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Vestibular rehabilitation in elderly patients with dizziness

机译:老年头晕患者前庭康复

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BACKGROND: the aging of the population is a natural process and is manifested by a decline in the functions of several organs. Vestibular rehabilitation (VR) is a therapeutic process that seeks to promote a significant reduction in the symptoms of the labyrinth. AIM: to verify the benefits of VR exercises through the application of the Dizziness Handicap Inventory (DHI) questionnaire - Brazilian version - pre and post rehabilitation. METHOD: participants of this study were eight elderly patients with dizziness, ages between 63 and 82 years, three male and five female. The following procedures were carried out: medical history, otologic inspection, vestibular evaluation with vectoelectronystagmography (VENG), application of the DHI questionnaire and of the Cawthorne (1944) and Cooksey (1946) VR exercises. RESULTS: regarding the auditory and vestibular complaints which were referred to in the medical history, the following was observed: presence of tinnitus, hearing loss, postural vertigo and of unbalance. In the evaluation of the vestibular function alterations were observed for all of the participants, mainly in the caloric test, with a prevalence of unilateral and bilateral hypofunction. In the vestibular exam the following was observed: three cases of unilateral peripheral vestibular deficit syndrome, three cases of bilateral peripheral vestibular deficit syndrome, one case of bilateral central vestibular deficit syndrome and one case of irritating bilateral central vestibular syndrome. There was a statistically significant improvement of the following aspects after VR: physical (p=0.00413), functional (p=0.00006) and emotional (p=0.03268). CONCLUSION: the VR protocol favored the improvement of life quality of the participants and was of assistance in the process of vestibular compensation.
机译:背景:人口老龄化是一个自然过程,表现为几个器官功能的下降。前庭康复(VR)是一种治疗过程,旨在促进迷宫症状的明显减轻。目的:通过应用眩晕障碍量表(DHI)问卷(巴西版),验证康复前后VR锻炼的益处。方法:本研究的参与者为八名头晕的老年患者,年龄在63至82岁之间,三名男性和五名女性。进行以下程序:病史,耳科检查,前庭评估与电子脑电图描记法(VENG),应用DHI问卷以及Cawthorne(1944)和Cooksey(1946)进行VR锻炼。结果:关于病史中提到的听觉和前庭主诉,观察到以下情况:耳鸣,听力下降,姿势性眩晕和不平衡。在评估所有参与者的前庭功能改变时,主要是在热量测试中,单侧和双侧功能减退的患病率较高。在前庭检查中观察到以下情况:3例单侧外周前庭缺损综合征,3例双侧周围前庭缺损综合征,1例双侧中枢前庭缺损综合征和1例刺激性双侧中枢前庭综合征。 VR后,以下几个方面在统计学上有显着改善:身体(p = 0.00413),功能(p = 0.00006)和情绪(p = 0.03268)。结论:VR协议有利于改善参与者的生活质量,并有助于前庭补偿的过程。

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