Quality of life in patients with benign paroxysmal positional vertigo and/or Ménière's disease

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

doi:10.1016/s1808-8694(15)31248-9

Cited by 40 publications

(34 citation statements)

References 9 publications

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“…The postural instability complaint was present in most of the cases (84.0%); in agreement with the statement that vestibular disorder symptoms in BPPV patients include not only the vertigo and unbalance fits caused by a sudden change in head position, but there is also an increase in postural sway during the vertigo episodes 4 . The Brazilian version 17 of the Dizziness Handicap Inventory 16 used indicated a moderate influence (mean of 49.11 points) of symptoms in quality of life 23 , similarly to what was previously found (mean of 52.89 points) in BPPV patients before treatment 6 . The mean value of 7.24 points upon the dizziness analog scale 18 suggested severe dizziness in the series evaluated.…”

Section: Discussionsupporting

confidence: 79%

“…Although BPPV patients primarily have short--duration vertigo fits, postural instability and loss of body balance may also happen in-between fits 3,4 , or after particle repositioning maneuvers 5 . In those cases of persistent vertigo, the disorder may become incapacitating and impair daily life activities; life-quality loss is greater during the fits; although it may also happen outside of the fits; physical aspects are the most altered, followed by the functional and emotional ones 6 . BPPV is the most common cause of vertigo among adults, representing about 20% of causes of dizziness 7 .…”

Section: Introductionmentioning

confidence: 99%

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Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna

Monteiro¹,

Ganança²,

Ganança³

et al. 2012

Braz. j. otorhinolaryngol.

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Post urography has been used in the evaluation of patients with vestibular disorders. Aim:To evaluate balance control with the Balance Rehabilitation Unit (BRU TM ) posturography in patients with Benign Paroxysmal Positional Vertigo. Study design: Prospective case-control. Materials and Methods:A cross-sectional controlled study was carried out in 45 patients with BPPV, and a homogeneous control group consisting of 45 healthy individuals. Patients were submitted to a balance function evaluation by means of the Balance Rehabilitation Unit (BRU TM ) posturography. Results:The mean values of the ellipse area and the sway velocity in a firm surface and saccadic stimulation (p = 0.060). Conclusion:The Balance Rehabilitation Unit (BRU TM ) posturography enables to identify postural control abnormalities in patients with BPPV. Braz J Otorhinolaryngol. 2012;78(3):98-104. ORIGINAL ARTICLE BJORL

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna

Monteiro¹,

Ganança²,

Ganança³

et al. 2012

Braz. j. otorhinolaryngol.

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“…26 Several studies have used the Brazilian DHI as a suitable tool to assess the limiting effects of dizziness; furthermore, this tool is easy to use, and easy for the patients to understand. 28 35 In this study, results showed subjects with normal and high examination scores on the DHI, demonstrating that, for some patients with normal test results, dizziness has a higher impact on the patient's quality of life. However, there were individuals with modified results in the national criterion (UW and/or DP greater than 33%) with low scores on the Brazilian DHI.…”

Section: Discussionmentioning

confidence: 65%

The Impact of Dizziness on the Quality of Life of 235 Individuals who Completed Vestibular Testing in Brazil

Burle

Abreu²,

Santos

et al. 2015

Int Arch Otorhinolaryngol

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Introduction In Vestibular Testing (VT), caloric tests allow evaluation of unilateral weakness (UW) and directional preponderance (DP), where different criteria of normality are adopted in Brazil and worldwide. The Brazilian version of the Dizziness Handicap Inventory (Brazilian DHI) evaluates the impact of dizziness on the quality of life of an individual. Objectives The objective of this research is to evaluate the impact of dizziness on the quality of life of patients undergoing VT, and to relate these findings to the results obtained according to national and international criteria. Methods Cross-sectional analytic study of 235 patients referred for VT in two hospitals. The authors performed the Brazilian DHI, history, static, and dynamic balance tests, positional nystagmus, and the Dix-Hallpike maneuver, as well as vectoelectronystagmography. Subjects were divided into three groups according to UW and DP values. Descriptive statistics and comparisons between groups were performed, considering a significance level of 5% in all analyses. Results Patients groups had 20.9% men, and 79.1% women. There was no significant difference between groups for the scores obtained in the Brazilian DHI. There was, however, a statistically significant difference in the redistribution of individuals according to the UW and DP values. Conclusion There was no relationship between VT results and the impact of dizziness in the quality of life. A review of normal values for UW and DP adopted in Brazil is suggested, as well as the application of the Brazilian DHI as an additional tool to evaluate the impact of dizziness on quality of life in all patients undergoing VT.

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“…However, studies show that the diseases that lead to transient dizziness present higher commitment of the physical aspects evaluated by the DHI. Nevertheless, emotional aspects occur as a consequence of the long lasting physical limitations and functional incapacily due to dizziness 28 . Psychological fators are largely known as triggers for dizziness and therefore may be associated to a low score in quality of life scales 29 .…”

Section: Discussionmentioning

confidence: 99%

Quality of life in the institutionalized elderly with dizziness complaint: a cross-sectional study

et al. 2018

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Purpose: to evaluate the quality of life in institutionalized elderly people with dizziness complaint and to relate the results to the characteristics of dizziness and functional capacity. Methods: in this cross-sectional study, one-hundred and nineteen elderly residents in three geriatric long-term care institutions in Natal city, Brazil, were evaluated. Those who had presented dizziness in the former year (30/25.2%) were included in this study. The quality of life was measured by the Dizziness Handicap Inventory. Functional capacity was measured by the Berg Balance Scale, the Functional Reach Test, the Unipedal Stance Test with eyes open and closed, and the Falls Efficacy Scale - International. Results: associations were found between physical, functional and emotional aspects and the duration of dizziness (p=0.002, p=0.041 and p=0.004, respectively); the functional aspects with age (p=0.031), the physical aspects with the presence of falls in the previous year (p=0.039); and the physical, functional and emotional aspects of the Dizziness Handicap Inventory with fear of falling (p=0.004, p<0.001 and p=0.016, respectively). Conclusion: institutionalized elderly with dizziness complaints had a low perception of quality of life, and the duration of dizziness, age, falls and fear of falling negatively influenced their quality of life.

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Quality of life in patients with benign paroxysmal positional vertigo and/or Ménière's disease

Cited by 40 publications

References 9 publications

Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna

Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna

The Impact of Dizziness on the Quality of Life of 235 Individuals who Completed Vestibular Testing in Brazil

Quality of life in the institutionalized elderly with dizziness complaint: a cross-sectional study

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