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CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2016; 06(04): 53-59
DOI: 10.1055/s-0040-1708676
Original Article

Effectiveness of Vestibular Rehabilitation Exercises On Dizziness-Handicap among Patients with Vertigo Attending ENT OPD at A Selected Hospital

Thota Malathi
1   Lecturer, Smt. Vijaya Luke College of Nursing, Visakhapatnam, Andhra pradesh
,
A. Seethalakshmi
2   Reader, Sri Ramachandra University, Porur, Chennai, India
,
P. Akila
3   Professor, Department of Medical surgical Nursing, College of Nursing, Kovai Medical Center Research and Educational trust
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Abstract

Objective: The current research aims to identify the effect of Vestibular rehabilitation exercises on the dizziness-handicap among patients with vertigo.

Methods: The research design adopted is a pretest-posttest design. 30 patients with vertigo attending the ENT out Patient Department (OPD) who fulfilled the inclusion criteria were selected randomly by lottery method, 15 were assigned to the study and 15 to the control group respectively. Vestibular rehabilitation exercises which include eye, head, sitting, standing & st walking exercises were demonstrated to the study group patients on 1st consultation using a booklet for 20 minutes along with return demonstration. The patients were reinforced to perform the exercises twice daily for 7th days following which the posttest was carried out on the th 7 day. The control group received routine care.

Results: The results showed that in the study group 86.7% had severe level of dizzinesshandicap during the pretest which was reduced after practicing vestibular rehabilitation to 13.3% during the posttest, whereas in the control group it was 66.7% and 73.3% who had severe level of dizziness-handicap during the pretest and the posttest respectively. The mean for dizziness handicap for the study group at pretest was 66.3±14.03 and at posttest it was 31.07 ±18.94. The control group showed that at pretest the mean was 61.33±15.24 and at posttest it was 63.87±22.35. This was found to be significant at p=0.0005.

Conclusion: The study supported the hypothesis that vestibular rehabilitation exercises had an impact on the dizziness handicap.

