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.
Introduction Benign Paroxysmal Positional Vertigo is the most common cause of dizziness in elderly people. Recent studies have shown that the elderly present higher Benign Paroxysmal Positional Vertigo recurrence and that vertiginous symptomatology remission varies according to comorbidities and the therapeutic techniques applied. Objective To assess the short-term effectiveness of Vestibular Rehabilitation in addition to Canalith Repositioning Maneuver on positive to negative Dix-Hallpike test, on recurrence and number of maneuvers to achieve a negative test in elderly patients with chronic Benign Paroxysmal Positional Vertigo. Methods In this randomized controlled trial, 7 older adults (median age: 69 years, range 65–78) underwent Canalith Repositioning Maneuver and Vestibular Rehabilitation for thirteen weeks. Seven older adults (median age: 73 years, range 65–76) in the control group received only Canalith Repositioning Maneuver. The participants were assessed at baseline (T0), one (T1), five (T5), nine (T9), and thirteen weeks (T13). We assessed the differences between the groups by Mann-Whitney and Fisher exact tests, and used the Friedman and Wilcoxon tests to determine the intragroup differences. Results No significant differences were found between groups for the positive to negative Dix-Hallpike test, recurrence, and number of maneuvers to achieve a negative test. The number of maneuvers to achieve negative Dix-Hallpike test was lower in intragroup comparisons in the experimental group. Conclusion The findings suggest that additional Vestibular Rehabilitation did not influence the positive to negative Dix-Hallpike test, recurrence, or number of maneuvers to achieve a negative test in elderly patients with chronic Benign Paroxysmal Positional Vertigo.
Introdução: As alterações na força muscular quanto na potência estão relacionadas diretamente com um dos maiores problemas que acomete os idosos: a perda do equilíbrio. Objetivos: Procurou-se investigar na literatura os efeitos dos exercícios na água na influencia do equilíbrio de idosos. Materiais e Métodos: Trata-se de uma revisão de literatura, na qual foram utilizadas as bases de dados indexadas no PubMed/MEDLINE, LILACS, Cochrane Library. As palavras-chaves utilizadas foram: idoso, hidroterapia e equilíbrio postural e seus equivalentes em inglês de acordo com o DeCS. Com os seguintes critérios de inclusão: artigos do tipo experimentais (ensaios clínicos e/ou quase experimentais), os que tenham sido realizados com idosos classificados como saudáveis, sem comorbidades de que interferissem na realização do programa de exercícios. Resultados: Trinta e sete (37) artigos inicialmente selecionados pela busca eletrônica nas bases de dados, 28 foram excluídos pelo título por não atenderem aos critérios de inclusão. Dos 28 estudos retidos, 5 foram excluídos por duplicidade. Foram selecionados 9 estudos para uma análise mais criteriosa por meio do resumo, sendo 5 deles excluídos. Os 4 artigos restantes, foram avaliados a partir da leitura do texto, sendo que apenas um foi excluído por se tratar de idosos que apresentavam osteoartrite. Um total de 3 estudos foram incluídos. Foi encontrado apenas um ensaio clínico controlado abordando o tema. Considerações Finais: Observa-se a necessidade de estudos que abordem as mudanças no equilíbrio de idosos ao realizarem exercícios na água, com alto rigor metodológico, além de ensaios clínicos controlados.
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