Déficits vestibulares e vertigem posicional paroxística benigna em adultos jovens assintomáticos: um estudo transversal
DOI:
https://doi.org/10.33233/fb.v20i2.2733Abstract
Introdução: O equilíbrio corporal pode ser afetado por déficits visuais, proprioceptivos e/ou vestibulares centrais ou periféricas. Dentre as afecções vestibulares periféricos, a Vertigem Postural Paroxística Benigna apresenta grande interesse em pesquisas que buscam responder suas apresentações clínicas em adultos e sua associação com a integralidade dos demais sistemas corporais. Objetivo: Analisar as respostas de adultos jovens assintomáticos submetidos í semiologia do sistema vestibular. Metodologia: Estudo quantitativo, transversal analítico e descritivo, onde foram utilizados os testes de equilíbrio estático, dinâmico e a manobra de Dix-Hallpike, com amostra de 30 voluntários assintomáticos recrutados em uma instituição de ensino superior do município de Parnaíba/PI. Resultados: O teste de apoio unipodal (1,87 ± 0,346) foi negativo (p < 0,001) e no teste de Fukuda (1,20 ± 0,407) grande parte tiveram resultados positivos (p < 0,001). Os testes de Romberg (2,00 ± 0,000), Romberg-Barré (1,50 ± 0,509) e Babinski-Weil (1,37 ± 0,490) não foram significantes (p = 0,001). Para a Manobra de Dix-Hallpike observamos que os movimentos de sedestação para decúbito dorsal esquerdo e de decúbito dorsal para sedestação direito e esquerdo foram significativos (p < 0,001). Conclusão: Os adultos jovens assintomáticos podem apresentar resultados positivos em teste de equilíbrio e sintomas na manobra de Dix-Hallpike, confirmando a Vertigem Postural Paroxística Benigna.
Palavras-chave: doenças vestibulares, equilíbrio postural, testes de função vestibular.
References
Yamamoto MEI, Ganança CF. Posturography in elderly people with vestibular disorder and falls. Rev Soc Bras Fonoaudiol 2012;17(1):54-60.
Socher DD, Socher JA, Azzi VJB. Evaluation of quality of life pre- and post-vestibular rehabilitation in patients with benign paroxysmal positional vertigo associated with Meniere’s disease. Int Arch Otorhinolaryngol 2012;16(4):430-6. https://doi.org/10.7162/s1809-97772012000400002
Aratani MC, Ricci NA, Caovilla HH, Ganança FF. Brazilian version of the Vestibular Disorders Activities of Daily Living Scale (VADL). Braz J Otorhinolaryngol 2013;79(2):203-11. https://doi.org/10.5935/1808-8694.20130036
Alvarenga CB, Bittar AJ. Physiotherapy and benign paroxysmal positional vertigo: a systematic review of the literature. Rev Movimenta 2011;4(1).
Bankoff ADP, Bekedorf R. Neurophysiologic bases of the corporal balance. Rev Digital Buenos Aires 2007;11(106).
Evren C, Demirbilek N, Elbistanl MS, Köktürk F, Çelik M. Diagnostic value of repeated Dix-Hallpike and rollmaneuvers in benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2016;83(3):243-8. https://doi.org/10.1016/j.bjorl.2016.03.007
Vaz DP, Gazzola JM, Lança SM, Dorigueto RS, Kasse CA. Clinical and functional aspects of body balance in elderly subjects with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2013;79(2):150-7. https://doi.org/10.5935/1808-8694.20130027
Chen Z, Chang C, Hu L, Tu M, Lu T, Chen P et al. Increased risk of benign paroxysmal positional vertigo in patients with anxiety disorders: a nationwide population-based retrospective cohort study. BMC Psychiatry 2016;16:238. https://doi.org/10.1186/s12888-016-0950-2
Korkmaz M, Korkmaz H. Cases requiring increased number of repositioningmaneuvers in benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2015;82(4):452-7. https://doi.org/10.1016/j.bjorl.2015.08.018
Munaro G, Silveira AF. Vestibular evaluation in typical and atypical benign paroxysmal positional vertigo. Rev CEFAC 2009;11(1):76-84.
