Wpływ zabiegów fizjoterapeutycznych na jakość życia pacjentów z zaburzeniami ośrodkowej części układu przedsionkowego
Journal Title: Otolaryngologia Polska - Year 2013, Vol 67, Issue 1
Abstract
The aim of the study was to evaluate the impact of physiotherapy on balance stability and quality of life improvement in patients with central vestibular system dysfunction. Material and methods: The study was conducted on 31 patients (23 females, 8 males) with vertigo/dizziness and unsteadiness diagnosed for central vestibular system impairment based on videonystagraphy examinations, in ENT Department Medical University of Lodz between 2010-2011 years. Patients' history of diseases were collected. The physiotherapeutic programme was individually introduced during four weeks (five time a week). The intervention included balance training and habituation exercises. At baseline and after patients were evaluated therapy with WHO Quality of Life-BREF (WHOQOLBREF) and Dizzeness Handicap Inventory (DHI) self-assessment scales. Clinical examination with Romberg and stand one leg tests (eyes opened and closed) was performed. Results: After therapy statistically significant differences in total DHI score (p < 0.005) and 3 subscales: physical, emotional, functional (p < 0.05) and WHOQOL-BREF only physical subscale (p < 0.05) compared baseline were found. There were no statistical differences between psychological, social relationships and environment subscales. In clinical evaluation significant reduction of unsteadiness in Romberg test (p < 0.05) and in stand one leg tests eyes opened and closed tests (p < 0.05) were found. Conclusion: In patients with central vestibular system impairment after physical therapy betterment in clinical examination and some subjective self-assessment scales were observed. Lack of signifi- cant improvement in psychological, social relationships and environment domain in WHOQOL-BREF subscale indicated that these patients may need more psychological support or extensions in physiotherapy.
Authors and Affiliations
Jarosław Walak, Marcin Szczepanik , Marek Woszczak, Magdalena Józefowicz-Korczyńska
Keywords
Related Articles
- EP ID EP52133
- DOI -
- Views 87
- Downloads 0
Endoskopowe leczenie olbrzymich kostniaków podstawy czaszki
SUMMARY Introduction: Osteomas are relatively common, benign, slow-growing neoplasms. Mainly occurring in frontal and ethmoid sinuses. Endoscopic surgery plays an important role in management of ethmoid, sphenoid and fro...
Test eferentny ślimaka – czułość i swoistość metody
Introduction. The amplitude of click evoked otoacoustic emissions can be suppressed (reduced) with contralateral acoustic stimulation (CAS). This is thought to be due to the inhibitory control that the medial efferent au...
Expression Fas and FasL antigen protein of lymphocytes T and B in hypertrophied adenoid in children with otitis media with effusion
Introduction. Apoptosis of lymphocytes can be induced by different factors mainly however the activation of antigen Fas (CD95) and his ligand FasL (CD95L) route. Apoptosis induced by Fas-FasL has large significance in el...
Polymorphism of metalloproteinases MMP-1 and MMP-2 in risk of Iaryngeal cancer
SUMMARY Introduction: The laryngeal cancer is the most common malignancy of the head and neck squamous celt carcinoma. Recent studies have revealed the role of genetic variations in the risk for laryngeal cancer. Polymor...
Intraorbital foreign bodies 5 own cases and review of literature
Five patients were surgically treated for intraorbital foreign body: a 14-year-old girl had a door glass splinter, a 23-year-old man a metallic foreign body - gunshot pellet, a 55-year-old man a splinter from a metallic...