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Učinci strukturiranog programa vježbanja na ozbiljnost vrtoglavice, kinziofobiju, ravnotežu, kvalitetu sna, aktivnosti svakodnevnog života i kvalitetu života kod bilateralne vestibularne hipofunkcije: studija slučaja

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

Sažetak
Pozadina i svrha. Vestibularna rehabilitacija je metoda zasnovana na vježbanju, s ciljem maksimiziranja kompenzacije središnjeg živčanog sustava (CNS) na razini vestibularnih nukleusa i drugih razina CNS-a za vestibularnu patologiju. Minimalan broj studija dokumentirao je utjecaj vestibularne rehabilitacije na brzinu oporavka pacijenata s bilateralnom vestibularnom hipofunkcijom (BVH). Svrha ove studije bila je istražiti učinkovitost strukturiranih programa vestibularne rehabilitacije (VR) na ozbiljnost vrtoglavice, kinziofobiju, ravnotežu, kvalitetu sna, aktivnosti svakodnevnog života (ADL) i kvalitetu života (QoL) kod osoba s kroničnom BVH.
Opis slučaja. U studiju su uključena tri sudionika dijagnosticirana s BVH koji su patili od ozbiljnosti vrtoglavice, kinziofobije, ravnoteže, kvalitete sna, ADL i QoL.
Intervencija. Primijenjen je strukturirani VR program u trajanju od 50 minuta jednom tjedno i kao program vježbanja kod kuće tri dana u tjednu tijekom 8 tjedana.
Rezultati. Sudionici su evaluirani za ozbiljnost vrtoglavice pomoću Vizualne analogne skale (VAS), za kinziofobiju pomoću Tampa skale kinziofobije (TSK), za ravnotežu pomoću testova semitandem, tandem i stajanje, za kvalitetu sna pomoću Pittsburgh indeksa kvalitete sna (PSQI), za ADL pomoću Aktivnosti svakodnevnog života poremećaja vestibularnog sustava (VADL) i za QoL pomoću Inventara hendikepa zbog vrtoglavice (DHI) na početku (T0), u 4. tjednu (T1), u 8. tjednu (T2) i u 20. tjednu (T3) nakon početka studije.
Zaključak. Zaključno, dvanaestotjedni strukturirani VR program može poboljšati ozbiljnost vrtoglavice, kinziofobiju, ravnotežu, kvalitetu sna, ADL i QoL kod sudionika s kroničnom BVH.
Ključne riječi
bilateralna vestibularna hipofunkcija, vrtoglavica, kinziofobija, ravnoteža, Kvaliteta sna, Kvaliteta života
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Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction

Joanna Jaczewska, Witold Rongies, Marek Zaleski

Joanna Jaczewska, Witold Rongies, Marek Zaleski – Proposition of conservative treatment of patients with vertigo and balance disorders caused by vestibular dysfunction. Fizjoterapia Polska 2012; 12(3); 201-212

Abstract
The aim of this study was to evaluate the effectiveness of physical exercises used in the treatment of vertigo and balance disorders caused by vestibular dysfunction. The study group consisted of 30 patients (22 women and 8 men, aged 30-84) with vertigo and/or balance disorders of vestibular origin. Half of the patients (10 women and 5 men, aged 30-79) took the medicine. All patients attended in an individually selected programme of exercises dependent on diagnosis. The control group consisted of 15 patients (10 women and 5 men, aged 30-74) treated only pharmacologically. In order to investigate the effect of rehabilitation, a modified DHI questionnaire was used. For statistical evaluation, an analysis of variance with repeated measurements was performed. Statistical significance was assumed at a level of 0.05.In the group of patients who participated only in the programme of vestibular rehabilitation, an improvement of the questionnaire score was on average 48%. The result in the group performing exercises and additionally taking medication improved on average by 45%. In the control group only 15% of improvement was achieved. The difference in the results is statistically significant. 1. Vestibular rehabilitation has proved to be an effective treatment approach for vertigo and balance disorders caused by diseases of the vestibular system. 2. The age had no significant effect on the result of rehabilitation. 3. An improvement was noted, both in structural, functional and emotional aspects.
Key words:
vestibular system, vertigo, dizziness, balance, vestibular rehabilitation
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Fascial Manipulation for Cervicogenic Headache: A Single Blinded Randomized Controlled Trial

Bassam A. El-Nassag, Ahmed Baghdadi

Bassam A. El-Nassag, Ahmed Baghdadi – Fascial Manipulation for Cervicogenic Headache: A Single Blinded Randomized Controlled Trial. Fizjoterapia Polska 2020; 20(4); 16-21

Streszczenie

Background. Cervicogenic Headache (CGH) is a common type of secondary headaches which has a great socioeconomic impact. Several therapeutic approaches have been used for treatment of CGH. Objective. To investigate the effect of Fascial Manipulation (FM) on CGH, cervical range of motion and CGH associated dizziness. Design. Single blinded, parallel randomized controlled trial. Settings. Out-Patient department at Al-Wakra Hospital, Hamad Medical Corporation, Qatar. Participants. 48 patients with Cervicogenic Headache associated with dizziness. Intervention. Patients were randomized to a study (A) (n = 24) and control (B) (n = 24) groups. Over two successive weeks, patients in group (A) received two sessions of FM as one session/week, while group (B) performed low load cervico-scapular endurance training for two weeks as a three sessions/week. Outcomes measures. The six items Headache Impact Test (HIT-6), Neck Disability Index (NDI), Flexion rotation test (FRT) and Dizziness Handicap Inventory (DHI). Results. There was a statistically significant improvement in the HIT-6, NDI, FRT and DHI within and between groups after treatment in favor for the study group (P < 0.05). Correlation between FRT, HIT-6 and DHI post treatment revealed a negative moderate (r = -0.3) to weak (r = -0.24) correlations respectively. Conclusion. Fascial manipulation is an effective therapeutic approach in comparison to exercise program in treating CGH associated with dizziness.

Słowa kluczowe:
Cervicogenic Headache, Dizziness, Fascial Manipulation
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