Evidências científicas da reabilitação vestibular na atenção primária à saúde: uma revisão sistemática

Abstract

Purpose: Investigate in the literature the effectiveness of treatments used for vestibular rehabilitation (VR) in PHC. Research strategy: The search of publications on VR in PHC was carried out in electronic databases MEDLINE (access by PubMed), PEDro and Web of Science. Selection criteria: Controlled clinical trials were selected in English, Spanish and Portuguese. The methodological quality of the studies was evaluated using the PEDro scale. The analysis of the results was examined through a critical review of the contents. Results: Five studies were reviewed in their entirety, with the participants' age group being equal to or older than 18 years (n = 5). The Vertigo Symptom Scale and (60%) and Visual Analog Scale (40%) were the instruments used to evaluate the subjective perception of the symptomatology of vestibular dysfunction. The PEDro Scale revealed that two articles presented a good quality design for conducting the experimental study. The most used intervention proposal was the Yardley Exercises (60%). Conclusion: Controlled studies provide evidence of positive effects of VR on PHC, with improvements in postural control, functional capacity and quality of life of participants. RESUMOObjetivos: Investigar, na literatura, a efetividade de tratamentos usados para reabilitação vestibular (RV) na atenção primária à saúde. Estratégia de pesquisa: A busca de publicações sobre RV na APS foi realizada nas bases de dados eletrônicas MEDLINE (acesso pela PubMed), PEDro e Web of Science. Critérios de seleção: Foram selecionados ensaios clínicos controlados nas línguas inglesa, espanhola e portuguesa. A qualidade metodológica dos estudos foi avaliada pela escala PEDro. A análise dos resultados foi contemplada por meio de revisão crítica dos conteúdos. Resultados: Cinco estudos foram revisados na íntegra, sendo a faixa etária dos participantes igual ou superior a 18 anos (n=5). A Vertigo Symptom Scale (60%) e a Escala Visual Analógica (40%) foram os instrumentos empregados para avaliar a percepção subjetiva da sintomatologia da disfunção vestibular. A escala PEDro revelou que dois artigos apresentaram delineamento de boa qualidade para condução do estudo experimental. A proposta de intervenção mais utilizada foi baseada nos exercícios de Yardley (60%). Conclusão: Estudos controlados disponibilizam evidências de efeitos positivos da reabilitação vestibular na atenção primária à saúde, com melhoras no controle postural, capacidade funcional e qualidade de vida dos participantes.

Lian gong as a Therapeutic Treatment Option in Primary Care for Patients with Dizziness: A Randomized Controlled Trial

“…However, the negative implications of this limitation for the main outcomes were softened due to the presence of the traditional VR group, which have their effects known and established in the literature. 8,[14][15][16][17][18] The present study showed changes in the flow of care for patients with dizziness complaints treated in the areas covered by the basic health units examined, increasing the possibility of expanding this discussion to other health units in Belo Horizonte and nationally, throughout the SUS. Future studies that expand the findings to the national public health system are warranted.…”

“…The objective of the present study was to evaluate the effectiveness of two treatment methods for PHC patients with dizziness: VR, a conventional method with proven benefits that is considered to be an effective therapeutic treatment in PHC, 8,9,[13][14][15][16][17][18] and LG, an alternative method. The practice of LG has been reported in the literature to offer health benefits.…”

“…8,12 The use of medication, surgical procedures, and vestibular rehabilitation (VR) have been the main forms of treatment for dizziness and vertigo. [13][14][15] Vestibular rehabilitation is a form of therapy that is based on the phenomenon of vestibular compensation and neuronal plasticity, and is aimed at optimizing spatial orientation and global balance to increase the quality of life of the patient. [13][14][15] This form of therapy has been proven to be effective and to improve balance.…”

“…[13][14][15] Vestibular rehabilitation is a form of therapy that is based on the phenomenon of vestibular compensation and neuronal plasticity, and is aimed at optimizing spatial orientation and global balance to increase the quality of life of the patient. [13][14][15] This form of therapy has been proven to be effective and to improve balance. 8,[15][16][17][18][19] Controlled studies have demonstrated positive VR effects in PHC, including the improvement of postural control, functional capacity, and quality of life.…”

“…13 14 15 Vestibular rehabilitation is a form of therapy that is based on the phenomenon of vestibular compensation and neuronal plasticity, and is aimed at optimizing spatial orientation and global balance to increase the quality of life of the patient. 13 14 15 This form of therapy has been proven to be effective and to improve balance. 8 15 16 17 18 19 …”