Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction

Hyun Jung Lee; Smi Choi-Kwon

doi:10.4040/jkan.2016.46.5.710

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Lee and Choi-Kwon: Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction

Original Article

Journal of Korean Academy of Nursing 2016; 46(5): 710-719.

Published online: 31 October 2016

DOI: https://doi.org/10.4040/jkan.2016.46.5.710

Effectiveness of Self-efficacy Promoting Vestibular Rehabilitation Program for Patients with Vestibular Hypofunction

Hyun Jung Lee¹, Smi Choi-Kwon²

¹Department of Otorhinolaryngology-Head and Neck Surgery·Vestibular Function Test Lab, Dankook University Medical Center, Cheonan, Korea.

²College of Nursing·The Research Institute of Nursing Science, Seoul National University, Seoul, Korea.

Address reprint requests to : Choi-Kwon, Smi. College of Nursing, The Research Institute of Nursing Science, Seoul National University, 103 Daehak-ro, Jongro-Gu, Seoul 03080, Korea. Tel: +82-2-740-8830, Fax: +82-2-765-4103, smi@snu.ac.kr

Received 10 May 2016 Revised 4 July 2016 Accepted 6 July 2016

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

Abstract

Purpose

In this study an examination was done of the effect of self-efficacy promoting vestibular rehabilitation (S-VR) on dizziness, exercise selfefficacy, adherence to vestibular rehabilitation (VR), subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness in patients with vestibular hypofunction.

Methods

This was a randomized controlled study. Data were collected 3 times at baseline, 4 and 8 weeks after beginning the intervention. Outcome measures were level of dizziness, exercise self-efficacy, and level of adherence to VR. Subjective and objective vestibular function, vestibular compensation and the recurrence of dizziness were also obtained. Data were analyzed using Windows SPSS 21.0 program.

Results

After 4 weeks of S-VR, there was no difference between the groups for dizziness, subjective and objective vestibular functions. However, exercise self-efficacy and adherence to VR were higher in the experimental group than in the control group. After 8 weeks of S-VR, dizziness (p =.018) exercise self-efficacy (p <.001), adherence to VR (p <.001), total-dizziness handicap inventory (DHI) (p =.012), vision analysis ratio (p =.046) in the experimental group differ significantly from that of the control group. The number of patients with recurring dizziness were higher in the control group than in the experimental group (p <.001).

Conclusion

The results indicate that continuous 8 weeks of S-VR is effective in reducing dizziness, and improving exercise self-efficacy, subjective vestibular function and adherence to VR. Objective vestibular function and vestibular compensation were also improved in the experimental group at the end of 8 weeks of S-VR.

Keywords: Dizziness, Rehabilitation, Patient Adherence, Self Efficacy

Figures and Tables

Table 1

Description of Intervention & Outcome Measures

VR=Vestibular rehabilitation.

Table 2

Baseline Characteristics of the Participants (N=30)

^*Fisher's exact test; Exp.=experimental group; Cont.=control group; DHI-E=dizziness handicap inventory-emotion; DHI-F=dizziness handicap inventory-function; DHI-P=dizziness handicap inventory-physical; VOR=vestibular ocular reflex; VIS=vision; SOM=somatosensory; VEST=vestibular.

Table 3

Comparison of Exercise Self-efficacy, Dizziness & Adherence to VR (N=30)

^*Fisher's exact test; Exp.=Experimental group; Cont.=Control group; T0=Pretest; T1=After 4 weeks of intervention; T2=After 8 weeks of intervention; VR=Vestibular rehabilitation; VOR=Vestibular ocular reflex; VSR=Vestibular spinal reflex.

Table 4

Subjective, Objective Vestibular Function, Vestibular Compensation & Recurrence of Dizziness (N=30)

^*Fisher's exact test; Exp.=experimental group; Cont.=control group; DHI=dizziness handicap inventory; DHI-E=dizziness handicap inventory-emotion; DHI-F=dizziness handicap inventory function, DHI-P=dizziness handicap inventory-physical; VOR=vestibular ocular reflex; VIS=vision; SOM=somatosensory; VEST=vestibular; T0=pre test; T1=after 4 weeks of intervention; T2=after 8 weeks of intervention.

Notes

The manuscript is a condensed form of the first author's doctoral dissertation from Seoul National University.

This work was supported by Health Fellowship Foundation 2015.

