Objective

This study aimed to investigate the effects of an activity-based home program and an exercise-based home program on dizziness severity, balance, and independent level of daily life activities in patients with dizziness due to chronic unilateral peripheral vestibular disorders.

Design

A single-blind randomized controlled trial.

Setting

University dizziness management clinics.

Participants

Individuals (N=75) between 18 and 65 years of age who had chronic unilateral peripheric vestibular disorders and vestibular rehabilitation indication.

Intervention

Participants were randomly divided into 3 groups: an activity-based home program (group 1/activity group), an exercise-based home program (group 2/exercise group), and a control group (group 3). After an initial assessment, all groups participated in the patient education program. In addition, the activity-based home program was administered to the first group, while the Cawthorne-Cooksey home exercise program was administered to the second group.

Main Outcome Measures

Visual analog scale (VAS), Vestibular Disorders Activities of Daily Living Scale (VADL), and computerized dynamic posturography before and immediately after the treatment program.

Results

A statistically significant improvement was found in the activity and exercise groups in terms of VAS, VADL, Sensory Organization Test (SOT) 5, SOT 6, and SOT (composite) scores compared with the control group (P<.05). A statistically significant improvement was found in the activity group in terms of the instrumental subscale of VADL, SOT 5, SOT 6, and SOT (composite) scores compared with the exercise group.

Conclusions

The activity-based home program was more effective in improving the home management task, the occupational task, and balance than the exercise-based home treatment program in patients with chronic peripheral vestibular disorders.

中文翻译：

---

基于活动的家庭计划和 Cawthorne-Cooksey 练习在慢性单侧外周前庭疾病患者中的比较

客观的

本研究旨在调查基于活动的家庭计划和基于运动的家庭计划对慢性单侧外周前庭障碍引起的头晕患者的头晕严重程度、平衡和日常生活活动的独立水平的影响。

设计

一项单盲随机对照试验。

环境

大学头晕管理诊所。

参与者

年龄在 18 至 65 岁之间、患有慢性单侧外周前庭疾病和前庭康复指征的个体（N=75）。

干涉

参与者被随机分为 3 组：基于活动的家庭计划（第 1 组/活动组）、基于运动的家庭计划（第 2 组/运动组）和对照组（第 3 组）。经过初步评估，所有组都参加了患者教育计划。此外，第一组实施了基于活动的家庭计划，而第二组实施了 Cawthorne-Cooksey 家庭锻炼计划。

主要观察指标

视觉模拟量表 (VAS)、前庭障碍日常生活活动量表 (VADL) 和计算机化动态姿势图在治疗计划之前和之后立即进行。

结果

与对照组相比，活动组和运动组在 VAS、VADL、感觉组织测试 (SOT) 5、SOT 6 和 SOT（复合）评分方面均有统计学显着改善（P <.05）。与运动组相比，活动组在 VADL、SOT 5、SOT 6 和 SOT（复合）评分的工具分量表方面有统计学显着改善。

结论

对于慢性外周前庭障碍患者，基于活动的家庭计划在改善家庭管理任务、职业任务和平衡方面比基于运动的家庭治疗计划更有效。