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CC BY 4.0 · Arq Neuropsiquiatr 2024; 82(11): s00441790568
DOI: 10.1055/s-0044-1790568
Original Article

The effect of proprioceptive vestibular rehabilitation on sensory-motor symptoms and quality of life

Efeito da reabilitação vestibular proprioceptiva nos sintomas sensório-motores e qualidade de vida

Authors

  • Gülfem Ezgi Özaltın 

    1   Inonu University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Malatya, Türkiye.

  • Burcu Talu 

    1   Inonu University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Malatya, Türkiye.

  • Tuba Bayındır 

    2   Yüksek İhtisas Unıversity, Medicalpark Ankara Hospital, Ear Nose and Throat Clinic, Ankara, Türkiye.
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Abstract

Background Peripheral vestibular hypofunction (PVH) is characterized by balance and gait disorders and vestibulo-autonomic findings. The vestibular system and proprioceptive system work together to regulate sensorimotor functions. Vestibular exercises are effective in PVH, but their superiority over each other is still unclear.

Objective This study aims to examine the effect of proprioceptive vestibular exercises on patients with PVH.

Methods 30 individuals with unilateral PVH were assigned to 3 groups. Group 1 received proprioceptive vestibular rehabilitation, group 2 received standard vestibular rehabilitation. Both groups were given standard vestibular exercises as home exercises. No exercise was applied to the group 3. Patients were evaluated in terms of balance, functional mobility, posture, sensory profile, and quality of life.

Results Although there was a significant intra-group difference in balance, functional mobility, and quality of life results in all groups (p < 0.05), the difference between groups was generally in favor of group 1 (p < 0.05). There was a significant difference between the groups in the posture analysis results (p < 0.05), while there was a significant difference in the 1st group (p < 0.05). There was a significant difference between the groups in the results of sensory sensitivity, sensory avoidance, and low recording (p < 0.05). There was no significant difference between the groups in sensory-seeking results (p > 0.05). There was a significant difference in quality of life between and within groups (p < 0.05).

Conclusion Proprioceptive vestibular rehabilitation is an effective method in PVH. We think that our study will guide clinicians and contribute to the literature.

Trial registration NCT04687371.

Resumo

Antecedentes A hipofunção vestibular periférica (HVP) é caracterizada por distúrbios do equilíbrio e da marcha e achados vestíbulo-autonômicos. O sistema vestibular e o sistema proprioceptivo trabalham juntos para regular as funções sensório-motoras. Os exercícios vestibulares são eficazes na HVP, mas sua superioridade entre si ainda não está clara.

Objetivo Este estudo tem como objetivo examinar o efeito de exercícios vestibulares proprioceptivos em pacientes com HVP.

Métodos Trinta indivíduos com HVP unilateral foram divididos em três grupos. O grupo 1 recebeu reabilitação vestibular proprioceptiva, o grupo 2 recebeu reabilitação vestibular padrão. Ambos os grupos receberam exercícios vestibulares padrão como exercícios caseiros. Nenhum exercício foi aplicado ao grupo 3. Os pacientes foram avaliados quanto a equilíbrio, mobilidade funcional, postura, perfil sensorial e qualidade de vida.

Resultados Embora tenha havido uma diferença significativa intragrupo nos resultados de equilíbrio, mobilidade funcional e qualidade de vida em todos os grupos (p < 0,05), a diferença entre os grupos foi geralmente a favor do grupo 1 (p < 0,05). Houve diferença significativa entre os grupos nos resultados da análise postural (p < 0,05), embora tenha havido diferença significativa no 1° grupo (p < 0,05). Houve diferença significativa entre os grupos nos resultados de sensibilidade sensorial, esquiva sensorial e baixo registro (p < 0,05). Não houve diferença significativa entre os grupos nos resultados de busca sensorial (p > 0,05). Houve diferença significativa na qualidade de vida entre e dentro dos grupos (p < 0,05).

Conclusão A reabilitação vestibular proprioceptiva é um método eficaz na HVP. Acreditamos que nosso estudo orientará os médicos e contribuirá para a literatura.

Registro de teste NCT04687371.

Keywords

Exercise - Vertigo - Physical Therapy Services - Postural Balance

Palavras-chave

Exercício Físico - Vertigem - Serviços de Fisioterapia - Equilíbrio Postural

Authors' Contributions

GEÖ: conceptualization, data curation, formal analysis, ınvestigation,methodology, project administration, supervision, visualization, writing – original draft, writing – review & editing; BT: conceptualization, methodology, supervision, writing – original draft, writing – review & editing; TB: conceptualization, visualization, writing – original draft, writing – review & editing.


Editor-in-Chief: Hélio A. G. Teive.


Associate Editor: Adriana Bastos Conforto.




Publication History

Received: 06 June 2024

Accepted: 08 August 2024

Article published online:
24 September 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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Bibliographical Record
Gülfem Ezgi Özaltın, Burcu Talu, Tuba Bayındır. The effect of proprioceptive vestibular rehabilitation on sensory-motor symptoms and quality of life. Arq Neuropsiquiatr 2024; 82: s00441790568.
DOI: 10.1055/s-0044-1790568