Background: The benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness among the population. The osteopathy is a practice of manual therapy which is guided by a holistic perspective of human being, the cranial osteopathy affirms that the respective bones of the cranium represent mobility. Objective: To investigate the effect of the cranial osteopathy techniques on the benign paroxysmal positional vertigo. Methods: The current study included 20 female subjects, each one of them with benign paroxysmal positional vertigo, distributed in two groups, an intervention group and a control group (placebo); in order to detect the BPPV, was applied the Dix-Hallpike test before and after the interventions. Three techniques of cranial osteopathy were used on the structures related to vestibule and to the temporal bones: mobilization of temporal bones, tensioning of cerebellar tentorium and mobilization of eyeball. All statistical analyzes were performed using the GraphPad Prism 6.0 software (GraphPad Software, CA).Results: Among the intervention group, 7 of 10 individuals were negative to the Dix-Hallpike test, whilst individuals of the control group remained positive to the test. In the statistical analysis verified that the intervention with osteopathic techniques had a significant effect in compared to the control group, with a value p=0.0261. Conclusion: The cranial osteopathy appears to be able of produce effects on the vestibular activity, whereas were able to reduce, in a significant means, the symptoms concerning to BPPV.
Introdution: Stroke causes several alterations, the morefrequent are motor, physical and psychological. Since rehabilitationtakes time and can become monotonous, the useof virtual reality can act as a stimulating way to involve thepatient in the treatment, seeking to develop its functionality.Objective: The objective of this study was to verify in theavailable literature the effects of using virtual reality in thetreatment of the sequelae of the Stroke, to gain functionalityin the upper limbs. Methods: This literature review was basedon the PICO strategy, carried out in the databases Lílacs,Pubmed, Scielo and PEDro, using the keywords “physiotherapyAND virtual reality OR exergame OR exergaming ANDstroke AND upper limbs”. Complete articles were published inEnglish, Portuguese and Spanish, available and dated between2015 and 2020, excluding those that were review articles,incomplete and that did not address the topic. Results: As aresult, the search found 1,035 articles, of which only 14 metthe imposed criteria. Most studies have shown that the useof virtual reality through games has proved to be an efficientresource in the functional rehabilitation of patients withstroke. Presenting itself as a competent complementary tophysiotherapeutic treatment in improving fine motor skills,motor behavior of the limbs and cognitive performance,these gains directly influenced the gain in functionality ofthe samples. Conclusion: The use of virtual reality is useful toassist in the treatment and reduction of sequelae in the upperlimbs of patients with stroke, as it promotes greater functionalgain, range of motion and improves the dexterity of both themost and the least compromised hand.
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