Coelho Almir Resende, Perobelli Júlia Licursi Lambertti, Sonobe Lilian Shizuka, Moraes Renato, Barros Camila Giacomo de Carneiro, Abreu Daniela Cristina Carvalho de
Department of Health Sciences, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Department of Physiotherapy, Universidade de Franca, Franca, SP, Brazil.
Int Arch Otorhinolaryngol. 2020 Jan;24(1):e99-e106. doi: 10.1055/s-0039-1695025. Epub 2019 Nov 4.
Peripheral vestibular disorders can lead to cognitive deficits and are more common in elderly patients. To evaluate and correlate cognitive, balance and gait aspects in elderly women with chronic peripheral vestibular dizziness, and to compare them with elderly women without vestibular disorders. Twenty-two women presenting peripheral vestibular dizziness episodes for at least six months participated in the study. The individuals were categorized by dizziness severity level: moderate ( = 11) or severe ( = 11). The control group ( = 11) included women showing no vestibulopathy, light-headedness or dizziness. Cognitive assessments and semi-static and dynamic balance assessments were performed with the Balance Master (Neurocom International, Inc., Clackamas, OR), while the Dizziness Handicap Inventory provided a score for the severity of the symptoms. The groups were submitted to statistics of inference and correlation between cognitive, balance and stability variables. The group with severe dizziness showed higher sway speed of the center of pressure in the anteroposterior direction, smaller step length, and slower gait than the control group. Regarding the cognitive variables, the group with severe dizziness symptoms presented significant correlations with stability and gait variables. The relationship between cognitive aspects, balance and gait was stronger in women with severe dizziness than in those with no vestibulopathy.
外周前庭疾病可导致认知缺陷，且在老年患者中更为常见。 评估慢性外周前庭性眩晕老年女性的认知、平衡和步态方面，并将其与无前庭疾病的老年女性进行比较。 22名出现外周前庭性眩晕发作至少6个月的女性参与了该研究。这些个体按眩晕严重程度分类：中度（n = 11）或重度（n = 11）。对照组（n = 11）包括无前庭病变、头晕或眩晕的女性。使用平衡大师（Neurocom International, Inc., Clackamas, OR）进行认知评估以及半静态和动态平衡评估，而眩晕 handicap 量表提供症状严重程度评分。对各变量进行认知、平衡和稳定性之间的推断统计及相关性分析。 与对照组相比，重度眩晕组在前后方向上的压力中心摆动速度更高，步长更小，步态更慢。关于认知变量，重度眩晕症状组与稳定性和步态变量存在显著相关性。 重度眩晕女性的认知方面、平衡和步态之间的关系比无前庭病变的女性更强。
