[Individualized integrated therapy on patients with vertigo].
OBJECTIVE
To explore the treatment of patients with vertigo by the integrated therapy including the drug, surgery and rehabilitation exercise and to investigate the establishment of individualized integrated therapy on patients with vertigo.


METHODS
One hundred and fifty-eight patients with peripheral vestibular vertigo were taken the individualized integrated therapy of vertigo (IITV). In first step of IITV, according to the etiology of vertigo, the therapy protocols were personally designed including drug, surgery or rehabilitation exercise. In second step of IITV, the patients who did not achieve effective treatment were followed-up and status of vestibular compensation and model of sensory organization in stance balance were re-evaluated. Then, the adjusted therapy protocol was designed by using drug, surgery or rehabilitation exercise comprehensively. The outcome assessment methods included the vestibular symptom index (VSI), balance assessment and dizziness handicap inventory (DHI).


RESULTS
The result of VSI showed that there were significant difference (P < 0.01) between the post-therapy and pre-therapy in the symptoms except the headache. Both results of timed balance test and foam posturography showed that the postural stability was improved after IITV (P < 0.01). The total DHI score improved 15.97 after therapy and there were significant difference (P < 0.01) of total DHI score between the post-therapy and pre-therapy. The total effective rate of IITV was 91.14% in these patients with vertigo.


CONCLUSIONS
To treat patients with vertigo effectively, it was necessary to design the individualized integrated therapy protocol which applied the methods of drug, surgery and rehabilitation exercise comprehensively on the base of etiology of vertigo, status of vestibular compensation and model of sensory organization.
Kong
Weijia
W
Department of Otorhinolaryngology, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. wjkong@whuh.com
Liu
Bo
B
Leng
Yangming
Y
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy / Q000379:methods*; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D057285:Precision Medicine; D014717:Vertigo / Q000628:therapy*; D055815:Young Adult