral hypertensive crisis. Methods: Enrolled in the study were 60 patients with peripheral vestibular dysfunction caused by a cerebral hypertensive crisis, docu-mented by vestibulometry. Thirty patients underwent standard treatment plus caloric vestibular stimulation, and 30 control group patients received standard treatment alone. Results: After the two-week treatment course, the sensation of vertigo was observed in 40.0% ± 8.9% of treatment group patients compared with 80.0% ± 7.3% of control group patients (t = 3.46;p < 0.001). Spontaneous vestibular somatic reactions were found in 46.7% ± 9.1% of the study treatment group in contrast to 86.7% ± 6.2% of the control group (t = 3.63;p < 0.001). Spontaneous nystagmus was seen in 40.0% ± 8.9% of treatment group patients compared with 93.3% ± 4.6% of control subjects (t = 5.31;p < 0.001). Spontaneous vestibular vegetative reactions were observed in 33.3% ± 8.6% of patients receiving study treatment in contrast to 93.3% ± 4.6% of control group patients (t = 6.16;p < 0.001). Also, 53.3% ± 9.1% of study treatment group patients showed asymmetry of labyrinths compared with 86.7% ± 6.2% of patients from the control group (t = 3.03;p < 0.001). Conclusion: Caloric vestibular stimulation was shown to be an effective treatment for peripheral vestibular dysfunction in patients with cerebral hypertensive crisis. During the 14-day treatment of cerebral hypertensive crisis, complete labyrinthine function recovery occurred in 46.7% of treatment group patients who underwent caloric vestibular stimulation as opposed to 13.3% of control group patients who received standard treatment alone.
基金supported by grants from the National Key Research and Development Program of China(Nos.2023YFC2508002&2023YFC2508403)the National Natural Science Foundation of China(Nos.82371168 and 82171152)the Hubei Provincial Key Research and Development Program(No.2023BCB027).
文摘Recent years have seen a burgeoning interest in elucidating the intricate relationship between vestibular dysfunction and sleep disorders,owing to their substantial impact on daily functioning and overall health.Despite significant advancements,the precise mechanisms underpinning this interplay remain elusive.This review aims to synthesize the current literature on the association between vestibular dysfunction and sleep disorders,focusing on potential causal mechanisms and therapeutic implications.We systematically examine various sleep disorders,including insomnia,circadian rhythm disorders,and sleep apnea,in association with specific vestibular dysfunctions,such as Meniere’s disease(MD),vestibular migraine(VM),benign paroxysmal positional vertigo(BPPV),vestibular neuritis(VN),and persistent postural perceptual dizziness(PPPD).By exploring these complex interactions,our goal is to provide a comprehensive understanding that contributes to the ongoing discourse in this field.We seek to encourage further investigations into innovative diagnostic and therapeutic strategies,ultimately aiming to improve the clinical management and enhance the quality of life for patients affected by both vestibular dysfunction and sleep disorders.
