Effect on the disability index of adult patients with benign paroxysmal positional vertigo using vestibular rehabilitation and human movement

  • Sofía Chaverri Flores Clínica Aguilar Bonilla, Costa Rica
  • Julián Chaverri Polini Hospital México, Costa Rica
  • Andrea Mora Campos Universidad Nacional, Costa Rica
Keywords: Balance, vertigo, rehabilitation, disability

Abstract

Objective: determine the effect on the disability index of adult patients with benign paroxysmal positional vertigo (BPPV) using vestibular rehabilitation therapy (VRT) and human movement. Subjects: six subjects with an average age of 49.5 ± 14.22 years who have been diagnosed with benign paroxysmal positional vertigo by an otolaryngologist. Instruments: the Dizziness Handicap Inventory and a questionnaire to determine impact on the quality of life of patients with this pathology (Ceballos and Vargas, 2004). Procedure: subjects underwent vestibular therapy for four weeks together with habituation and balance exercises in a semi-supervised manner. Two measurements were performed, one before and one after the vestibular therapy and researchers determined if there was any improvement in the physical, functional, and emotional dimensions. Statistical analysis: descriptive statistics and Student’s t-test of repeated measures were applied to analyze results obtained. Results: significant statistical differences were found in the physical dimension between the pre-test (19.33 ± 4.67 points) and post-test (13 ± 7.24 points) (t = 2.65; p < 0.05).  In contrast, no significant statistical differences were found in the functional (t = 2.44; p>0.05), emotional (t = 2.37; p>0.05) or general dimensions (t = 2.55; p>0.05). Conclusion: vestibular therapy with a semi-supervised human movement program improved the index of disability due to vertigo (physical dimension) in BPPV subjects.

References

Bartual, J., Pérez, N., Baharona de Guzman, R., Fernández, F., Guirado, F., Manrique, M., Oliva, M., Roquete, J., Sánchez, J., Suárez, C., (1998). El sistema vestibular y sus alteraciones Tomo 1. Barcelona: Masson.

Bartual, J., Pérez, N., Baharona de Guzman, R., Garcia-Ibañez, E., Gelabert, M., Irinia, P., Algarra, J., Pérez, B., Ramírez, R., Roquette, J., Sánchez, J., Santos, S., Saenz, R., Soto, A., Urrestarazú, E., Viteri, C. (1999). El sistema vestibular y sus alteraciones Tomo 2. Barcelona: Masson.

Bouccara, D., Sémont, A. y Sterkers, O. (2003). Rééducation Vestibulaire. (Encyclopédie Médico- Chirurgicale Oto-Rhinolaryngologie 20-206-A-10-2003, 7p.) Paris: Edtions Scientifiques et Médicales Elsevier SAS.

Ceballos, R. y Vargas A. (2004). Aplicación y utilidad del Dizziness Handicap Inventory en pacientes con vértigo del Servicio de Otorrinolaringología del Hospital de Especialidades del Centro Médico Nacional Siglo XXI. Fecha de acceso: 22 de marzo del 2007. Fuente: www.medigraphic.com/pdfs/abc/bc-2004/bc044d.pdf.

Evkall Hansson, E., Månsson, N.O., Ringsberg, K. A., & Håkansson, A. (2006). Dizziness among patients with whiplash-associated disorder: a randomized controlled trial. Journal of Rehabilitation Medicine, 38(6), 387-90. https://doi.org/10.1080/16501970600768992

Hassid, N., Hennaux, C., & Van Nechel, C. (2004). La rééducation vestibulaire. Paris: Éditions Frison-Roche.

Hassid, N. (2002). Rehabilitation of the vertigo patient. Revue Medical de Bruxelles, 23(4), A36871.

Helminski, J.O., Janssen, I., Kotaspouikis, D., Kovacs, K., Sheldon, P., McQueen, K., & Hain, T.C. (2005). Strategies to prevent recurrence of benign paroxysmal positional vertigo. Archives Otolaryngology Head Neck Surgery, 131(4):344-8. https://doi.org/10.1001/archotol.131.4.344

López, A. (2004). El mareo mejora con rehabilitación. Fecha de acceso: 8 de junio del 2007. Fuente: www.elmundosalud.elmundo.es/elmundosalud/2004/10/25/medicina/1098690385.html.

Norré, M. E., & Beckers, A.(1987). Exercise treatment for paroxysmal positional vertigo: comparison of two types of exercises. Archive of Otorhinolaryngology, 244(5): 291-4. https://doi.org/10.1007/BF00468639

Norré, M. E., % Beckers, A. (1988). Benign paroxysmal positional vertigo in the elderly. Treatment by habituation exercises. Journal of the Amercian Geriatrics Society, 36(5):425-9. https://doi.org/10.1111/j.1532-5415.1988.tb02381.x

Mruzek, M., Barin, K., Nichols, D.S., Burnett, C.N.., & Welling, D.B.(1995). Effects of vestibular rehabilitation and social reinforcement on recovery following ablative vestibular surgery. Laryngoscope, 105(7 Pt 1), 686-92.https://doi.org/10.1288/00005537-199507000-00004

Oghalai, J. S., Manolidis, S., Barth, J. L., Stewart, M. G., & Jenkins, H. A. (2000). Unrecognized benign paroxysmal positional vertigo in elderly patients. Otolaryngology Head Neck Surgery, 122, 630-634. https://doi.org/10.1016/s0194-5998(00)70187-2

Roman, S., & Thomassin, J. M. (2000). Physiologie Vestibulaire. (Encyclopédie Médico-Chirurgicale Oto-Rhinolaryngologie 20-198-A-10,2000, 14p.) Paris: Edtions Scientifiques et Médicales Elsevier SAS.

Santandreu, M. (2004). Tratamiento rehabilitador de los trastornos del equilibrio de origen vestibular. Fecha de acceso: 8 de junio del 2007. Fuente: www.svmfr.com/reuniones/XVI/trabajos/ponencias/ TRATAMIENTO%20REHABILITADOR%20DE%20LOS%20TRASTORNOS%20DEL

%20EQUILIBRIO%20DE%20ORIGEN%20VESTIBULAR.pdf.

Toledo, H., Cortés, M.L., Pane, C., & Trujillo, V. (2000). Semont maneuver and vestibular rehabilitation exercises in the treatment of benign paroxysmal postural vertigo. A comparative study. Neurología, 15(4):152-7.

Toupet, M., Imbaud-Genieys S. (2002). Examen clinique et paraclinique du patient atteint de vertiges et/ou de troubles de l’équilibre. (Encyclopédie Médico-Chirurgicale Oto- Rhinolaryngologie 20-199-A-10,2002, 21p.) Paris: Edtions Scientifiques et Médicales Elsevier SAS.

Tran Ba Huy, P., & de Waele, C. (1996). Les vertiges et le praticien. Paris: Éditions John Libbey Eurotext.

Whitney, S.L., Hudak, M. y Marchetti, G. (1999). The activities-specific balance confidence scale and the dizziness handicap inventory: a comparison. Journal of Vestibular Research, 9(4), 253 – 259.

Published
2007-07-31
How to Cite
Chaverri Flores, S., Chaverri Polini, J., & Mora Campos, A. (2007). Effect on the disability index of adult patients with benign paroxysmal positional vertigo using vestibular rehabilitation and human movement. MHSalud: Revista En Ciencias Del Movimiento Humano Y Salud, 4(1). https://doi.org/10.15359/mhs.4-1.4
Section
Scientific Articles

Comentarios (ver términos de uso)