Dizziness in the elderly

Gazzola, Juliana Maria

doi:10.1590/1981-22562018021.180063

Cited by 3 publications

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“…It is worth mentioning that changes in PB may have a multifactorial etiology 28 . Therefore, an individual's comprehensiveness when considering the comorbidities presented is extremely important for adequate management of the patient.…”

Section: D'silva Et Al (2017) 20mentioning

confidence: 99%

Diseases and symptoms associated with changes in postural balance in diabetics: an integrating literature review

et al. 2019

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Purpose: to verify the diseases and symptoms associated with changes in postural balance in middle-aged and elderly individuals with type 2 diabetes mellitus. Methods: an integrative review was performed using the following descriptors: "Dizziness," "Vertigo," "Vestibular Diseases," "Labyrinth Diseases," and "Type 2, Diabetes Mellitus" in English and in Portuguese in databases such as PubMed, SciELO, LILACS, Web of Science, and Scopus. Observational articles involving individuals aged 40 years or more with type 2 diabetes mellitus and with alteration in postural balance having presented at least one disease or symptom associated with that alteration were selected. Results: the search yielded 1,209 articles, but only five met the eligibility criteria. Individuals in the selected studies had systemic arterial hypertension, high body mass index, peripheral neuropathy, and postural instability when walking on irregular surfaces and in the dark, when looking at moving objects, moving the head quickly and changing posture, resulting in stumbling when walking, and falls. The articles were classified as IIb and III, according to the levels of evidence of the American Speech-Language Hearing Association. Conclusion: the subjects in the studied articles presented cardiovascular alterations, peripheral neuropathy, vestibular symptoms, difficulties in tasks/movements in challenging contexts, and falls.

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Section: D'silva Et Al (2017) 20mentioning

confidence: 99%

Diseases and symptoms associated with changes in postural balance in diabetics: an integrating literature review

et al. 2019

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Section: Introductionmentioning

confidence: 99%

“…Changes in the vestibular system manifest as dizziness, defined as a mistaken perception of body or environment movement (6,7) . Dizziness is characterized by instability, fluctuation, falling sensation, and gait changes (when it is not rotatory), and it is called vertigo (6,7) when it is rotatory. In older adults, it usually reflects multifactorial health conditions that result from cumulative deficit effects in multiple systems, making them more vulnerable to falls (8)(9)(10) .…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of vestibular rehabilitation on balance, dizziness, functioning, and depressive symptoms in older adults

Ribeiro

Mancini

Bicalho

2023

Audiol., Commun. Res.

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Purpose To assess the effectiveness of vestibular rehabilitation on functioning, gains in semicircular canals in the Video Head Impulse Test (v-HIT), on responses to the vestibular evoked myogenic potentials (VEMP), depressive symptoms, balance, and dizziness in older adults. Methods Longitudinal, quasi-experimental, analytical study conducted between December 2019 and July 2022, in 50 older adults with vestibular disorders, submitted to vestibular rehabilitation and examinations: VEMP, v-HIT, the questionnaires, visual analog scale, Dizziness Handicap Inventory, Berg Balance Scale, Pfeffer’s Functional Activities Questionnaire, and Geriatric Depression Scale. All examinations and questionnaires were applied before and after eight weekly vestibular rehabilitation sessions. Statistical analysis was performed in SPSS, with the Wilcoxon test (p<0.05). Results There was a gain in the anterior right semicircular canal (0.71/0.78), reduction in dizziness discomfort (7/5) and in the impact of dizziness on the quality of life (35/15), improvement in balance (45/51) and functioning (2/1), and reduction in depressive symptoms (5/3). Conclusion Older adults with vestibular disorder submitted to vestibular rehabilitation improved their gain in vestibulo-ocular reflex, balance, and functional activities and reduced their depressive symptoms and the impact of dizziness on their quality of life.

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Section: Introductionunclassified

“…Alterações no sistema vestibular se manifestam como tontura, definida como uma percepção equivocada de movimento do corpo ou do ambiente (6,7) . A tontura se caracteriza por instabilidade, flutuação, sensação de queda, desvio de marcha (não rotatória), denominada vertigem (6,7) (quando rotatória). Em idosos, geralmente reflete condições de saúde multifatoriais que decorrem do efeito cumulativo de déficits em múltiplos sistemas, ocasionando maior vulnerabilidade a quedas (8)(9)(10) .…”

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Efetividade da reabilitação vestibular no equilíbrio, tontura, funcionalidade e sintomas depressivos em idosos

Ribeiro

Mancini

Bicalho

2023

Audiol., Commun. Res.

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RESUMO Objetivo Avaliar a efetividade da reabilitação vestibular na funcionalidade, ganho dos canais semicirculares ao Video Head Impulse Test (v-HIT), nas respostas ao Potencial Evocado Miogênico Vestibular (VEMP), sintomas depressivos, equilíbrio e tontura em idosos. Métodos Estudo longitudinal, quase experimental e analítico, realizado entre dezembro de 2019 e julho de 2022, com 50 idosos com disfunção vestibular, submetidos à reabilitação vestibular e à aplicação dos exames VEMP, v-HIT, dos questionários e escalas Escala Visual Analógica, Dizziness Handicap Inventory e Escala de Equilíbrio de Berg, além do Questionário de Atividades Funcionais de Pfeffer e Escala de Depressão Geriátrica. Todos os exames e questionários foram aplicados antes e após oito sessões semanais de reabilitação vestibular. A análise estatística foi realizada pelo programa SPSS, por meio do teste Wilcoxon (p<0,05). Resultados Observou-se melhora do ganho do canal semicircular anterior direito (0,71/0,78), redução do incômodo da tontura (7/5), do impacto da tontura na qualidade de vida (35/15), melhora do equilíbrio (45/51), além de melhora da funcionalidade (2/1) e redução dos sintomas depressivos (5/3). Conclusão Idosos com disfunção vestibular submetidos à reabilitação vestibular apresentaram melhora do ganho do reflexo vestíbulo-ocular, do equilíbrio, da funcionalidade, redução do impacto da tontura na qualidade de vida e dos sintomas depressivos.

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Dizziness in the elderly

Cited by 3 publications

References 0 publications

Diseases and symptoms associated with changes in postural balance in diabetics: an integrating literature review

Diseases and symptoms associated with changes in postural balance in diabetics: an integrating literature review

Effectiveness of vestibular rehabilitation on balance, dizziness, functioning, and depressive symptoms in older adults

Efetividade da reabilitação vestibular no equilíbrio, tontura, funcionalidade e sintomas depressivos em idosos

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