Morozetti Pâmela Garcia, Ganança Cristina Freitas, Chiari Brasília Maria
Ambulatório de Equilibriometria e Reabilitação Vestibular, Universidade Federal de São Paulo, São Paulo, SP, Brasil.
J Soc Bras Fonoaudiol. 2011 Mar;23(1):44-50. doi: 10.1590/s2179-64912011000100011.
To compare the therapeutic efficacy of two protocols for vestibular rehabilitation in several vestibular disordes.
Twenty patients with chronic peripheral disorders of both genders (prevalence of females, with 60% of the sample) and mean age of 55 years and 9 months participated in this study. Group 1 carried out exercices based on stimulation of vertical and horizontal vestibulocular reflex, and Group 2 carried out exercices based on a protocol of personalized vestibular rehabilitation. Data analysis considered the complaint manifested during anamnesis and the clinical evolution of the patient during the execution of the exercises. The results obtained from the application of the Dizziness Handicap Inventory questionnaire (DHI) and the dizziness visual analog scale (VAS), both before and after vestibular rehabilitation, were also considered in the analysis.
Differences were found in the values obtained in VAS and DHI (physical and functional scales and total score), in both groups. However, the comparison of the groups after rehabilitation showed that Group 2 obtained better scores than Group 1, both in VAS and DHI (functional scale and total value).
Vestibular rehabilitation allowed significant improvement in otoneurological clinical profile and in self-perception of dizziness, regardless the therapeutic method used. Personalized vestibular rehabilitation was more efficient than the vestibulocular reflex stimulation protocol in improving quality of life of individuals with chronic periferal disorders.
比较两种前庭康复方案对几种前庭疾病的治疗效果。
20例患有慢性周围性疾病的患者（男女均有，女性占样本的60%）参与了本研究，平均年龄为55岁9个月。第1组进行基于垂直和水平前庭眼反射刺激的练习，第2组进行基于个性化前庭康复方案的练习。数据分析考虑了问诊期间表现出的主诉以及患者在练习过程中的临床进展。分析中还考虑了在前庭康复前后应用头晕残障量表问卷（DHI）和头晕视觉模拟量表（VAS）所获得的结果。
两组在VAS和DHI（身体和功能量表及总分）中获得的值存在差异。然而，康复后两组的比较表明，第2组在VAS和DHI（功能量表和总值）方面的得分均高于第1组。
无论采用何种治疗方法，前庭康复都能使耳神经科临床状况和头晕的自我认知得到显著改善。在改善慢性周围性疾病患者的生活质量方面，个性化前庭康复比前庭眼反射刺激方案更有效。
