ABSTRACT
El vértigo posicional paroxístico benigno se caracteriza por episodios breves pero intensos de vértigo con los cambios de postura, en su tratamiento pueden utilizarse ejercicios específicos. Objetivo: Evaluar la efectividad de los ejercicios de Brandt-Daroff en el tratamiento del vértigo posicional paroxístico benigno y su relación con los grupos de edades y sexo. Métodos: Se aplicó un método descriptivo, con una muestra de 62 pacientes adultos que presentaban diagnóstico de vértigo paroxístico posicional benigno. Se utilizó la escala dicotómica con presencia o ausencia de vértigo, al inicio y final del tratamiento con estos ejercicios. Se analizaron las variables: edad, sexo y mejoría clínica de la enfermedad. Para el análisis estadístico se utilizó la Prueba de homogeneidad λ2 con un nivel de significación de ά 0,05. Resultados: Se observó evolución favorable para el tratamiento de este trastorno mediante los ejercicios de Brandt-Daroff con el 87,09 por ciento en la eliminación del vértigo a las 7 sesiones de tratamiento, un 90 por ciento de efectividad en edades de 25 a 59 años y el 76,19 por ciento del sexo femenino, de ellas el 91,66 por ciento no presentó vértigos a final del tratamiento. Conclusiones: Se señala la efectividad de los ejercicios de Brandt-Daroff en el tratamiento del vértigo paroxístico posicional benigno con diferencias estadísticamente significativas en comparación con el tratamiento convencional. Mayor efectividad en edades de 25 a 59 años y el predominio del sexo femenino(AU)
Benign paroxysmal positional vertigo is characterized by brief but intense episodes of vertigo with changes in posture. Specific exercises can be used for its treatment. Objective: To evaluate the effectiveness of Brandt-Daroff exercises in the treatment of benign paroxysmal positional vertigo and its relationship with age and sex groups. Methods: A descriptive method was applied, with a sample of 62 adult patients who had a diagnosis of benign positional paroxysmal vertigo. The dichotomous scale with presence or absence of vertigo was used at the beginning and at the end of treatment with these exercises. The variables analyzed were age, sex, and clinical improvement of the disease. For statistical analysis, the chi-square homogeneity test was used with a significance level of 0.05. Results: A favorable evolution was observed for the treatment of this disorder by means of the Brandt-Daroff exercises, with 87.09 percent in the elimination of vertigo after seven treatment sessions, 90 percent effective in ages 25-59 years, and 76.19 percent corresponding to the female sex, of which 91.66 percent did not present vertigo at the end of treatment. Conclusions: The effectiveness of the Brandt-Daroff exercises is highlighted for the treatment of benign positional paroxysmal vertigo, with statistically significant differences compared to conventional treatment. Greater effectiveness in ages 25-59 years and the predominance of the female sex(AU)
Subject(s)
Humans , Male , Female , Exercise Therapy/methods , Benign Paroxysmal Positional Vertigo/rehabilitation , Epidemiology, DescriptiveABSTRACT
OBJECTIVE Identify the effect of Brandt-Daroff exercises for positional vertigo with atypical positioning nystagmus.METHODS 11 cases of positional vertigo during 2006～2007 with atypical positioning nystagmus when carrying Dix-Hallpike and roll test,the nystagmus had the follwing characters:poly-positions,atypical direction,long lasting(more than 3 mins),no fatigue.After ruling out centrul neural system disorders,the patients were instructed to do Brandt-Daroff exercises 2-3 times/day,and 6-10 times every time.RESULTS After doing the exercises for 3-4 days,the vertigo of all the 11 cases were all relieved.After 1-2 weeks,10 cases were cured,syptom of the other 1 was relieved significantly,and the nystagmus was alleviated.CONCLUSION Cases with atypical positioning nystagmus may present a different kind of BPPV related with the otolith and vestibular nerve disease.Brandt-Daroff exercises was a good method for the atypical positioning nystagmus cases.