^{CONFLICTS OF INTEREST} The authors declared no conflict of interest.

References

1. Brevern M, Neuhauser H. Epidemiological evidence for a link between vertigo and migraine. J Vestib Res. 2011; 21(6):299–304. DOI: 10.3233/ves-2011-0423.

2. Health Insurance Review & Assessment Service. Cause of dizziness [Internet]. Wonju: Author;2013. cited 2015 MAR 10. Available from: http://www.hira.or.kr/dummy.do?pgmid=HIRAA020041000000&cmsurl=/cms/notice/02/1214308_13390.html.

3. Oh SY. Diagnosis and treatment of chronic dizziness. Res Vestib Sci. 2010; 9:Suppl 1. S65–S71.

4. Sun DQ, Ward BK, Semenov YR, Carey JP, Della Santina CC. Bilateral vestibular deficiency: Quality of life and economic implications. JAMA Otolaryngol Head Neck Surg. 2014; 140(6):527–534. DOI: 10.1001/jamaoto.2014.490.

5. Kim JI. Diagnosis and treatment of chronic dizziness. J Korean Bal Soc. 2007; 6(1):93–99.

6. McDonnell MN, Hillier SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev. 2015; 1:CD005397. DOI: 10.1002/14651858.CD005397.pub4.

7. Kao CL, Chen LK, Chern CM, Hsu LC, Chen CC, Hwang SJ. Rehabilitation outcome in home-based versus supervised exercise programs for chronically dizzy patients. Arch Gerontol Geriatr. 2010; 51(3):264–267. DOI: 10.1016/j.archger.2009.11.014.

8. Lee DJ, Rhee CK, Suh MW. Rehabilitation of vestibular hypofunction. Res Vestib Sci. 2011; 10:Suppl 1. S32–S37.

9. Balci BD, Akdal G, Yaka E, Angin S. Vestibular rehabilitation in acute central vestibulopathy: A randomized controlled trial. J Vestib Res. 2013; 23(4-5):259–267. DOI: 10.3233/ves-130491.

10. Lee HJ, Choi-Kwon S. Factors influencing adherence to vestibular rehabilitation exercise program in patients with dizziness. Korean J Adult Nurs. 2014; 26(4):434–443. DOI: 10.7475/kjan.2014.26.4.434.

11. Yang JS. Effect of vestibular rehabilitation therapy in peripheral vestibular dysfunction [master's thesis]. Chuncheon: Hallym University;2007. 1–70.

12. Bandura A. Self-efficacy: The exercise of control. New York, NY: W. H. Freeman;1997. p. 1–604.

13. Hamid MA. Vestibular rehabilitation. Adv Otolaryngol-Head Neck Surg. 1992; 6:27–36.

14. Rhee CK. Vestibular rehabilitation. Audiology. 2010; 6(1):1–9.

15. Toupet M, Ferrary E, Grayeli AB. Visual analog scale to assess vertigo and dizziness after repositioning maneuvers for benign paroxysmal positional vertigo. J Vestib Res. 2011; 21(4):235–241. DOI: 10.3233/ves-2011-0420.

16. Kim HH. The relationship between the therapeutic exercise practice, health beliefs and self-efficacy in patients with restricted shoulder range of motion [master's thesis]. Seoul: Yonsei University;2007. 1–58.

17. Jacobson GP, Newman CW. The development of the dizziness handicap inventory. Arch Otolaryngol Head Neck Surg. 1990; 116(4):424–427. DOI: 10.1001/archotol.1990.01870040046011.

18. Han GC, Lee EJ, Lee JH, Park SN, Lee HY, Jeon EJ, et al. The study of standardization for a Korean adaptation of self-report measures of dizziness. J Korean Bal Soc. 2004; 3(2):307–325.

19. Kim DH, Lee JH, Kim BJ, Rhee CK, Jung JY. Analysis of clinical features in patients showing bilateral vestibulopathy with vestibular function test. Res Vestib Sci. 2014; 13(2):47–52.

20. Song SH, Park UY. The effects of figure skating training on equilibrium sensory organization and vestibular-ocular reflex. Exerc Sci. 2013; 22(4):319–327.

21. Murray K, Carroll S, Hill K. Relationship between change in balance and self-reported handicap after vestibular rehabilitation therapy. Physiother Res Int. 2001; 6(4):251–263. DOI: 10.1002/pri.232.

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