Effekt passiver Musikintervention bei Patienten mit akuter unilateraler Vestibulopathie

Zusammenfassung

Hintergrund

In der Literatur wurden positive Effekte durch Musikinterventionen in Bezug auf Angst, Depression und Stress beschrieben, die auch häufig bei Patienten mit akutem vestibulärem Schwindel auftreten. Die vorliegende Studie untersucht die Auswirkungen von passiven Musikinterventionen auf Schwindelsymptome und gesundheitsbezogene Lebensqualität (QoL).

Methoden

Patienten mit akuter unilateraler Vestibulopathie wurden in eine prospektive Interventionsstudie eingeschlossen. Die Interventionsgruppe wurde gebeten, täglich 60 Minuten lang Musik zu hören. Sie hielten in einem Tagebuch über den Beobachtungszeitraum von 14 Tagen ihre Schwindelintensität fest. Die QoL wurde anhand des Dizziness Handicap Inventory (DHI) an den Tagen 1, 3 und 14 nach Beginn der Intervention bewertet.

Ergebnisse

Insgesamt wurden 25 Patienten eingeschlossen, davon 13 in der Interventionsgruppe und 12 Patienten in der Kontrollgruppe. An Tag 14 war der mittlere DHI-Wert in der Interventionsgruppe mit 16,92 Punkten signifikant niedriger als in der Kontrollgruppe mit 24,17 Punkten (p = 0,01). Die mittels NRS ermittelte Schwindelintensität war in der Interventionsgruppe am Ende der Musikintervention tendenziell geringer, jedoch ohne statistisch signifikant zu sein (p>0,05).

Schlussfolgerung

Es wurde ein positiver Effekt der Musikintervention bei akuter unilateraler Vestibulopathie festgestellt. Aufgrund ihrer ubiquitären Verfügbarkeit können passive Musikinterventionen leicht in den klinischen Alltag implementiert werden und eine nützliche zusätzliche Komponente in der Behandlung akuter vestibulärer Schwindelerkrankungen darstellen.

Abstract

Background

Literature already reports on positive effects of complementary medicine music interventions on anxiety, depression, pain and stress. These symptoms are frequently observed in patients with acute vestibular vertigo. However, there are no studies on the effect of music interventions in terms of quality of life (QoL) and reduction of symptoms in these patients. The present study aims to investigate these effects, particularly on vertigo symptoms and health-related QoL.

Methods

Patients with acute unilateral vestibulopathy confirmed by diagnostic tests were enroled in a prospective intervention study approved by the local ethics committee. The intervention group was asked to listen to music for 60 minutes daily. They recorded their dizziness intensity in a diary over the 14-day observation period using a numerical rating scale (NRS). QoL was assessed using the Dizziness Handicap Inventory (DHI) on days 1, 3 and 14 after the start of the intervention.

Results

A total of 25 patients were included, 13 in the intervention and 12 patients in the control group. On day 14, mean DHI score was significantly lower in the intervention group at 16.92 points than in the control group at 24.17 points (p = 0.01). The dizziness intensity determined using the NRS tended to be lower in the intervention group at the end of the music intervention, but without being statically significant (p > 0.05).

Conclusion

A positive effect of music intervention in acute unilateral vestibulopathy was found, especially at the end of the intervention. Due to their ubiquitous availability, passive music interventions can be easily implemented in clinical practice and could be a useful additional component in the treatment of acute peripheral vestibular vertigo.

Schlüsselwörter

Musikintervention - Schwindel - Lebensqualität - Dizziness Handicap Inventory - periphere unilaterals Vestibulopathie

Keywords

music intervention - dizziness - quality of life - Dizziness Handicap Inventory - peripheral unilateral vestibulopathy

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