Feasibility of integrating vestibular rehabilitation and cognitive behaviour therapy for people with persistent dizziness

Pilot and Feasibility Studies

S. H. G. Nordahl¹  B. Juul-Kristensen²  T. Sjøbø³  A. Hovland⁴  Lene Kristiansen⁵  L. H. Magnussen⁵  S. Mæland⁵  K. T. Wilhelmsen⁵ 

[1] 0000 0000 9753 1393, grid.412008.f, Norwegian National Advisory Unit on Vestibular Disorders, Department of Otorhinolaryngol and Head Neck Surgery, Haukeland University Hospital, Bergen, Norway;0000 0004 1936 7443, grid.7914.b, Department of Clinical Medicine, University of Bergen, Bergen, Norway;0000 0001 0728 0170, grid.10825.3e, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark;Solli District Psychiatric Centre (DPS), Nesttun, Norway;Solli District Psychiatric Centre (DPS), Nesttun, Norway;0000 0004 1936 7443, grid.7914.b, Department of Clinical Psychology, University of Bergen, Bergen, Norway;grid.477239.c, Department of Health and Functioning, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, P.O. box 7030, 5020, Bergen, Norway;

关键词: Dizziness;    Persistent dizziness;    Rehabilitation;    Vestibular rehabilitation;    Cognitive behaviour therapy;    Gait velocity;    Dizziness handicap inventory;   

DOI  :  10.1186/s40814-019-0452-3

来源: publisher

【 摘 要 】

PurposeTo evaluate the feasibility of integrating vestibular rehabilitation and cognitive behaviour therapy (VR-CBT) for people with persistent dizziness in primary care.DesignProspective single-group pre- and post-test study.ParticipantsAdults (aged 18–70) with acute onset of dizziness and symptoms lasting a minimum 3 months, recruited from Bergen municipality.MethodsParticipants attended eight weekly group sessions of VR-CBT intervention. Feasibility outcomes consisted of recruitment and testing procedures, intervention adherence, and participant feedback, besides change in primary outcomes. The primary outcomes were Dizziness Handicap Inventory (DHI) and preferred gait velocity.ResultsSeven participants were recruited for the study. All participants completed the pre-treatment tests, five participants completed the intervention and answered post-treatment questionnaires, and three completed post-treatment testing. Of the five participants, three attended at least 75% of the VR-CBT sessions, and two 50% of the sessions. Participants reported that the VR-CBT was relevant and led to improvement in function. DHI scores improved beyond minimal important change in two out of five participants, and preferred gait velocity increased beyond minimal important change in two out of three participants.ConclusionThe current tests and VR-CBT treatment protocols were feasible. Some changes are suggested to optimise the protocols, before conducting a randomised controlled trial.Trial registrationNCT02655575. Registered 14 January 2016—retrospectively registered

【 授权许可】

CC BY