Subscribe to RSS
Download PDF
DOI: 10.1055/s-0035-1556824
The Impact of Dizziness on the Quality of Life of 235 Individuals who Completed Vestibular Testing in Brazil
Publication History
21 February 2015
01 May 2015
Publication Date:
16 July 2015 (online)
Abstract
Introduction In Vestibular Testing (VT), caloric tests allow evaluation of unilateral weakness (UW) and directional preponderance (DP), where different criteria of normality are adopted in Brazil and worldwide. The Brazilian version of the Dizziness Handicap Inventory (Brazilian DHI) evaluates the impact of dizziness on the quality of life of an individual.
Objectives The objective of this research is to evaluate the impact of dizziness on the quality of life of patients undergoing VT, and to relate these findings to the results obtained according to national and international criteria.
Methods Cross-sectional analytic study of 235 patients referred for VT in two hospitals. The authors performed the Brazilian DHI, history, static, and dynamic balance tests, positional nystagmus, and the Dix-Hallpike maneuver, as well as vectoelectronystagmography. Subjects were divided into three groups according to UW and DP values. Descriptive statistics and comparisons between groups were performed, considering a significance level of 5% in all analyses.
Results Patients groups had 20.9% men, and 79.1% women. There was no significant difference between groups for the scores obtained in the Brazilian DHI. There was, however, a statistically significant difference in the redistribution of individuals according to the UW and DP values.
Conclusion There was no relationship between VT results and the impact of dizziness in the quality of life. A review of normal values for UW and DP adopted in Brazil is suggested, as well as the application of the Brazilian DHI as an additional tool to evaluate the impact of dizziness on quality of life in all patients undergoing VT.
-
References
- 1 Flores FT, Rossi AG, Schmidt PS. Avaliação do equilíbrio corporal na doença de Parkinson. Int Arch Otorhinolaryngol 2011; 15 (2) 142-150
- 2 Santos JLP. Elaboração de uma plataforma oscilatória para teste de equilíbrio dinâmico [dissertation]. Guaratinguetá: Universidade Estadual Paulista; 2011: 27
- 3 Paulino CA, Prezotto PO, Calixto RF. Associação entre estresse, depressão e tontura: uma breve revisão. Rev Equilíbrio Corporal e Saúde 2009; 1: 33-45
- 4 Rocha Júnior PR, Kozan ES, Moraes JF, Pereira FG, Moreno AB. Vestibular rehabilitation in the quality of life and the symptomatology of dizziness among the elderly. Cien Saude Colet 2014; 19 (8) 3365-3374
- 5 Batista JS, Pasqualotti A, Marchi ACB, Wibelinger LM. Exercícios de reabilitação vestibular em idosos. Revista Contexto & Saúde 2011; 10 (20) 969-974
- 6 Silva TL, Martinez EZ, Manço ARX, Junior APS, Arruda MF. A associação entreo a ocorrência de quedas e a alteração de equilíbrio e marcha em idosos. Rev Saúde e Pesquisa 2014; 7 (1) 25-34
- 7 Scherer S, Lisboa HRK, Pasqualotti A. Tontura em idosos: diagnóstico otoneurológico e interferência na qualidade de vida. Rev Soc Bras Fonoaudiol 2012; 17 (2) 142-150
- 8 Santana GG, Doná F, Ganança MM, Kasse CA. Vestibulopatia no Idoso. Saúde Coletiva 2011; 48 (8) 52-56
- 9 Lourenço EA, Lopes KD, Jr AP, Oliveira MH, Umemura A, Vargas AL. Distribuição dos achados otoneurológicos em pacientes com disfunção vestíbulo-coclear. Rev Bras Otorrinolaringol 2005; 71 (3) 34-38
- 10 Caovilla HH, Ganança MM, Munhoz MSL, Silva MLG . Equilibriometria Clínica. São Paulo: Atheneu; 1999: 1-3
- 11 Gama MR, Soares E. Resolvendo casos em audiologia. São Paulo: Ed. Plexus; 2001: 112-5
- 12 Ganança MM, Mangabeira Albernaz PL. I. Semiologia vestibular. 8. Eletro-oculografia. In: Labirintologia: guia prático. São Paulo: Editamed; 1976: 17-21
- 13 Fife TD, Tusa RJ, Furman JM , et al. Assessment: vestibular testing techniques in adults and children: report of the Therapeutics and Technology Assessment Subcommittee of the American Academy of Neurology. Neurology 2000; 55 (10) 1431-1441
- 14 Jongkees LBW, Philipszoon AJ. Eletronystagmography. Acta Otolaryngol Suppl 1964; 189: 189
- 15 Barin K. Background and technique of caloric testing. In: Jacobson GP, Shepard NT. Balance Function Assessment and Management. San Diego: Plural Publishing; 2008: 197-228
- 16 Sills AW, Baloh RW, Honrubia V. Caloric testing 2: results in normal subjects. Ann Otol Rhinol Laryngol Suppl 1977; 86 (5 Pt 3, Suppl 43): 7-23
- 17 Mor R, Fragoso M, Taguchi CK, Figueiredo JFFR. Vestibulometria e Fonoaudiologia: como realizar a interpretar. São Paulo: Ed. Lovise; 2001: 98-107
