Qualidade de vida em pacientes com vertigem posicional paroxística benigna e/ou doença de Ménière

Handa, Patrícia Rumi; Kuhn, Ana Maria Baccari; Cunha, Fabiana; Schaffleln, Ricardo; Ganança, Fernando Freitas

doi:10.1590/s0034-72992005000600015

Cited by 30 publications

(34 citation statements)

References 8 publications

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“…1,4 Other studies of vestibular disorders have also noted a predominance of female patients, ranging from 70 to 89%. 8,14,18,19 These findings corroborate our results. The age ranged from 21 to 82 years, similar to that in other published papers.…”

Section: Discussionsupporting

confidence: 91%

“…The finding that pre-treatment physical scores were higher, followed by the functional and emotional scores, in BPPV patients is supported in the literature. 13,14,18 Other authors 13,14,18 have found that physical functions were more affected by vertigo than emotional and functional aspects.…”

Section: Discussionmentioning

confidence: 99%

“…Higher scores are associated with more losses in the QoL of subjects; the questions investigate the selfperception of patients about the difficulties caused by dizziness on their daily activities. 3,13,14 In BPPV cases, the Dix-Hallpike test is conducted for diagnosis, after which Epley's maneuver is applied for repositioning the otoconia. These procedures are described below:…”

Section: Methodsmentioning

confidence: 99%

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Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Pereira¹,

Santos²,

Volpe

2010

Braz. j. otorhinolaryngol. (Impr.)

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Qual ity of life (QoL) is significantly impaired by vertigo. The effect of specific treatments on QoL deserves investigation. Aim:To assess the effect of repositioning maneuvers on the QoL of benign paroxysmal positioning vertigo (BPPV) patients. Materials and methods:A retrospective study design consiting of reviews of charts of BPPV patients in a vestibular rehabilitation unit at a teaching institution in Belo Horizonte, MG, Brazil, from 2007 to 2008. Pre-and post-therapy (Epley's repositioning maneuver) scores on the physical, functional and emotional dimensions of the Dizziness Handicap Inventory (DHI) were analyzed.Results: Twenty-one patients were included, eighteen (86%) were females; the average age was 53.2 years. Ten patients presented bilateral BPPV; in eleven it was unilateral. The mean interval between assessments (pre-and post-treatment) was 21 days. The average number of required maneuvers was 2.3 (±1.1). Pre-treatment DHI results showed a significant impact of BPPV on quality of life. Initial scores for physical (17.5), functional (17.3), emotional (13.2) dimensions decreased with therapy: respectively 3.7, 3.9, and 3.2 (p<0.001). Conclusion:In the present sample, Epley's maneuver had a positive and significant effect on emotional, physical and functional dimensions of quality of life, as measured by the DHI scores before and after therapy. Braz J Otorhinolaryngol. 2010;76(6):704-8. ORIGINAL ARTICLE BJORL

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Pereira¹,

Santos²,

Volpe

2010

Braz. j. otorhinolaryngol. (Impr.)

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“…The DHI was the chosen questionnaire for the cultural adaptation to the Brazilian Portuguese because it is a reliable tool used in several studies (Perez et al, 2000b;Gamiz & Lopez-Escamez, 2004;Ganança et al, 2004;Poon et al, 2004;Cunha et al, 2005;Handa et al, 2005;Gazzola et al, 2006, Segarra-Maegaki & Taguchi, 2005.…”

Section: Discussionmentioning

confidence: 99%

Versão brasileira do Dizziness Handicap Inventory

Castro

Gazzola

Natour

et al. 2007

Pró-Fono R. Atual. Cient.

Self Cite

126

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TEMA: impacto da tontura na qualidade de vida (QV). OBJETIVO: adaptar culturalmente o Dizziness Handicap Inventory (DHI) para aplicação na população brasileira, avaliar sua reprodutibilidade e descrever os resultados obtidos à aplicação deste questionário em pacientes com tontura crônica. MÉTODO: o DHI foi aplicado, inicialmente, em 45 pacientes com tontura crônica e hipótese diagnóstica de síndrome vestibular, seguindo as etapas de tradução do idioma Inglês para o Português e adapatação lingüística, revisão da equivalência gramatical e idiomática, adaptação cultural e avaliação da reprodutividade intra e interpesquisadores. A avaliação da reprodutividade foi realizada por intermédio do teste de pesquisadores. A avaliação da reprodutividade foi realizada por intermédio do teste de Wilcoxon para duas amostras dependentes, P < 0,05. O instrumento foi aplicado para um total de 250 pacientes para avaliação do impacto da tontura na qualidade de vida de vestibulopatas crônicos. RESULTADOS: a versão brasileira do DHI (DHI brasileiro) foi bem compreendida pelo população estudada. Não foi verificada diferença estatística significante à avaliação da reprodutibilidade inter-pesquisadores (P = 0,418) e intra-pesquisadores (P = 0,244). Todos pacientes apresentaram prejuízo na QV e os aspectos físicos foram os mais prejudicados, seguidos em ordem decrescente pelos aspectos funcionais e emocionais. Os aspectos funcionais mostraram-se mais comprometidos em indivíduos mais velhos. Nenhuma associação foi verificada entre o gênero e as médias do escore total e de cada um dos aspectos avaliados pelo DHI. CONCLUSÃO: o DHI foi adaptado culturalmente para aplicação na população brasileira (DHI brasileiro), mostrando-se confiável para a avaliação da interferência da tontura na QV. Os pacientes com tontura crônica e hipótese diagnóstica de síndrome vestibular apresentaram prejuízo na QV devido a este sintoma, verificados à aplicação do DHI brasileiro. Os aspectos físicos foram os mais prejudicados.

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“…14 This mechanical disease of the peripheral vestibular system affects mainly the posterior semicircular canal, although it may involve other canals simultaneously. [15][16] It may be associated with vestibular neuritis, Ménière's disease, and others. 17 In most cases, however, it appears to be idiopathic.…”

mentioning

confidence: 99%

Características audiológicas de idosos com Vertigem Posicional Paroxística Benigna

Moreno¹,

André²

2009

Rev. Bras. Otorrinolaringol.

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Beni gn Paroxysmal Positional Vertigo (BPPV) is one of the most common causes of dizziness; it constitutes the most common vestibular disorder in the elderly with vertigo. Its characteristic clinical aspect is dizziness at head movement, with not hearing alteration. Aim: This paper aims at studying the audiologic characteristics of elderly with BPPV of the posterior semicircular canal. Materials and Methods: We carried out a retrospective analysis of threshold tonal audiometry exams of 37 senior citizens with posterior semicircular canal BPPV and also of 37 elderly without complaints of dizziness and/or vertigo, and we studied the audiologic characteristics of the two groups. Results: Both groups had high rates of hearing loss, especially the descending curve sensorineural type, and there was no statistically significant difference between the groups. Conclusion: Having such data, we can conclude that posterior semicircular canal BPPV has no impact on the hearing loss features of senior citizens; nonetheless, because of the spontaneous degeneration of the vestibulocochlear system, such population has a prevalence of hearing loss.

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Qualidade de vida em pacientes com vertigem posicional paroxística benigna e/ou doença de Ménière

Cited by 30 publications

References 8 publications

Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna

Versão brasileira do Dizziness Handicap Inventory

Características audiológicas de idosos com Vertigem Posicional Paroxística Benigna

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