Cargando…

Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term eff...

Descripción completa

Detalles Bibliográficos
Autores principales: Silva, Camila Nicácio da, Ribeiro, Karyna Myrelly O. B. de Figueiredo, Freitas, Raysa Vanessa de Medeiros, Ferreira, Lidiane Maria de Britho Macedo, Guerra, Ricardo Oliveira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Publicações Ltda 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687998/
https://www.ncbi.nlm.nih.gov/pubmed/26722348
http://dx.doi.org/10.1055/s-0035-1565915
_version_ 1782406702900969472
author Silva, Camila Nicácio da
Ribeiro, Karyna Myrelly O. B. de Figueiredo
Freitas, Raysa Vanessa de Medeiros
Ferreira, Lidiane Maria de Britho Macedo
Guerra, Ricardo Oliveira
author_facet Silva, Camila Nicácio da
Ribeiro, Karyna Myrelly O. B. de Figueiredo
Freitas, Raysa Vanessa de Medeiros
Ferreira, Lidiane Maria de Britho Macedo
Guerra, Ricardo Oliveira
author_sort Silva, Camila Nicácio da
collection PubMed
description Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM) on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo. Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test. Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores) as well as the Visual Analogue Scale (VAS) decreased after therapy (p < 0.05 and p = 0.001, respectively). However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p < 0.05). Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints.
format Online
Article
Text
id pubmed-4687998
institution National Center for Biotechnology Information
language English
publishDate 2015
publisher Thieme Publicações Ltda
record_format MEDLINE/PubMed
spelling pubmed-46879982016-01-01 Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver Silva, Camila Nicácio da Ribeiro, Karyna Myrelly O. B. de Figueiredo Freitas, Raysa Vanessa de Medeiros Ferreira, Lidiane Maria de Britho Macedo Guerra, Ricardo Oliveira Int Arch Otorhinolaryngol Article Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM) on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo. Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test. Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores) as well as the Visual Analogue Scale (VAS) decreased after therapy (p < 0.05 and p = 0.001, respectively). However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p < 0.05). Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints. Thieme Publicações Ltda 2015-10-19 2016-01 /pmc/articles/PMC4687998/ /pubmed/26722348 http://dx.doi.org/10.1055/s-0035-1565915 Text en © Thieme Medical Publishers
spellingShingle Article
Silva, Camila Nicácio da
Ribeiro, Karyna Myrelly O. B. de Figueiredo
Freitas, Raysa Vanessa de Medeiros
Ferreira, Lidiane Maria de Britho Macedo
Guerra, Ricardo Oliveira
Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver
title Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver
title_full Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver
title_fullStr Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver
title_full_unstemmed Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver
title_short Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver
title_sort vertiginous symptoms and objective measures of postural balance in elderly people with benign paroxysmal positional vertigo submitted to the epley maneuver
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4687998/
https://www.ncbi.nlm.nih.gov/pubmed/26722348
http://dx.doi.org/10.1055/s-0035-1565915
work_keys_str_mv AT silvacamilanicacioda vertiginoussymptomsandobjectivemeasuresofposturalbalanceinelderlypeoplewithbenignparoxysmalpositionalvertigosubmittedtotheepleymaneuver
AT ribeirokarynamyrellyobdefigueiredo vertiginoussymptomsandobjectivemeasuresofposturalbalanceinelderlypeoplewithbenignparoxysmalpositionalvertigosubmittedtotheepleymaneuver
AT freitasraysavanessademedeiros vertiginoussymptomsandobjectivemeasuresofposturalbalanceinelderlypeoplewithbenignparoxysmalpositionalvertigosubmittedtotheepleymaneuver
AT ferreiralidianemariadebrithomacedo vertiginoussymptomsandobjectivemeasuresofposturalbalanceinelderlypeoplewithbenignparoxysmalpositionalvertigosubmittedtotheepleymaneuver
AT guerraricardooliveira vertiginoussymptomsandobjectivemeasuresofposturalbalanceinelderlypeoplewithbenignparoxysmalpositionalvertigosubmittedtotheepleymaneuver