[Impact of physiotherapy on quality of life improvement in patients with central vestibular system dysfunction].
| Autor: | Walak J; Zakład Rehabilitacji UM w Łodzi, 90-141 Łódź, Poland. jarekwalak@wp.pl, Szczepanik M, Woszczak M, Józefowicz-Korczyńska M |
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| Jazyk: | polština |
| Zdroj: | Otolaryngologia polska = The Polish otolaryngology [Otolaryngol Pol] 2013 Jan-Feb; Vol. 67 (1), pp. 11-7. Date of Electronic Publication: 2012 Sep 07. |
| DOI: | 10.1016/j.otpol.2012.09.001 |
| Abstrakt: | Unlabelled: 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 (WHOQOL-BREF) 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 significant 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. (Copyright © 2012 Polish Otorhinolaryngology - Head and Neck Surgery Society. Published by Elsevier Urban & Partner Sp. z.o.o. All rights reserved.) |
| Databáze: | MEDLINE |
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