远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析

焦雪梅; 刘瀚迪; 刘冰; 刘薇; 马宁

doi:10.3969/j.issn.1672-4933.2025.03.021

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远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析

康复教育 | 更新时间：2025-05-12

- 远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析
- Feasibility and Effect of Video-Guided Family Vestibular Rehabilitation under Remote Supervision in Children with Recurrent Vertigo with Unilateral Vestibular Dysfunction
- 中国听力语言康复科学杂志 2025年23卷第3期页码：312-316
- 作者机构：
  
  首都医科大学附属北京儿童医院耳鼻咽喉头颈外科/儿童耳鼻咽喉头颈外科疾病北京市重点实验室北京 100045
- 作者简介：
  
  焦雪梅本科主管护师；研究方向：小儿耳科学
  马宁，E-mail：maning2005@126.com
- 基金信息：
  
  首都医科大学教育教学改革研究课题(2022JYY268)
- DOI：10.3969/j.issn.1672-4933.2025.03.021
  中图分类号： 747.3
- 收稿日期：2025-01-05，
  
  纸质出版日期：2025-05-15
- 稿件说明：
移动端阅览
焦雪梅,刘瀚迪,刘冰等.远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析[J].中国听力语言康复科学杂志,2025,23(03):312-316.

JIAO Xue-mei,LIU Han-di,LIU Bing,et al.Feasibility and Effect of Video-Guided Family Vestibular Rehabilitation under Remote Supervision in Children with Recurrent Vertigo with Unilateral Vestibular Dysfunction[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):312-316.
焦雪梅,刘瀚迪,刘冰等.远程督导前庭康复训练在儿童复发性眩晕伴单侧前庭功能障碍的可行性及效果分析[J].中国听力语言康复科学杂志,2025,23(03):312-316. DOI： 10.3969/j.issn.1672-4933.2025.03.021.

JIAO Xue-mei,LIU Han-di,LIU Bing,et al.Feasibility and Effect of Video-Guided Family Vestibular Rehabilitation under Remote Supervision in Children with Recurrent Vertigo with Unilateral Vestibular Dysfunction[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(03):312-316. DOI： 10.3969/j.issn.1672-4933.2025.03.021.

摘要

目的

探讨针对复发性眩晕伴单侧外周性前庭功能障碍，平衡功能正常儿童进行4周远程督导前庭康复训练的可行性及有效性。

方法

将诊断为复发性眩晕伴单侧外周性前庭功能障碍、平衡功能正常的50名儿童（4～13岁）分为2组，试验组（研究人员督导下）和对照组（非研究人员督导下）均采用远程视频督导式前庭康复训练。在训练前、训练2周、4周时，进行儿童前庭症状问卷（pediatric vestibular symptoms questionnaire，PVSQ）评估。训练前及训练4周时记录前庭双温试验验半规管麻痹（canal paralysis，CP），每日训练登记表统计训练方案的完成率。

结果

（1）训练完成率：试验组（69.29%）显著高于对照组（53.14%）（

＜0.05）；（2）PVSQ评分：训练前、训练2周、4周时，试验组分别为0.21（0.18，0.23）、0.05（0.01，0.09）、0.00（0.00，0.01），对照组分别为0.21（0.18，0.23）、0.13（0.06，0.17）、0.01（0.00，0.07），训练前后不同督导模式组间差异有统计学意义；训练2周及训练4周，不同督导模式组间差异有统计学意义；（3）训练效果与训练完成率的相关性分析：训练4周PVSQ评分（r=-0.302，

＜0.05）、CP值与训练完成率均呈显著负相关（r=-0.331，

＜0.05）。（4）前庭双温实验：训练4周时，双温试验正常率分别为实验组80%，对照组68%，差异无统计学意义；训练前及训练4周时试验组CP值（37.16±12.33，14.16±10.91）、对照组CP值（32.32±8.69，19.04±9.30），训练前后差异均有统计学意义；训练周期结止时，两种督导模式差异无统计学意义。

结论

对于复发性眩晕伴单侧前庭功能障碍、平衡功能正常的儿童，远程视频督导下前庭康复训练模式有效，在整个训练周期的完成率上，试验组显著高于对照组，说明加入研究人员督导的训练模式在完成率方面具有明显优势，该方法具有可行性。

Abstract

Objective

As for the children with recurrent vertigo with unilateral peripheral vestibular dysfunction but normal balance function

the video-guided family vestibular rehabilitation training was carried out for 4 weeks under nurse supervision remotely. The feasibility and effectiveness of this strategy were studied.

Methods

Fifty participants (4-13 years old) diagnosed with recurrent vertigo

unilateral peripheral vestibular dysfunction

and normal balance function were randomly divided into two groups: observation group (supervised by nurse) and control group (unsupervised). The both groups underwent remote vestibular rehabilitation training via rehabilitation video. The Pediatric Vestibular Symptoms Questionnaire (PVSQ) score was evaluated before and after training for 2 and 4 weeks. The canal paralysis (CP) value of caloric test and normal ratio of calorie test were evaluated before and after 4-week training.

Results

Training completion degree: 69.29% in the observation group higher than 53.14% in the control group at the end of the training period (

0.05). The PVSQ score: The observation group 0.21(0.18

0.23)

0.05(0.01

0.09)

0.00(0.00

0.01) and the control group 0.21(0.18

0.23)

0.13(0.06

0.17)

0.01(0.00

0.07) before and after training for 2 and 4 weeks

respectively. The difference of each group before and after training was statistically significant. After training for 2 and 4 weeks

the difference between the two groups was statistically significant. The training completion rate at 4 weeks was negatively correlated with PVSQ score (r=-0.302

0.05) and CP value (r=-0.331

0.05). The ratio of caloric test returning normal after 4 weeks of training was 80% in the observation group and 68% in the control group

and the difference was not statistically significant. The CP value: before and after training for 4 weeks

the observation group were (37.16±12.33

14.16±10.91) and the control group were (32.32±8.69

19.04±9.30) showed statistically sign

ificant differences before and after training within each group

but there was no statistically significant difference between the two groups after training for 4 weeks.

Conclusion

For the children with recurrent vertigo accompanied by unilateral vestibular dysfunction and normal balance function

the remote supervision vestibular rehabilitation training mode is effective for the both groups of children

and the obsevation group is superior compared to the control group as the completion rate of the experimental group was significantly higher than that of the control group at various stages of the entire training cycle

indicating that the training mode with researcher supervision has a significant advantage in completion rate

which is feasible.

关键词

Keywords

references

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