Persistent Postural Perceptual Dizziness Hastalarında Vestibüler Rehabilitasyon Programının Etkinliğinin İncelenmesi

Abstract

The aim of this study was to prepare a systematic desensitization-based vestibular rehabilitation program specific to individuals diagnosed with Persistent Postural Perceptual Dizziness (PPPD) and to examine the effectiveness of this program. For this purpose, 12 individuals (42.00 ± 11.63 years) diagnosed with PPPD (42.00 ± 11.63 years) underwent an 8-session vestibular rehabilitation program, each session lasting an average of 40 minutes and conducted face-to-face with a clinician. To examine the effectiveness of the vestibular rehabilitation program, the Dizziness Handicap Inventory (DHI), Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI) were administered to all individuals before and after the program. Anxiety levels before vestibular rehabilitation were significantly higher than depression levels (p = 0.017). After vestibular rehabilitation, a significant decrease was found in all scale scores (p < 0.05). When the DHI subcomponents were analyzed, a significant decrease was observed especially in the functional subtest scores. There was no significant correlation between gender and DHI, BAI and BDI scores (p > 0.05). The findings obtained in our study suggest that a symptom-specific structured vestibular rehabilitation program is effective in individuals with PPPD. It is thought that this vestibular rehabilitation program we developed will serve as a concrete guide for specialists working in the field on the management of PPPD and rehabilitation program planning for these individuals.