- 18 Jacobson GP, Newman CW, Peterson EL. Interpretation and usefulness of caloric testing. In: Jacobson GP, Newman CW, Kartush JM, eds. Handbook of balance testing function. St Louis: Mosby: 1993: 193-223
- 19 Henry DF. Test-retest reliability of open-loop bithermal caloric irrigation responses from healthy young adults. Am J Otol 1999; 20 (2) 220-222
- 20 Van Der Stappen A, Wuyts FL, Van De Heyning PH. Computerized electronystagmography: normative data revisited. Acta Otolaryngol 2000; 120 (6) 724-730
- 21 Baloh RW, Honrubia V. Clinical neurophysiology of the vestibular system. 3rd ed. New York: Oxford University Press; 2001: 136-46
- 22 Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990; 116 (4) 424-427
- 23 Castro ASO, Gazzola JM, Natour J, Ganança FF. Brazilian version of the dizziness handicap inventory. Pro Fono 2007; 19 (1) 97-104
- 24 Moreira DA, Bohlsen YA, Momensohn-santos TM, Cherubini AA. Study of the Handicap Caused by Dizziness in Patients Associated or Not with Tinnitus Complaint. Int Arch Otorhinolaryngol 2006; 10 (4) 270-277
- 25 Ganança MM, Caovilla HH, Ganança FF. Electronystagmography versus videonystagmography. Braz J Otorhinolaryngol 2010; 76 (3) 399-403
- 26 Furman JM, Cass SP. Vestibular disorders: a case study approach. 2nd ed. New York: Oxford University Press; 2003: 30-41
- 27 SBFa. Guia prático de procedimentos fonoaudiológicos na avaliação vestibular. São Paulo: Sociedade Brasileira de Fonoaudiologia; 2011: 11-21
- 28 Takano NA, Cavalli SS, Ganança MM , et al. Quality of life in elderly with dizziness. Braz J Otorhinolaryngol 2010; 76 (6) 769-775
- 29 Bento RF, Bohadana SC, Lima S, Silveira JA. Sintomas vestibulares e alterações no exame eletronistagmográfico: estudo de 230 casos. Braz J Otorhinolaryngol 1998; 64 (4) 397-403
- 30 Gurgel LG, Dourado MR, Moreira TC , et al. Correlation between vestibular test results and selfreported psychological complaints of patients with vestibular symptoms. Braz J Otorhinolaryngol 2012; 78 (1) 62-67
- 31 Silva BSR, Sousa GB, Russo ICP, Silva JAPR. Caracterização das queixas, tipo de perda auditiva e tratamento de indivíduos idosos atendidos em uma clínica particular de Belém – PA. Int Arch Otorhinolaryngol 2007; 11 (4) 387-395
- 32 Barrett-Connor E, Weiss TW, McHorney CA, Miller PD, Siris ES. Predictors of falls among postmenopausal women: results from the National Osteoporosis Risk Assessment (NORA). Osteoporos Int 2009; 20 (5) 715-722
- 33 Halil M, Ulger Z, Cankurtaran M , et al. Falls and the elderly: is there any difference in the developing world? A cross-sectional study from Turkey. Arch Gerontol Geriatr 2006; 43 (3) 351-359
- 34 Felipe L, Simões LC, Gonçalves DU, Mancini PC. Evaluation of the caffeine effect in the vestibular test. Braz J Otorhinolaryngol 2005; 71 (6) 758-762
- 35 Handa PR, Kuhn AMB, Cunha F, Schaffleln R, Ganança FF. Qualidade de vida em pacientes com vertigem posicional paroxística benigna e/ou doença de Meniere. Braz J Otorhinolaryngol 2005; 71 (6) 776-783
- 36 Paiva AD, Kuhn AMB. Sintomas psicológicos concomitantes à queixa de vertigem em 846 prontuários de pacientes otoneurológicos do Ambulatório de Otoneurologia da Universidade Federal de São Paulo -Escola Paulista de Medicina. Braz J Otorhinolaryngol 2004; 70 (4) 512-515
- 37 Santos JN, Maciel FJ, Martins VO, Rodrigues ALV, Gonzaga AF, Silva LF. Inserção dos fonoaudiólogos no SUS/MG e sua distribuição no território do Estado de Minas Gerais. Rev CEFAC 2012; 14 (2) 196-205
- 38 Volpato LF, Meneghim MdeC, Pereira AC, Ambrosano GMB. Quality planning of Family Health Units using Quality Function Deployment (QFD). Cad Saude Publica 2010; 26 (8) 1561-1572
- 39 Ribeiro MMF, Amaral CFS. Patient-centered care and medical teaching: the importance of caring and sharing. Rev Bras Educ Med 2008; 32 (1) 90-97
- 40 Mantello EB, Moriguti JC, Junior ALR, Ferrioli E. Vestibular rehabilitation's effect over the quality of life of geriatric patients with labyrinth disease. Braz J Otorhinolaryngol 2008; 74 (2) 172-180
- 41 Pereira AB, Santos JN, Volpe FM. Effect of Epley's maneuver on the quality of life of paroxismal positional benign vertigo patients. Braz J Otorhinolaryngol 2010; 76 (6) 704-708
- 42 Peres M, da Silveira E. Effect of vestibular rehabilitation in elder people: regarding balance, quality of life and perception. Cien Saude Colet 2010; 15 (6) 2805-2814
- 43 Ganança FF, Castro ASO, Branco FC, Natour J. Interferência da tontura na qualidade de vida de pacientes com síndrome vestibular periférica. Braz J Otorhinolaryngol 2004; 70 (1) 94-101
- 44 Santos EM, Gazzola JM, Ganança CF, Caovilla HH, Ganança FF. Impact of dizziness on the life quality of elderly with chronic vestibulopathy. Pro Fono 2010; 22 (4) 427-432