Meniere's disease, Postural Balance, benign paroxysmal vertigo, Vestibular neuronitis, Other peripheral vertigo.
Conditions
Interventions
This study will involve 60 volunteers divided into three groups : G1 ( n = 20 ) intervention protocol - proprioceptive exercises with anchor system
G2 ( n = 20 ) intervention protocol - proprioceptive exercises without anchor and G3 ( n = 20 ) control without any intervention system. The protocol for clinical intervention will consist of proprioc
Other
Q65.060
Sponsors
Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo - USP
Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo - USP
Eligibility
Age
50 Years to 100 Years
Inclusion criteria
Inclusion criteria: Eligibility criteria fall within individuals of both sexes , aged 50 years, suffering from chronic peripheral vestibular disease with presence of dizziness and decreased body balance, and nonspecific lightheadedness or feeling dizzy, and peripheral etiology and daily occurrence , weekly, monthly for at least three months , in which the symptoms of vertigo , dizziness , postural instability of vestibular origin , are not responding positively to conventional RV , which includes the reorganization of the VOR . Will be classified as patients who do not respond positively to RV , those who remain with otoneurology symptoms for more than six months after the start of the intervention , no clinical improvement observed . The diagnosis of chronic peripheral vestibular disease will be confirmed at the Otolaryngology Department of Ophthalmology , Otorhinolaryngology and Head and Neck Surgery , Hospital das Clinicas, Faculty of Medicine of Ribeirão Preto, University of São Paulo - FMRP - USP.
Exclusion criteria
Exclusion criteria: Exclusion criteria from the survey include: patients who are using drugs (benzodiazepines and anticonvulsants) acting on the balance, calcium channel blockers (cinnarizine and flunarizine), plus motor, visual or cognitive restrictions that prevent the realization of and reviews proposed intervention, as well as with systemic diseases without drug therapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The balance in semi - static and dynamic posture will be assessed by the Walking Test, transfer from sitting to standing , sensitized Limit Test and stability . All study participants will undertake the semi - static and dynamic evaluations in two blocks : one without the anchor system and another with the anchor system. Latency of motion ( LM ) : The following variables will be evaluated measured in seconds arising from the visual stimulus to the beginning of the movement ; - Speed ??of movement ( VM ) : average speed of displacement of the center of body mass ( CMC ) . Displacement in degrees per second; - End point of the tour ( PFE ) : largest displacement of CMC in the first movement supported for each direction . Measured in percentage of the maximum possible displacement displacement, considered 100 % ; - Maximum excursion ( ) larger displacement obtained throughout the testing in each direction. Measured in percentage ; - Directional control of movement ( DM ) : individual ability to maintain the axis parallel to the axis of movement to be targeted . Measured in percentage . For the safety of all tests on the platform , the researcher responsible for another employee will be near the participant to avoid any incident fall, observe the movement strategies carried out by volunteers during the tests and the fatigue threshold of each will be respected voluntary movements between each battery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cognitive and functional aspects will be assessed through: Test Clock (TR), Test of Fluency Verbal (TFV), Trail Making B (TMB) to cognitive variables; functional clinical tests for functional performance, balance, agility and speed, such as the Timed Up and Go (TUG), of Picking Up and Sit Test (TLS), Berg Balance Scale (BBS), Dynamic Gait Index (DGI) and MiniBESTest (MBT); Dizzness Handicap Inventory for evaluation of dizziness and Vestibular Disorders Activities of Daily Living Scale (VADL) to assess the impact of dizziness and imbalance in the body performing everyday activities in patients with vestibular deficits. The method of application, as well as the variables obtained in each instrument mentioned above is described in detail in the project. | — |
Countries
Brazil
Contacts
Public ContactDaniela Carvalho de Abreu
Faculdade de Medicina de Ribeirão Preto - Universidade de São Paulo - USP
Outcome results
None listed