Efeito da manobra de Epley na qualidade de vida dos pacientes com vertigem posicional paroxística benigna / Effect of Epley's maneuver on the quality of life of paroxismal positional benign vertigo patients
Braz. j. otorhinolaryngol. (Impr.)
; Braz. j. otorhinolaryngol. (Impr.);76(6): 704-708, nov.-dez. 2010. tab
Article
in Pt
| LILACS
| ID: lil-569195
Responsible library:
BR1.1
RESUMO
A vertigem produz impactos significativos na qualidade de vida (QV). É necessário mensurar os efeitos das terapêuticas antivertiginosas na QV. OBJETIVO:
Investigar o efeito da manobra de reposicionamento na qualidade de vida de pacientes com vertigem posicional paroxística benigna (VPPB). MATERIAL EMÉTODOS:
Estudo retrospectivo, através da revisão dos prontuários de 21 pacientes com VPPB atendidos no serviço de Reabilitação Vestibular (RV) de uma clínica escola de Belo Horizonte atendidos em 2007-2008. Foram analisados os escores físicos, funcionais e emocionais, pré e pós-terapia de RV com realização de manobras de reposicionamento de Epley, por meio do questionário Dizziness Handicap Inventory (DHI), específico para avaliação da interferência da tontura na QV.RESULTADOS:
O intervalo mediano entre as avaliações foi de 21 dias. O número médio de manobras foi 2,3±1,1. A aplicação do DHI mostrou um significante impacto da VPPB na QV dos pacientes em todas as dimensões da vida diária, com os seguintes escores médios pré e pós-terapia físico (17,5/3,7), funcional (17,3/3,9), emocional (13,2/3,2) e total (48,1/10,9), respectivamente (p<0.001).CONCLUSÃO:
Na amostra estudada a manobra de Epley teve impacto positivo na QV, seja nas dimensões física, funcional e emocional do DHI dos pacientes com VPPB antes e depois do reposicionamento.ABSTRACT
Quality of life (QoL) is significantly impaired by vertigo. The effect of specific treatments on QoL deserves investigation. AIM:
To assess the effect of repositioning maneuvers on the QoL of benign paroxysmal positioning vertigo (BPPV) patients. MATERIALS ANDMETHODS:
A retrospective study design consiting of reviews of charts of BPPV patients in a vestibular rehabilitation unit at a teaching institution in Belo Horizonte, MG, Brazil, from 2007 to 2008. Pre- and post-therapy (Epley's repositioning maneuver) scores on the physical, functional and emotional dimensions of the Dizziness Handicap Inventory (DHI) were analyzed.RESULTS:
Twenty-one patients were included, eighteen (86 percent) were females; the average age was 53.2 years. Ten patients presented bilateral BPPV; in eleven it was unilateral. The mean interval between assessments (pre- and post-treatment) was 21 days. The average number of required maneuvers was 2.3 (±1.1). Pre-treatment DHI results showed a significant impact of BPPV on quality of life. Initial scores for physical (17.5), functional (17.3), emotional (13.2) dimensions decreased with therapy respectively 3.7, 3.9, and 3.2 (p<0.001).CONCLUSION:
In the present sample, Epley's maneuver had a positive and significant effect on emotional, physical and functional dimensions of quality of life, as measured by the DHI scores before and after therapy.Key words
Full text:
1
Collection:
01-internacional
Database:
LILACS
Main subject:
Quality of Life
/
Vertigo
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Physical Therapy Modalities
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Dizziness
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Patient Positioning
Type of study:
Observational_studies
Aspects:
Patient_preference
Limits:
Adult
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Aged
/
Female
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Humans
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Male
Country/Region as subject:
America do sul
/
Brasil
Language:
Pt
Journal:
Braz. j. otorhinolaryngol. (Impr.)
Journal subject:
OTORRINOLARINGOLOGIA
Year:
2010
Document type:
Article
Country of publication:
Brazil