Martins e Silva DCM, Bastos VH, Sanchez MO et al. Effects of vestibular rehabilitation in the elderly: a systematic review. Aging Clin Exp Res 2016;28:599-606. https://doi.org/10.1007/s40520-015-0479-0
Parham K, Kuchel GA. A geriatric perspective on benign paroxysmal positional vertigo. J Am Geriatr Soc 2016:64(2):378-85. https://doi.org/10.1111/jgs.13926
D Nuti, M. Masini, M. Mandalà . Benign paroxysmal positional vertigo and its variants. Elsevier: Handbook of Clinical Neurology; 2016. P.241-56.
Silva ALS, Marinho MRC, Gouveia FMV, Silva JV, Ferreira AS, Cal R. Benign Paroxysmal Positional Vertigo: Comparison of two recent international guidelines. Braz J Otorhinolaryngol 2011;77(2):191-200. https://doi.org/10.1590/s1808-86942011000200009
Aguiar AI, Silva RM, Bittencourt J, Silva ALM, Machado D, Teixeira SS et al. Clinical and therapeutic aspects of benign paroxysmal positional vertigo (BPPV): a review study. Rev Bras Ciênc Mov 2010;12(23):79-87.
Silva CN, Ribeiro KMOBF, Freitas RVM, Ferreira LMBM, Guerra RO. Vertiginous symptoms and objective measures of postural balance in elderly people with benign paroxysmal positional vertigo submitted to the Epley maneuver. Int Arch Otorhinolaryngol 2016;20(1):61-8. https://doi.org/10.1055/s-0035-1565915
Teo SP. Semont manoeuvre for vertigo assessment. Aust Fam Physician 2015;44(7):471-3.
Lança SM, Gazzola JM, Kasse CA, Branco-Barreiro FCA, Vaz DP, Scharlach RC. Body balance in elderly patients, 12 months after treatment for BPPV. Braz J Otorhinolaryngol 2013;79(1):39-46. https://doi.org/10.5935/1808-8694.20130008
Santos JA. The Epley maneuver for benign paroxysmal positional vertigo: a review of the literature. Rer Port Med Geral Fam 2012; 28:285-94.
Batista MMSL, Dorigueto RS, Ganança CF. Vestibular evoked myogenic potentials and digital vectoelectronystagmography’s study in patients with benign paroxysmal positional vertigo. Int Arch Otorhinolaryngol 2013;17(2):147-56. https://doi.org/10.7162/s1809-97772013000200006
Michael P, Oliva CE, Nuñez M, Barraza C, Faúndez JP, Breinbauer HÃ. An abbreviated diagnostic maneuver for Posterior Benign Positional Paroxysmal Vertigo. Front Neurol 2016;7:115. https://doi.org/10.3389/fneur.2016.00115
Pereira CB, Scaff M. Benign paroxysmal positioning vertigo. Arq Neuropsiquiatr 2001;59(2):466-70.
Soares JC, Weber P, Trevisan ME, Trevisan AC, Mota CB, Rossi AG. Influence of pain on postural control in women with neck pain. Rev Bras Cineantropom Desempenho Hum 2013;15(3):371-81. https://doi.org/10.5007/1980-0037.2013v15n3p371
Suzuyo O, Takao I, Kayoko Higashi-S, Kazunori M, Noriaki T, Tadashi K et al. Office-based differential diagnosis of transient and persistent geotropic positional nystagmus in patients with horizontal canal type of benign paroxysmal positional vertigo. Acta Oto-Laryngologica 2016;137(3):265-9. https://doi.org/10.1080/00016489.2016.1227478
Ganança FF, Gazzola JM, Ganança CF, Caovilla HH, Ganança MM, Cruz OLM. Elderly falls associated with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2010;76(1):113-20. https://doi.org/10.1590/s1808-86942009000400006
Araújo IMG, Alouche SR, Cunha BP, Freitas SMSF. Comparative analysis of balance on unipodal in athletes and sedentary subjects. Rev Bras Educ FÃs Esporte 2013;27(2):305-13.
Bonfim TR, Polastri PF, Barela JÃ. Light touch and visual information effects on upright stance control in adults. Rev Bras Educ FÃs Esporte 2006;20(1):15-25.
Branco PS. Validation of the Portuguese Version of the "Activities-Specific Balance Confidence Scale". Revista da Sociedade Portuguesa de Medicina FÃsica e Reabilitação 2010;19(2):20-5.
Montilla-Ibáñez A, MartÃnez-Amat A, Lomas-Vega R, Cruz-DÃaz D, Torre-Cruz MJ, Casuso-Pérez R et al. The Activities-specific Balance Confidence scale: reliability and validity in Spanish patients with vestibular disorders. Disabil Rehabil 2016;23:1-7. https://doi.org/10.3109/09638288.2016.1161087
Merlo JK, Stoppa ACL, Macedo CSG, Silva Júnior RA. The use of additional somatosensory information on postural control: effect of handedness. UNOPAR Cient Ciênc Biol Saúde 2010;12(4):29-32.
