Body balance in elderly patients, 12 months after treatment for BPPV

Lança, Solange Martiliano; Gazzola, Juliana Maria; Kasse, Cristiane Akemi; Branco-Barreiro, Fátima Cristina Alves; Vaz, Daniela Patricia; Scharlach, Renata Coelho

doi:10.5935/1808-8694.20130008

Cited by 16 publications

(5 citation statements)

References 12 publications

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“…45 This mechanism would be weaker in the elderly due to minor brain plasticity, as demonstrated by Lanca et al (2013) founding an initial postural improvement after CRPs which tended to get worse after 12 months. 46 Kim et al (2014), aimed to investigate the relationship between RD and potential autonomic dysfunction, since there were increasing evidences from animal models that vestibular system plays a role in cardiovascular regulation during movements and postural changes. 47 They found a greater level of orthostatic hypotension in patients complaining RD after successful physical treatment and suggested a sympathoneural dysfunction in absence of cardio-vagal parasympathetic abnormalities.…”

Section: Resultsmentioning

confidence: 99%

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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The benign paroxysmal positional vertigo (BPPV) is a vestibular disorder cause of vertigo. The BPPV may be corrected mechanically by repositioning maneuvers but even after successful maneuvers, some patients report residual dizziness for a certain period afterward. Early recognition and treatment might decrease the incidence of residual dizziness in patients with BPPV, especially in those patients with psychiatric comorbidities and in the elderly, lowering the risk of falling. Many pathogenetic hypotheses for residual dizziness are under debate.The purpose of this review was to identify, evaluate and review recent researches about possible causal factors involved in residual dizziness and the implications on clinical practice. A literature search was performed using different databases such as Pubmed and Scopus. The following search terms were used: residual dizziness, otolithic membrane and BPPV. The search found a total of 1192 titles, which were reduced to 963 after a procedure of de-duplication of the found titles. The research was then restricted to an interval of time comprised between 2000 and 2016 for a total of 800 titles. Among these titles, only those including the terms benign paroxysmal positional vertigo were considered eligible for this review. Only publications in English language were taken into consideration and we excluded those with not available abstract. Finally, 90 abstracts were obtained and critically evaluated by two different Authors, and additional studies were identified by hand searching from the references of artiche of interest. Only 53 were included in this work.

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Section: Resultsmentioning

confidence: 99%

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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“… 11 13 20 21 22 23 It is also one of the four otoneurological diseases of greatest prevalence among the geriatric population, causing a strong impact on the health and quality of life of these individuals. 24 Non-pharmacological alternatives for treatment of the disease (among them, the ORM) represent an important therapeutic opportunity because it does not present risks of adverse effects commonly present in elderly individuals that use pharmacological products.…”

Section: Discussionmentioning

confidence: 99%

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

Silva

Ribeiro

Freitas

et al. 2015

Int Arch Otorhinolaryngol

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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.

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“…Os avaliadores explicaram todos os procedimentos ao voluntário e pediram que sentasse na maca e de forma rápida com a extensão cefálica com rotação de 45º para o lado que foi realizado o teste, até a posição supina. Foi orientado ao participante que mantivesse os olhos abertos, permitindo a observação do nistagmo, que se configura com um período de latência habitualmente de 5-20 segundos até ao início do nistagmo, que dura raramente até 1 minuto [18,19]. Sintomas vertiginosos que frequentemente ocorrem associadas ao movimento ocular rítmico também foram questionados no momento da realização da manobra [13,14].…”

Section: Methodsunclassified

“…Com evolução benigna, os episódios da VPPB tendem a desaparecer em pouco tempo, havendo relatos de recorrência ou persistência, mais comum em idosos. O diagnóstico é clínico, sendo a manobra de Dix-Hallpike, o principal meio diagnóstico [6,16,18,19].…”

Section: Introductionunclassified

Déficits vestibulares e vertigem posicional paroxística benigna em adultos jovens assintomáticos: um estudo transversal

Sales

Sérvulo²,

Silva³

et al. 2019

Fisioter Bras

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Introdução: O equilíbrio corporal pode ser afetado por déficits visuais, proprioceptivos e/ou vestibulares centrais ou periféricas. Dentre as afecções vestibulares periféricos, a Vertigem Postural Paroxística Benigna apresenta grande interesse em pesquisas que buscam responder suas apresentações clínicas em adultos e sua associação com a integralidade dos demais sistemas corporais. Objetivo: Analisar as respostas de adultos jovens assintomáticos submetidos à semiologia do sistema vestibular. Metodologia: Estudo quantitativo, transversal analítico e descritivo, onde foram utilizados os testes de equilíbrio estático, dinâmico e a manobra de Dix-Hallpike, com amostra de 30 voluntários assintomáticos recrutados em uma instituição de ensino superior do município de Parnaíba/PI. Resultados: O teste de apoio unipodal (1,87 ± 0,346) foi negativo (p < 0,001) e no teste de Fukuda (1,20 ± 0,407) grande parte tiveram resultados positivos (p < 0,001). Os testes de Romberg (2,00 ± 0,000), Romberg-Barré (1,50 ± 0,509) e Babinski-Weil (1,37 ± 0,490) não foram significantes (p = 0,001). Para a Manobra de Dix-Hallpike observamos que os movimentos de sedestação para decúbito dorsal esquerdo e de decúbito dorsal para sedestação direito e esquerdo foram significativos (p < 0,001). Conclusão: Os adultos jovens assintomáticos podem apresentar resultados positivos em teste de equilíbrio e sintomas na manobra de Dix-Hallpike, confirmando a Vertigem Postural Paroxística Benigna.Palavras-chave: doenças vestibulares, equilíbrio postural, testes de função vestibular.

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Body balance in elderly patients, 12 months after treatment for BPPV

Abstract: 12 months after the treatment for BPPV, the static posturography showed balance abnormalities similar to those found before treatment.

Cited by 16 publications

References 12 publications

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

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

Déficits vestibulares e vertigem posicional paroxística benigna em adultos jovens assintomáticos: um estudo transversal

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Body balance in elderly patients, 12 months after treatment for BPPV

Abstract: 12 months after the treatment for BPPV, the static posturography showed balance abnormalities similar to those found before treatment.

Cited by 16 publications

References 12 publications

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

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

Déficits vestibulares e vertigem posicional paroxí­stica benigna em adultos jovens assintomáticos: um estudo transversal

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Déficits vestibulares e vertigem posicional paroxística benigna em adultos jovens assintomáticos: um estudo transversal