Interferência da tontura na qualidade de vida de pacientes com síndrome vestibular periférica

Abstract

A tontura é considerada um dos sintomas mais comuns entre adultos, podendo interferir na qualidade de vida dos pacientes que apresentam este sintoma. Objetivos: Descrever os resultados obtidos à aplicação do DHI brasileiro na população estudada e compará-los com a conclusão do exame vestibular dos respectivos pacientes. Di zziness is one of the most common symptoms referred by adults. This symptom can decrease the dizzy patient's quality of life. Aim: To describe the results obtained from the application of the Brazilian version of the DHI and compare them with the conclusion of the vestibular test of the same patients. Study design: Clinical randomized. Material Method: Twenty five consecutive patients with chronic dizziness complaint were submitted to this questionnaire at the Otoneurology Clinic of the Universidade Federal de São Paulo. These patients were female and male adults with ages ranging from 44 to 88 years. Results: All patients presented handicap in their quality of life due to dizziness, mainly in the functional aspects. The functional aspects were worse (differences were statistically significant) in patients with peripheral vestibular hypofunction syndrome than the patients with peripheral vestibular hyperfunction syndrome. Conclusions: 1. Patients with chronic dizziness present abnormal quality of life because of dizziness, in relation to the physical, functional and emotional aspects, verified with the application of the Brazilian version of the DHI. Patients with peripheral vestibular hypofunction syndrome present worse quality of life because of dizziness related to the functional aspects than the patients with peripheral vestibular hyperfunction syndrome, verified at the application of the Brazilian version of the DHI.Palavras-chave: tontura, vertigem, qualidade de vida, síndromes vestibulares.

Factors relating to depressive symptoms among elderly people with chronic vestibular dysfunction

“…The emotional characteristics evaluated by the Brazilian DHI bring out the possibility that dizziness may harm patients' quality of life, thereby causing frustration, fear of going out alone or staying at home alone, embarrassment about the clinical manifestations, concern about self-image, concentration disorders, feelings of incapacity, changes in family or social relationships and depression 5 . These consequences may explain why the emotional score of the DHI presents a tendency towards the condition of depressed mood among elderly individuals with vestibular disease.…”

“…The psychosomatic consequences of dizziness caused by vestibular disorders may include anguish, anxiety and panic attacks, fear of going out alone, interference in daily activities, feelings of being outside of reality, depersonalization and depressed mood [3][4][5][6] .…”

Achados otoneurológicos em pacientes com doença de Parkinson

“…Several changes take place, among them the involvement of the central nervous system's ability to process vestibular, visual, and proprioceptive signals associated with maintaining bodily balance, diminishing the ability to modify adaptive reflexes 7 . Symptoms like dizziness and imbalance also occur as a consequence of such sensorial alterations, which may affect persons of other ages, although they are more frequently found in elders above 65 years of age 7 .…”

“…Symptoms like dizziness and imbalance also occur as a consequence of such sensorial alterations, which may affect persons of other ages, although they are more frequently found in elders above 65 years of age 7 . Patients above the age of 75 have dizziness as the most evident symptom 8,9 .…”

Benefícios Do Treinamento Funcional Para O Equilíbrio E Propriocepção De Deficientes Visuais

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