%0 Journal Article
%T Aspectos cl赤nicos e funcionais do equil赤brio corporal em idosos com vertigem posicional parox赤stica benigna Clinical and functional aspects of body balance in elderly subjects with benign paroxysmal positional vertigo
%A Daniela Patricia Vaz
%A Juliana Maria Gazzola
%A Solange Martiliano Lanˋa
%A Ricardo Schaffeln Dorigueto
%J Brazilian Journal of Otorhinolaryngology
%D 2013
%I Associa??o Brasileira de Otorrinolaringologia e Cirurgia Cervicofacial
%X Vertigem Posicional Parox赤stica Benigna (VPPB) pode alterar o equil赤brio corporal em pacientes idosos. OBJETIVO: Observar os efeitos da manobra de Epley em idosos com VPPB, avaliando os aspectos cl赤nicos e funcionais do equil赤brio corporal. Forma de estudo: cl赤nico e prospectivo. M谷TODO: Ap車s o diagn車stico da doen a (teste de DixHallpike), os testes Time Up and Go (TUGT), Clinical test of Sensory Interaction and Balance (CTSIB) e o teste de membros inferiores (MMI) foram realizados antes e ap車s a manobra de reposicionamento de Epley modificada. RESULTADOS: O g那nero feminino foi o mais prevalente e a m谷dia et芍ria foi de 70,10 anos (DP = 7,00). Todos os pacientes apresentaram ductolit赤ase de canal posterior. Os seguintes sintomas melhoraram ap車s a manobra: a instabilidade postural (p = 0,006), n芍usea e v mito (p = 0,021) e zumbido (p = 0,003). Em rela  o ao TUGT e o escore do teste de MMII, observou-se diminui  o significante do tempo p車s-manobra de Epley (p < 0,001). Observou-se melhora no CTSIB p車s-manobra de Epley nas condi  es 2 (p < 0,003), condi  o 3 (p < 0,001), condi  o 4 (p < 0,001), condi  o 5 (p < 0,001), e condi  o 6 (p < 0,001). CONCLUS O: Houve melhora nos aspectos cl赤nicos e funcionais do equil赤brio corporal em idosos com VPPB ap車s o tratamento com a Manobra de Epley modificada. Benign paroxysmal positional vertigo (BPPV) may compromise the balance of elderly subjects. OBJECTIVE: To observe the effects of the Epley maneuver in elderly subjects with BPPV and assess clinical and functional aspects of body balance. METHOD: This is a prospective clinical study. Patients diagnosed with BPPV (Dix-Hallpike test) were submitted to the Timed Up & Go (TUG) test, the Clinical Test of Sensory Interaction and Balance (CTSIB), and lower limb testing before and after they were repositioned using the modified Epley maneuver. RESULTS: Most subjects were females, and the group's mean age was 70.10 years (SD = 7.00). All patients had canalithiasis of the posterior canal. The following symptoms improved after the maneuver: postural instability (p = 0.006), nausea and vomiting (p = 0.021), and tinnitus (p = 0.003). Subjects improved their times significantly in the TUG and lower limb tests after the Epley maneuver (p < 0.001). Patients performed better on the CTSIB after the Epley maneuver on condition 2 (p < 0.003), condition 3 (p < 0.001), condition 4 (p < 0.001), condition 5 (p < 0.001), and condition 6 (p < 0.001). CONCLUSION: Clinical and functional aspects of body balance in elderly with BPPV improved after treatment with the modified Epley maneuver.
%K idoso
%K posicionamento do paciente
%K tontura
%K aged
%K dizziness
%K patient positioning
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942013000200004