Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

Silva, Camila Nicácio da; Ribeiro, Karyna Myrelly Oliveira Bezerra de Figueiredo; Freitas, Raysa Vanessa de Medeiros; Ferreira, Lidiane Maria de Britho Macedo; Guerra, Ricardo Oliveira

doi:10.1055/s-0035-1565915

Cited by 24 publications

(34 citation statements)

References 45 publications

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“…In the BPPV+DM group, 5 participants had mild restriction, 3 had moderate and 1 had severe perception of handicap persist after the CRM. Results of our study are similar to others that have shown improvement in DHI scores after resolution of vertigo in people with BPPV (Kasse et al, 2010), with persistence of residual symptoms (Lee, Kwon, & Ban, 2009; Silva, Ribeiro, Freitas, Ferreira, & Guerra, 2016). …”

Section: Discussionsupporting

confidence: 91%

“…Although we could not find studies that have examined the FGA after treatment of BPPV, a recent study showed improvement in the Dynamic Gait Index after treatment of BPPV with the CRM (Silva et al, 2016). Like the DHI, there were no differences in performance of functional mobility tasks between groups either before or after resolution of BPPV.…”

Section: Discussionmentioning

confidence: 87%

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The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

D’Silva

Whitney

Santos

et al. 2017

Journal of Diabetes and its Complications

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AIM The prevalence of benign paroxysmal positional vertigo (BPPV) is higher in people with type 2 diabetes (DM). The impact of DM on mobility, balance, and management of BPPV is unknown. This prospective study compared symptom severity, mobility and balance before and after the canalith repositioning maneuver (CRM) in people with posterior canal BPPV canalithiasis, with and without DM. METHODS Fifty participants, BPPV (n=34) and BPPV+DM (n=16) were examined for symptom severity (Dizziness Handicap Inventory, DHI), mobility (Functional Gait Assessment, FGA), and postural sway (using an accelerometer in five conditions) before and after the CRM. The number of maneuvers required for symptom resolution was recorded. RESULTS At baseline, no differences in DHI or FGA scores were seen between groups, however, people with BPPV+DM had higher sway velocity in the medio-lateral direction in tandem stance (p<0.01). After treatment, both groups improved in DHI and FGA scores (p<0.01), with no differences between groups. Decrease in sway velocity in the mediolateral direction (p=0.003) were seen in tandem stance in persons with BPPV+DM. There were no differences between the groups in the number of CRMs provided. CONCLUSIONS This pilot study showed no differences in symptom severity, mobility deficits or efficacy of CRM treatments in people with posterior canal BPPV canalithiasis with and without DM. Future studies examining the impact of the severity and duration of diabetes, as well as the influence of diabetic peripheral neuropathy on functional performance are essential.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 87%

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

D’Silva

Whitney

Santos

et al. 2017

Journal of Diabetes and its Complications

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“…Also supporting previous ndings[2] [20] [32][33], women outnumbered men in our study, which is consistent with the higher prevalence of pc-BPPV in women[34] [35][36]…”

supporting

confidence: 93%

Impact of Epley manoeuvre on self-perceived disability: A randomised controlled trial in primary care

