Araştırma Makalesi
Yıl 2019,
Cilt: 9 Sayı: 2, 150 - 158, 08.08.2019
Öz
Kaynakça
- 1. Murdin L, Schilder AG. Epidemiology of balance symptoms and disorders in the community: a systematic review. Otol Neurotol 2015;36:387-92.
- 2. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 1998;48:1131-5.
- 3. Chan Y. Differential diagnosis of dizziness. Curr Opin Otolaryngol Head Neck Surg 2009;17:200-3.
- 4. Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist 2008;14:355-64.
- 5. Han BI, Song HS, Kim JS. Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J Clin Neurol 2011;7:184-96.
- 6. Lucieer F, Vonk P, Guinand N, Stokroos R, Kingma H, van de Berg R. Bilateral vestibular hypofunction: insights in etiologies, clinical subtypes, and diagnostics. Front Neurol. 2016;7:26.
- 7. Martins E, Silva DC, Bastos VH, et al. Effects of vestibular rehabilitation in the elderly: a systematic review. Aging Clin Exp Res 2016;28:599-606.
- 8. Ricci NA, Aratani MC, Doná F, Macedo C, Caovilla HH, Ganança FF. A systematic review about the effects of the vestibular rehabilitation in middle-age and older adults. Rev Bras Fisioter 2010;14:361-71.
- 9. Bayat A, Saki N. Effects of Vestibular Rehabilitation Interventions in the Elderly with Chronic Unilateral Vestibular Hypofunction. Iran J Otorhinolaryngol 2017;29:183-8.
- 10. Katz J, Chasin M, English K, Hood L, Tillery K. Handbook of clinical audiology, seventh edition, Philadelphia: Wolters Kluwer; 2015. pp. 414.
- 11. Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arc Otolaryngol Head Neck Surg 1990;116:424-7.
- 12. Schubert MC, Minor LB. Vestibulo-ocular physiology underlying vestibular hypofunction. Phys Ther 2004;84:373-85.
- 13. Hillier S, McDonnell M. Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane review. Eur J Phys Rehabil Med 2016;52:541-56.
- 14. Kulcu DG, Yanik B, Boynukalin S, Kurtais Y. Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. J Otolaryngol Head Neck Surg 2008;37:373-9.
- 15. Ribeiro KM, Freitas RV, Ferreia LM, Deshpande N, Guerra RO. Effects of balance vestibular rehabilitation on therapy in elderly with benign paroxysmal positional vertigo: a randomized contrrolled trial. Disabil Rehabil 2017;39:1198-206.
- 16. Şahin E, Dinç ME, Yayla Özker B, Çöpürgensli C, Konaklıoğlu M, Özçelik T. The value of vestibular rehabilitation in patients with bilateral vestibular dysfunction. J Int Adv Otol 2017;13:385-9.
- 17. Giray M, Kirazli Y, Karapolat H, Celebisoy N, Bilgen C, Kirazli T. Shortterm effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: a randomized controlled study. Arch of Phys Med Rehabil 2009;90:1325-31.
- 18. Bamiou DE, Davies RA, McKee M, Luxon LM. The effect of severity of unilateral vestibular dysfunction on symptoms, disabilities and handicap in vertiginous patients. Clin Otolaryngol Allied Sci 1999;24:31-8.
- 19. Lin SI, Tsai TT, Lee IH, Wu YN. Perception of unsteadiness in patients with dizziness: association with handicap and imbalance. J Biomed Sci 2002;9:428-35.
- 20. Herdman SJ, Hall CD, Delaune W. Variables associated with outcome in patients with unilateral vestibular hypofunction. Neurorehabil Neural Repair 2012;26:151-62.
- 21. Strupp M, Arbusow V, Maag KP, Gall C, Brandt T. Vestibular exercises improve central vestibulospinal compensation after vestibular neuritis. Neurology 1998;51:838-44.
- 22. Telian S, Shepard N, Smith-Wheelock M, Kemink J. Habituation therapy for chronic vestibular dysfunction: preliminary results. Otolaryngol Head Neck Surg 1990;103:89-95.
- 23. Bamiou DE, Davies RA, McKee M, Luxon LM. Symptoms, disability and handicap in unilateral peripheral vestibular disorders. Effects of early presentation and initiation of balance exercises. Scand Audiol 2000;29:238-44.
Investigation Of The Factors Affecting The Success Of Vestibular Rehabilitation Therapy In Patients With Idiopathic Unilateral Vestibular Hypofunction And Idiopathic Bilateral Vestibular Hypofunction
Öz
Objective: The aim of this study was to determine the factors affecting the success of vestibular rehabilitation therapy (VRT) in patients with idiopathic unilateral vestibular hypofunction (UVH) and idiopathic bilateral vestibular hypofunction (BVH).
Methods: 30 patients with idiopathic UVH and 30 patients with idiopathic BVH were included in this prospective study. Visual analog scale (VAS) was used to evaluate the severity of the patients’ complaints of dizziness. The duration of the complaint of dizziness was recorded. All patients underwent the Dizziness Handicap Inventory (DHI) before and after VRT. The severity, duration, and localization (unilateral/bilateral) of the vestibular hypofunction were compared with the efficacy of VRT.
Results: A significant decrease in DHI scores was observed after VRT for both, UVH and BVH patients, as compared to their pre-VRT scores (p<0.001). There was no significant difference in the efficacy of vestibular rehabilitation therapy in patients with UVH and BVH (p=0.09). As the VAS scores increased and the duration of the complaint lengthened, the efficacy of VRT decreased significantly (p<0.001/r=5.6, p=0.016/r=3.1, respectively).
