めまい集団リハビリテーションの治療成績　（第２報）―良性発作性頭位めまい症における外来治療と入院治療の比較検討―

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  • Rehabilitation Therapy Outcomes for Patients with Benign Paroxysmal Positional Vertigo (BPPV). A Comparative Review of Hospital and Ambulatory Treatments

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We have previously reported on the effectiveness of our in-hospital rehabilitation program for patients with treatment-resistant dizziness that have been referred to us by other hospitals. For this study, we undertook a comparative review of the respective benefits of dizziness rehabilitation in 37 ambulatory patients and 58 inpatients with Benign Paroxysmal Positional Vertigo(BPPV).<br>We compared the therapeutic efficacy of dizziness rehabilitation in 37 ambulatory BPPV patients and 58 BPPV inpatients in the group therapy program. The Dizziness Handicap Inventory (DHI), posturography, the Short Form 8 Health Survey (SF-8; Japanese version), Self-rating Depression Scale (SDS), State-trait Anxiety Inventory (Form JY-2), Profile of Mood States (brief Japanese version) and a the period during which nystagmus disappeared captured on a CCD camera were used to evaluate the physiological and psychological effects of the respective therapy regimens.<br>(1) A comparative review of therapy outcomes for the 37 ambulatory BPPV patients and the 58 BPPV patients receiving inpatient treatment revealed inpatient therapy to be markedly more effective in treating dizziness.<br>(2) The results suggest that the rehabilitative effects to be gained from an in-hospital program of group therapy for dizziness both improved dizziness and provided clear evidence for a group therapy effect, thus offering both physiological and psychological improvements for patients with the symptoms of dizziness.

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