Hall C, Herdman SJ, Whitney SL, Cass SP, Clendaniel RA, Fife TD et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Evidence-Based Clinical Practice Guideline. Journal of Neurologic Physical Therapy 2016;40(2):124-55. https://doi.org/10.1097/npt.0000000000000120
Shimizu WAL, Uematsu ESC, Petelin CB, Brito RMS. Prevalence of signs and symptoms of vestibular dysfunction in institutionalized and non-institutionalized elderly. Med Rehabil 2010;29(2):52-6.
Pereira LS. Vestibular rehabilitation in patient with Benign Paroxysmal Positional Vertigo (BPPV)) with only one intervention of physical therapy: case report. Revista Movimenta 2010;3(2).
Shigaki L, Rabello LM, Camargo MZ, Santos VBC, Gil AWO, Oliveira MR et al. Análise comparativa do equilÃbrio unipodal de atletas de ginástica rÃtmica. Rev Bras Med Esporte 2013;19(2):104-7. https://doi.org/10.1590/s1517-86922013000200006
Rogge A, Röder B, Zech A, Nagel V, Hollander K, Braumann K et al. Balance training improves memory and spatial cognition in healthy adults. Scientific Reports 2018;8(1). https://doi.org/10.1038/s41598-018-35957-5
Alves RF, Rossi AG, Pranke GI, Lemos LFC. Influence of gender in postural of school age children. Revista CEFAC 2013;15(3):528-37.
Duarte M, Freitas SMSF. Revision of posturography based on force plate for balance evaluation. Rev Bras Fisioter 2010;14(3):183-92.
Rebelatto JR, Castro AP, Sako FK, Aurichio TR. Static and dynamic balance in older people and the body mass index. Fisioter Mov 2008;21(3):69-75.
Braun A, Herber V, Michaelsen SM. Relationship among physical activity level, balance and quality of life in individuals with hemi paresis. Rev Bras Med Esporte 2012;18(1):30-4.
André APR, Moriguti JC, Moreno NS. Conduct after Epley’s maneuver in elderly with posterior canal BPPV in the posterior canal. Braz J Otorhinolaryngol 2010;76 (3):300-5. https://doi.org/10.1590/s1808-86942010000300005
Paulino CA, Prezotto AO, Frias AC, Bataglia PR, Aprile MR. Sintomas de estresse e tontura em estudantes de pós-graduação. Revista EquilÃbrio Corporal e Saúde 2010;2(1):15-26.
Caldas MA, Ganança CF, Ganança MM, Caovilla HH. Clinical features of benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2009;75(4):502-6. https://doi.org/10.1590/s1808-86942009000400006
Maranhão ET, Maranhão-Filho PM. Horizontal canal benign paroxysmal positional vertigo: diagnosis and treatment of 37 patients. Arq Neuropsiquiatr 2015;73(6):487-92. https://doi.org/10.1590/0004-282x20150040
Dorigueto RS, Ganança MM, Ganança FF. The number of procedures required to eliminate positioning nystagmus in benign paroxysmal positional vertigo. Rev Bras Otorrinolaringol 2005;71(6):769-75. https://doi.org/10.1016/s1808-8694(15)31247-7
Alvarenga GA, Barbosa MA, Porto CC. Benign Paroxysmal Positional Vertigo without nystagmus: diagnosis and treatment. Braz J Otorhinolaryngol 2011;77(6):799-804.
Martens C, Goplen FK, Nordfalk KF, Aasen T, Nordahl SH. Prevalence and characteristics of positional nystagmus in normal subjects. Otolaryngol Head Neck Surg 2016;154(5):861-7. https://doi.org/10.1177/0194599816629640
Maia BS, Rodrigues JG, Cardoso S, Sousa PC, Duarte D, Trigueiros N. SÃndrome vertiginosa em cuidados de saúde primários: abordagem clÃnica. Acta Otorrinolaringol Gallega 2016;9(1):47-57.
Manso A, Ganança CF, Canança FF, Ganança MM, Heloisa HC. Caloric test results and damaged semicircular canal in benign positional paroxysmal vertigo. Rev Soc Bras Fonoaudiol 2009;14(1):91-7.
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