Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, quality of sleep, activities of daily living and quality of life in bilateral vestibular hypofunction: case study

Sena Gizem Arslan, Miray Budak, Mahmut Sinan Yılmaz

 

Sena Gizem Arslan, Miray Budak, Mahmut Sinan Yılmaz – Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, quality of sleep, activities of daily living and quality of life in bilateral vestibular hypofunction: case study –  Fizjoterapia Polska 2024; 24(1); 18-22

DOI: https://doi.org/10.56984/8ZG2EF8475

Abstract
Background and Purpose. The vestibular rehabilitation is an exercise-based method, aiming to maximize central nervous system(CNS) compensation at vestibular nuclear and other CNS levels for vestibular pathology. A minimal number of studies have documented the impact of Vestibular rehabilitation on the recovery rate of patients with Bilateral Vestibular Hypofunction(BVH). The purpose of this study was to investigate the effectiveness of structured vestibular rehabilitation (VR) programs on severity of dizziness, kinesiophobia, balance, quality of sleep, activities of daily living(ADL) and quality of life(QoL) in subjects with chronic BVH.
Case Description. Three participants diagnosed with BVH who suffered from severity of dizziness, kinesiophobia, balance, quality of sleep, ADL and QoL were included in the study.
Intervention. A structured VR program was applied in 50-minute sessions once a week and as a home exercise program 3 days a week over 8 weeks.
Outcomes. Participants were evaluated for severity of dizziness with the Visual Analog Scale (VAS), for kinesiophobia with the Tampa Scale of Kinesiophobia (TSK), for balance with the Semitandem, tandem, and standing tests, for quality of sleep with the Pittsburgh Sleep Quality Index (PSQI), for ADL with the Vestibular Disorders Activities of Daily Life (VADL) and for QoL with Dizziness Handicap Inventory (DHI) at the baseline (T0), at 4th week (T1), 8th week (T2), and 20th week (T3) after study started.
Conclusion. In conclusion, a twelve-week structured VR program may enhance severity of dizziness, kinesiophobia, balance, quality of sleep, ADL and QoL in participants with chronic BVH.
Keywords
bilateral vestibular hypofunction, dizziness, kinesiophobia, balance, Quality of Sleep, Quality Of Life
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The prevalence of sleep disorders in women treated for breast cancer – a preliminary report

Anna Słupik, Katarzyna Zięba, Agnieszka Kwiatkowska, Hanna Tchórzewska, Dorota Szczęśniak, Dariusz Białoszewski

Anna Słupik, Katarzyna Zięba, Agnieszka Kwiatkowska, Hanna Tchórzewska, Dorota Szczęśniak, Dariusz Białoszewski – The prevalence of sleep disorders in women treated for breast cancer – a preliminary report. Fizjoterapia Polska 2007; 7(2), 179-184

Abstract

Background. Women treated for breast cancer tend to assess their sleep quality as poor. This paper presents the preliminary results of a study undertaken to assess the quality and type of sleep disorders in this group of patients. Material and methods. The study group consisted of 23 women aged 41-69 treated at the Centre of Oncology in Warsaw, Poland. The patients had undergone breast cancer surgery 4 weeks to 1 year before the beginning of the study. The control group involved 37 women without a history of cancer. The abridged version of the Pittsburgh Sleep Quality Index (PSQI) was employed. Results. Mean PSQI scores were 7.3 in the study group and 4.5 in the control group. The study group scored higher on five domains of the index (1, 2, 4, 5 and 6). There was no statistically significant relationship between sleep disorders and the patients’ age or the length of time since surgery. Conclusions. 1. Sleep disorders were more common in the study group, which can be attributed to the treatment and its side effects. 2. Sleep disorders can impair the quality of life and should therefore be treated. 3. Further studies of the effect of treatment on sleep quality of patients treated for breast cancer seem advisable.

Key words:

breast cancer, sleep disorder, quality of sleep

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