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Int Arch Otorhinolaryngol 2016; 20(01): 061-068
DOI: 10.1055/s-0035-1565915
Original Research
Thieme Publicações Ltda Rio de Janeiro, Brazil

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

Camila Nicácio da Silva
1   Post-Graduation Program of Physiotherapy, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
,
Karyna Myrelly O. B. de Figueiredo Ribeiro
2   Post-Graduation Program in Health Sciences, UFRN, Natal, Rio Grande do Norte, Brazil
,
Raysa Vanessa de Medeiros Freitas
3   Department of Physiotherapy, UFRN, Natal, Rio Grande do Norte, Brazil
,
Lidiane Maria de Britho Macedo Ferreira
4   Post-Graduation Program in Public Health, UFRN, Natal, Rio Grande do Norte, Brazil
,
Ricardo Oliveira Guerra
1   Post-Graduation Program of Physiotherapy, Universidade Federal do Rio Grande do Norte (UFRN), Natal, Rio Grande do Norte, Brazil
2   Post-Graduation Program in Health Sciences, UFRN, Natal, Rio Grande do Norte, Brazil
› Author Affiliations
Further Information

Publication History

18 June 2015

20 August 2015

Publication Date:
19 October 2015 (online)

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Abstract

Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life.

Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM) on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo.

Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test.

Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores) as well as the Visual Analogue Scale (VAS) decreased after therapy (p < 0.05 and p = 0.001, respectively). However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p < 0.05).

Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints.

Keywords

vestibular diseases - postural balance - aged - rehabilitation
 

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