Objective measures of physical activity in patients with chronic unilateral vestibular hypofunction, and its relationship to handicap, anxiety and postural stability

被引：20

作者：

Morimoto, Hiroyuki ^{[1
,2
]}

Asai, Yuji ^{[1
,3
]}

Johnson, Eric G. ^{[4
]}

Koide, Yoshinori ^{[1
]}

Niki, Junichi ^{[2
]}

Sakai, Shigeki ^{[2
]}

Nakayama, Meiho ^{[5
]}

Kabaya, Kayoko ^{[5
]}

Fukui, Ayako ^{[5
]}

Mizutani, Yoko ^{[6
]}

Mizutani, Takehiko ^{[6
]}

Ueki, Yoshino ^{[1
]}

Mizutani, Jun ^{[1
]}

Ueki, Takatoshi ^{[7
]}

Wada, Ikuo ^{[1
]}

机构：

[1] Nagoya City Univ, Grad Sch Med Sci, Dept Rehabil Med, Mizuho Ku, 1 Kawasumi,Mizuho Cho, Nagoya, Aichi 4678601, Japan

[2] Mizutani Hosp, Dept Rehabil, Atsuta Ku, 3-4-1 Kanayama Cho, Nagoya, Aichi 4560002, Japan

[3] Nihon Fukushi Univ, Sch Hlth Sci, Dept Phys Therapy, 2-26 Higashihaemi Cho, Handa 4750012, Japan

[4] Loma Linda Univ, Sch Allied Hlth Profess, Dept Phys Therapy, 24951 Circle Dr, Loma Linda, CA 92354 USA

[5] Nagoya City Univ, Grad Sch Med Sci, Dept Otolaryngol Head & Neck Surg, Mizuho Ku, 1 Kawasumi,Mizuho Cho, Nagoya, Aichi 4678601, Japan

[6] Mizutani Hosp, Dept Orthoped, Atsuta Ku, 3-4-1 Kanayama Cho, Nagoya, Aichi 4560002, Japan

[7] Nagoya City Univ, Grad Sch Med Sci, Dept Integrat Anat, Mizuho Ku, 1 Kawasumi,Mizuho Cho, Nagoya, Aichi 4678601, Japan

来源：

AURIS NASUS LARYNX | 2019年 / 46卷 / 01期

基金：

日本学术振兴会;

关键词：

Chronic dizziness; Physical activity; Inactivity; Anxiety; Postural stability; Accelerometer; BALANCE SYMPTOMS; DIZZINESS; COMMUNITY; VERTIGO; ASSOCIATION; DISORDERS; CONSEQUENCES; PERFORMANCE; POPULATION; DEPRESSION;

D O I：

10.1016/j.anl.2018.06.010

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Objective: Dizziness is one of the most common symptoms in the general population. Patients with dizziness experience balance problems and anxiety, which can lead to decreased physical activity levels and participation in their daily activities. Moreover, recovery of vestibular function from vestibular injury requires physical activity. Although there are reports that decreased physical activity is associated with handicap, anxiety, postural instability and reduced recovery of vestibular function in patients with chronic dizziness, these data were collected by self-report questionnaires. Therefore, the objective data of physical activity and the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness are not clear. The purpose of this research was to objectively measure the physical activity of patients with chronic dizziness in daily living as well as handicap, anxiety and postural stability compared to healthy adults. Additionally, we aimed to investigate the relationships between physical activity, handicap, anxiety and postural stability in patients with chronic dizziness. Methods: Twenty-eight patients with chronic dizziness of more than 3 months caused by unilateral vestibular hypofunction (patient group) and twenty-eight age-matched community dwelling healthy adults (healthy group) participated in this study. The amount of physical activity including time of sedentary behavior, light physical activity, moderate to vigorous physical activity and total physical activity using tri-axial accelerometer, self-perceived handicap and anxiety using questionnaires, and postural stability were measured using computerized dynamic posturography. Results: The results showed worse handicap, anxiety and postural stability in the patient group compared to the healthy group. Objective measures of physical activity revealed that the patient group had significantly longer time of sedentary behavior, shorter time of light physical activity, and shorter time of total physical activity compared to the healthy group; however, time of moderate to vigorous physical activity was not significantly different between groups. Moreover, there were correlations between physical activity and postural stability in the patient group, while there were no correlations between physical activity, handicap or anxiety in the patient group. Conclusion: These results suggest that objectively measured physical activity of the patients with chronic unilateral vestibular hypofunction is lower compared to the healthy adults, and less active patients showed decreased postural stability. However, the details of physical activity and causal effect between physical activity and postural stability were not clear and further investigation is needed. (C) 2018 Elsevier B.V. All rights reserved.

引用

页码：70 / 77

页数：8

共 53 条

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