Keywords

rehabilitation - dizziness-handicap - vertigo


Publication History

Received: 13 June 2016

Accepted: 29 October 2016

Article published online:
22 April 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Taylor J& Goodkin HP. Dizziness and vertigo in the adolescent, Otolaryngologic Clinics of North America, 2011; 44 (2), 309-321
  • 2 Swartz R & Longwell P. Treatment of vertigo, American Family Physician, 2005; 71 (6), 1115-1122.
  • 3 Neuhauser HK, Von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, & Lempert T. Epidemiology of vestibular vertigo: A neurotologic survey of the general population. Neurology, 2005; 65 (6), 898-904. http://www.ncbi.nlm.nih.gov/pubmed/16186531
  • 4 Schappert SM. Ambulatory care visits to physician offices, hospital outpatient departments, and emergency departments: United States, 1996 Vital and Health Statistics. Series 13, Data from the National Health Survey, 1998; (134), 1–37. http://www.cdc.gov/nchs/data/series/sr_13/sr13_134.pdf
  • 5 Sloane P, Blazer D, & George LK. Dizziness in a community elderly population. Journal of the American Geriatrics Society, 1989; 37(4), 101–108.
  • 6 Dros J, Maarsingh OR, Beem L, Van der Horst HE, Ter Riet G, Schellevis FG, & Van Weert HCPM. Impact of dizziness on everyday life in older primary care patients: a cross-sectional study, Health and Quality of Life Outcomes, 2011; 9, 44.
  • 7 Abrol R, Nehru VI, &Venkatramana Y. Prevalence and etiology of vertigo in adult rural population.Indian Journal of Otolaryngology and Head & Neck Surgery, 2001; 53 (1), 32-36. http://www.ncbi.nlm.nih.gov/ doi: 10.1007/BF02910976
  • 8 Hain TC. Neurophysiology of vestibular rehabilitation. Neuro Rehabilitation, 2011; 29(2), 127–141.
  • 9 Smeltzer SC, Bare BG. HinkleJL and Keever CH. Textbook of medical th surgical nursing, Lippincott William & Wilkins publications, 12 Ed, 2012, 1119-1124.
  • 10 Mira E. Improving the quality of life in patients with vestibular disorders: The role of medical treatments and physical rehabilitation. International Journal of Clinical Practice, 2008; 62 (1), 109-114. http://www.medscape.com/viewarticle/568873_1
  • 11 Neuhauser HK, Von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, & Lempert T. Epidemiology of vestibular vertigo: A neurotologic survey of the general population. Neurology, 2005; 65 (6), 898-904. http://www.ncbi.nlm.nih.gov/pubmed/16186531
  • 12 Mendel B, Bergenius J, & Langius A. Dizziness symptom severity and impact on daily living as perceived by patients suffering from peripheral vestibular disorder.Clinical Otolaryngology and Allied Sciences, 1999; 24 (4), 286–293. doi:10.1046/j.1365-2273.1999. 00269.x.
  • 13 Swartz R & Longwell P. Treatment of vertigo, American Family Physician, 2005; 71 (6), 1115-1122.
  • 14 Yardley L, Burgneay J, Andersson G, Owen N, Nazareth I&Luxon L. Feasibility and effectiveness of providing vestibular rehabilitation for dizzy patients in the community.Clinical Otolaryngology and Allied Sciences, 1998; 23 (5), 442–448. http://onlinelibrary.wiley.com/doi/10.1046/j.1365-2273.1998.00179.x/pdf
  • 15 Venosa AR & Bittar RS. Vestibular rehabilitation exercises in acute vertigo. The Laryngoscope, 2007; 117(8), 1482–1487.
  • 16 Agus S, Benecke H, Thum C & Strupp M. Clinical and demographic features of vertigo: Findings from the REVERT registry. Frontiers in Neurology, 4 MAY, 2013. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3650561/doi:10.3389/fneur.2013.00048
  • 17 Yardley L, Barker F, Muller I, Turner D, Kirby S, Mullee M, Little P. Clinical and cost effectiveness of booklet based vestibular rehabilitation for chronic dizziness in primary care: single blind, parallel group, pragmatic, randomised controlled trial, BMJ, 2012; 54 (2), 694-978.doi: http://dx.doi.org/10.1136/bmj.e2237
  • 18 Lewis SM, Heitkemper MM & Dirksen SR. Medical surgical nursingassessment and management of clinical problems, Mosby th publications, 6 ed, 2004, 1200-1205.
  • 19 Sixt E& Landahl S. Postural disturbances in a 75-year-old population: I. Prevalence and functional consequences. Age and Ageing, 16, 2013, 393–398. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4498008/doi:10.3238/arztebl.2015.0387
  • 20 Sloane P, Blazer D, & George LK. Dizziness in a community elderly population. Journal of the American Geriatrics Society, 1989; 37(4), 101–108.
  • 21 Ekvall HE & Magnusson M. Vestibular asymmetry predicts falls among elderly patients with multi-sensory dizziness. BMC Geriatrics, 2013; 13(1), 77. http://bmcgeriatr.biomedcentral.com/articles/10.1186/1471-2318-13-77DOI:10.1186/1471-2318-13-77
  • 22 Kumar RS, Srinivasan I R. Effectiveness of Vestibular Rehabilitation Therapy in Patients Suffering from B.P.P.V.IJSR, June 2013, 2 (6),24-28 http://www.ijsr.net/archive/v2i6/IJSRON20131081.pdf
  • 23 Han BI, Song HS, & Kim JS. Vestibular rehabilitation therapy: Review of indications, mechanisms, and key exercises. Journal of Clinical Neurology (Korea), 2011;78 (6),998-1008. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3259492/10.3988/jcn.2011.7.4.184
  • 24 HanssonEE, Månsson NO&Håkansson A. Balance performance and self-perceived handicap among dizzy patients in primary health care. Scandinavian Journal of Primary Health Care, 23, 2013, 2215–220. http://www.tandfonline.com/doi/full/10.1080/02813430500287299 DOI:10.1080/02813430500287299
  • 25 Bittar RSM & Barros C, de G C. Vestibular rehabilitation with biofeedback in patients with central imbalance. Brazilian Journal of Otorhinolaryngology, 2011; 77(3), 356–361. http://dx.doi.org/10.1590/S1808-86942011000300014
  • 26 Prasansuk S, Siriyananda C, Nakorn AN, Atipas S & Chongvisal S. Balance disorders in the elderly and the benefit of balance exercise. Journal of the Medical Association of Thailand, 2004; 87(10), 1225–1233. https://www.researchgate.net/publication/8166052