RESUMO
CONCLUSION: This study showed that a population with benign paroxysmal positional vertigo related to mild head trauma (BPPVAT) was younger and more frequently presented with bilateral canalithiasis than another population with idiopathic etiology (IBPPV). In both groups, females presented a higher risk of BPPV. OBJECTIVE: To compare the clinical features of a population with BPPVAT and another with IBBPV. METHODS: We carried out statistical analysis of a population of 51 subjects with BPPVAT and another of 325 subjects with IBPPV, comparing age, gender, recurrence of symptoms, associated chronic dizziness (CD), and clinical presentation. Kolmogorov Smirnov test, Student's t test, Mann-Whitney test, 95% binomial confidence interval for proportions, chi-squared, and Fisher's test were used as statistical tools. A significance level of p < 0.05 was considered in all cases. RESULTS: The population affected with BPPVAT was younger and bilateral canalithiasis was also more frequent. No differences were found in gender distribution, semicircular canals involved in the symptoms, recurrence after repositioning maneuvers, or associated CD.
Assuntos
Traumatismos Craniocerebrais/complicações , Adulto , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Vertigem Posicional Paroxística Benigna , Traumatismos Craniocerebrais/epidemiologia , Tontura/epidemiologia , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Recidiva , Estudos Retrospectivos , Fatores Sexuais , Uruguai/epidemiologia , Vertigem/epidemiologia , Vertigem/etiologia , Vertigem/terapia , Adulto JovemRESUMO
Esta comunicación analiza: 1) Los aspectos multifactoriales de la etiología de las alteraciones del equilibrio en el adulto mayor: 2) Los test validados para su evaluación. 3) El abordaje multidisciplinario de su terapéutica y rehabilitación. 4) Se describe el sistema del equilibrio como un sistema de control y el valor de la posturografía para la evaluación y el seguimiento clínico de estos pacientes.
This communication analyze: 1) The multiple factors involved in the etiology of the balance disorders in the elderly population: 2) The validated test for the assessment of this pathology, 3) The description of the balance system as a control system and the value of the posturography for the evaluation and follow up of these patients. 4) The necessary multidisciplinary approach for the treatment and rehabilitation.