Conclusion: VRT is an effective treatment for the relief of symptoms in both UVH and BVH patients. Unilateral or bilateral vestibular hypofunction does not affect the efficacy of VRT, whereas prolonged or severe symptoms of dizziness affect the effectiveness of VRT negatively. In idiopathic vestibular hypofunction patients with long-standing and/or severe dizziness complaints, VRT should be initiated immediately and continued longer.
Anahtar Kelimeler
Kaynakça
- 1. Murdin L, Schilder AG. Epidemiology of balance symptoms and disorders in the community: a systematic review. Otol Neurotol 2015;36:387-92.
- 2. Yardley L, Owen N, Nazareth I, Luxon L. Prevalence and presentation of dizziness in a general practice community sample of working age people. Br J Gen Pract 1998;48:1131-5.
- 3. Chan Y. Differential diagnosis of dizziness. Curr Opin Otolaryngol Head Neck Surg 2009;17:200-3.
- 4. Karatas M. Central vertigo and dizziness: epidemiology, differential diagnosis, and common causes. Neurologist 2008;14:355-64.
- 5. Han BI, Song HS, Kim JS. Vestibular rehabilitation therapy: review of indications, mechanisms, and key exercises. J Clin Neurol 2011;7:184-96.
- 6. Lucieer F, Vonk P, Guinand N, Stokroos R, Kingma H, van de Berg R. Bilateral vestibular hypofunction: insights in etiologies, clinical subtypes, and diagnostics. Front Neurol. 2016;7:26.
- 7. Martins E, Silva DC, Bastos VH, et al. Effects of vestibular rehabilitation in the elderly: a systematic review. Aging Clin Exp Res 2016;28:599-606.
- 8. Ricci NA, Aratani MC, Doná F, Macedo C, Caovilla HH, Ganança FF. A systematic review about the effects of the vestibular rehabilitation in middle-age and older adults. Rev Bras Fisioter 2010;14:361-71.
- 9. Bayat A, Saki N. Effects of Vestibular Rehabilitation Interventions in the Elderly with Chronic Unilateral Vestibular Hypofunction. Iran J Otorhinolaryngol 2017;29:183-8.
- 10. Katz J, Chasin M, English K, Hood L, Tillery K. Handbook of clinical audiology, seventh edition, Philadelphia: Wolters Kluwer; 2015. pp. 414.
- 11. Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arc Otolaryngol Head Neck Surg 1990;116:424-7.
- 12. Schubert MC, Minor LB. Vestibulo-ocular physiology underlying vestibular hypofunction. Phys Ther 2004;84:373-85.
- 13. Hillier S, McDonnell M. Is vestibular rehabilitation effective in improving dizziness and function after unilateral peripheral vestibular hypofunction? An abridged version of a Cochrane review. Eur J Phys Rehabil Med 2016;52:541-56.
- 14. Kulcu DG, Yanik B, Boynukalin S, Kurtais Y. Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. J Otolaryngol Head Neck Surg 2008;37:373-9.
- 15. Ribeiro KM, Freitas RV, Ferreia LM, Deshpande N, Guerra RO. Effects of balance vestibular rehabilitation on therapy in elderly with benign paroxysmal positional vertigo: a randomized contrrolled trial. Disabil Rehabil 2017;39:1198-206.
- 16. Şahin E, Dinç ME, Yayla Özker B, Çöpürgensli C, Konaklıoğlu M, Özçelik T. The value of vestibular rehabilitation in patients with bilateral vestibular dysfunction. J Int Adv Otol 2017;13:385-9.
- 17. Giray M, Kirazli Y, Karapolat H, Celebisoy N, Bilgen C, Kirazli T. Shortterm effects of vestibular rehabilitation in patients with chronic unilateral vestibular dysfunction: a randomized controlled study. Arch of Phys Med Rehabil 2009;90:1325-31.
- 18. Bamiou DE, Davies RA, McKee M, Luxon LM. The effect of severity of unilateral vestibular dysfunction on symptoms, disabilities and handicap in vertiginous patients. Clin Otolaryngol Allied Sci 1999;24:31-8.
- 19. Lin SI, Tsai TT, Lee IH, Wu YN. Perception of unsteadiness in patients with dizziness: association with handicap and imbalance. J Biomed Sci 2002;9:428-35.
- 20. Herdman SJ, Hall CD, Delaune W. Variables associated with outcome in patients with unilateral vestibular hypofunction. Neurorehabil Neural Repair 2012;26:151-62.
- 21. Strupp M, Arbusow V, Maag KP, Gall C, Brandt T. Vestibular exercises improve central vestibulospinal compensation after vestibular neuritis. Neurology 1998;51:838-44.
- 22. Telian S, Shepard N, Smith-Wheelock M, Kemink J. Habituation therapy for chronic vestibular dysfunction: preliminary results. Otolaryngol Head Neck Surg 1990;103:89-95.
- 23. Bamiou DE, Davies RA, McKee M, Luxon LM. Symptoms, disability and handicap in unilateral peripheral vestibular disorders. Effects of early presentation and initiation of balance exercises. Scand Audiol 2000;29:238-44.
Toplam 23 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 8 Ağustos 2019 |
| Gönderilme Tarihi | 25 Mayıs 2019 |
| Kabul Tarihi | 17 Temmuz 2019 |
| Yayımlandığı Sayı | Yıl 2019 Cilt: 9 Sayı: 2 |