Muñoz

Moreno

Balboa

et al. 2020

Preprint

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Background: Posterior canal benign paroxysmal positional vertigo (pc-BPPV) causes physical, functional, and emotional impairment. The treatment of choice is the Epley manoeuvre (EM). The purpose of the study was to compare the impact of the EM and a sham manoeuvre in primary care on self-perceived disability.Method: Randomised, double-blind, sham-controlled clinical trial conducted in primary care with a follow-up of 1 year. Patients aged ≥18 years old diagnosed with pc-BPPV according to the Dix-Hallpike test (DHT) were randomised to an intervention (EM) group or a control (sham manoeuvre) group. The main study covariables were age, sex, history of depression and anxiety, presence of nystagmus in the DHT, patient-perceived disability assessed with the Dizziness Handicap Inventory-screening version (DHI-S). Data were analyzed using bivariate and multivariate mixed Tobit analyses. Results: Overall, 134 patients were studied: 66 in the intervention group and 68 in the control group. Median age was 52 years (interquartile range [IQR], 38.25–68.00 years) and 76.12% of the patients were women. The DHT triggered nystagmus in 40.30% of patients. The median total DHI-S score for the overall sample at baseline was 16 (IQR, 8.00–22.00); 16 [IQR, 10.5–24.0] vs 10 [6.0–14.0] for women vs men (P<0.001) and 16 [IQR, 10.0-24.0] vs 12 [IQR, 8.0–18.0] for patients without nystagmus vs those with nystagmus (P=0.033).Patients treated with the EM experienced a mean reduction of 2.03 points in DHI-S score over the follow-up period compared with patients in the sham group. Conclusion: Pc-BPPV affects the quality of life of primary care patients. A single EM can improve self-perceptions of disability by around 2 points on the DHI-S scale, Trial registration: ClinicalTrials.gov Identifier: NCT01969513. Retrospectively registered. First Posted: October 25, 2013. https://clinicaltrials.gov/ct2/show/NCT01969513

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“…Some medications may affect the normal functioning of the vestibular system and cause dizziness 39 , and those people with metabolic syndrome need to use daily medications. Moreover, the sedentary lifestyle is an important risk factor to the dizziness arising, which leads to inactivity and vestibular reflexes inhibition, fear and\or loss of self-confidence 40 .…”

Section: Discussionmentioning

confidence: 99%

Relationship between vestibular dysfunction and quality of life in climacteric women

Santos

Andrade

Ribeiro

et al. 2020

Ciênc. saúde coletiva

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Relação entre disfunção vestibular e qualidade de vida em mulheres climatéricasResumo Mudanças hormonais em mulheres climatéricas podem afetar o sistema vestibular, porém, não está claro na literatura se a presença da disfunção vestibular associada ao climatério está relacionada à pior qualidade de vida. O objetivo deste artigo é analisar a relação entre disfunção vestibular e qualidade de vida em mulheres climatéricas. Amostra composta por 374 mulheres (40 a 65 anos). Foram coletados dados socioeconômicos e demográficos, status menopausal, prática de exercício físico, presença ou ausência de disfunção vestibular, hipertensão e diabetes, medidas antropométricas e qualidade de vida (por meio do Utian Quality of Life Scale -UQoL). Na análise estatística foi utilizado teste de Pearson, Anova, teste t e regressão múltipla, considerando nível de significância de 5%. Verificou-se relação significativa entre a disfunção vestibular e os domínios saúde (p = 0,02) e emocional (p = 0,01) do UQoL. Além disso, atividade física, status menopausal, IMC (índice de massa corporal), RCQ (relação cintura-quadril), renda familiar e média da PAD (pressão arterial diastólica) também permaneceram significantemente relacionadas à qualidade de vida. Observou-se relação entre disfunção vestibular e qualidade de vida para os domínios saúde e emocional em mulheres climatéricas. Palavras-chave Climatério, Doenças vestibulares, Qualidade de vidaAbstract The hormonal changes in climacteric women may affect the vestibular system; however, it is not clear in the literature whether the presence of vestibular dysfunction associated with climacteric is related to poorer quality of life. The study sample was composed of 374 women (40-65 years). Socioeconomic and demographic data, menopausal status, practice of physical exercises, presence or absence of vestibular dysfunction, hypertension and diabetes, anthropometric measurements and quality of life (using the Utian Quality of Life Scale -UQoL) were collected. Statistical analyses were performed using the Pearson test, Anova, T-test, and multiple regression considering a significance level of 5%. A significant relationship was found between vestibular dysfunction and health (p = 0.02) and emotional (p = 0.01) domains of the UQoL. In addition, physical activity, menopausal status, body mass index (BMI), waist-hip ratio (WHR), household income and diastolic blood pressure (DBP) mean also remained significantly related to quality of life. A relationship between vestibular dysfunction and quality of life for health and emotional domains in climacteric women was observed.

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Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

Cited by 24 publications

References 45 publications

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

Impact of Epley manoeuvre on self-perceived disability: A randomised controlled trial in primary care

Relationship between vestibular dysfunction and quality of life in climacteric women

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