Tsukamoto Heloísa Freiria, Costa Viviane de Souza Pinho, Silva Rubens Alexandre da, Pelosi Gislaine Garcia, Marchiori Luciana Lozza de Moraes, Vaz Cláudia Regina Sanches, Fernandes Karen Barros Parron
Department of Physical Therapy, Universidade Norte do Paraná (UNOPAR), Centro Universitário Filadélfia, Londrina, Paraná, Brazil.
Biological and Health Sciences Research Center, Universidade Norte do Paraná (UNOPAR), Londrina, Paraná, Brazil.
Int Arch Otorhinolaryngol. 2015 Jul;19(3):238-47. doi: 10.1055/s-0035-1547523. Epub 2015 May 6.
Introduction Dizziness can be characterized as a balance disorder that causes discomfort, leading to several functional limitations. Currently, vestibular rehabilitation has been highlighted as a possible treatment. Objective Analyze the effects of completing a vestibular rehabilitation treatment protocol on quality of life and postural balance in patients with vestibular complaints, as well as to compare these effects between the patients taking or not taking antivertigo drugs. Methods A nonrandomized controlled trial was performed with 20 patients previously diagnosed with vestibular diseases. Information regarding vertigo symptoms, quality of life as assessed through the Dizziness Handicap Inventory, visual analog scale of dizziness, and stabilometry using force platform was collected. Patients were treated for 12 weeks by a custom protocol. The sample was divided into two groups according to the use (medicated group, n = 9) or not (control group, n = 11) of antivertigo drugs. Results There was improvement in quality of life (p < 0.001) and intensity of dizziness (p = 0.003) with the intervention. An improvement of postural balance was observed through functional tests. However, no statistically significant difference was noted in stabilometry. When both groups were compared, no statistically significant differences between the variations of the variables analyzed were found in the re-evaluation session. Conclusion Quality of life and postural balance are improved with intervention. However, this improvement is not associated with pharmacologic treatment.
头晕可被视为一种导致不适的平衡障碍,会引发多种功能受限。目前,前庭康复已成为一种可能的治疗方法。目的:分析完成前庭康复治疗方案对有前庭问题患者生活质量和姿势平衡的影响,并比较服用或未服用抗眩晕药物患者之间的这些影响。方法:对20例先前被诊断患有前庭疾病的患者进行了一项非随机对照试验。收集了有关眩晕症状、通过头晕残障量表评估的生活质量、头晕视觉模拟量表以及使用测力平台进行的稳定测量等信息。患者按照定制方案接受了12周的治疗。根据是否使用抗眩晕药物将样本分为两组(用药组,n = 9;对照组,n = 11)。结果:干预后生活质量(p < 0.001)和头晕强度(p = 0.003)有所改善。通过功能测试观察到姿势平衡有所改善。然而,在稳定测量方面未发现统计学上的显著差异。当比较两组时,在重新评估阶段分析的变量变化之间未发现统计学上的显著差异。结论:干预可改善生活质量和姿势平衡。然而,这种改善与药物治疗无关。