Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin

Abstract Introduction The symptoms associated with chronic peripheral vestibulopathy exert a negative impact on the independence and quality of life of these individuals, and many individuals continue to suffer from these symptoms even after conventional vestibular rehabilitation. Objective To eva...

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Main Authors: Almir Resende Coelho, Ana Paula do Rego Andre, Júlia Licursi Lambertti Perobelli, Lilian Shizuka Sonobe, Daniela Cristina Carvalho de Abreu
Format: Article
Language:English
Published: Elsevier
Series:Brazilian Journal of Otorhinolaryngology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942017000100003&lng=en&tlng=en
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author Almir Resende Coelho
Ana Paula do Rego Andre
Júlia Licursi Lambertti Perobelli
Lilian Shizuka Sonobe
Daniela Cristina Carvalho de Abreu
author_facet Almir Resende Coelho
Ana Paula do Rego Andre
Júlia Licursi Lambertti Perobelli
Lilian Shizuka Sonobe
Daniela Cristina Carvalho de Abreu
author_sort Almir Resende Coelho
collection DOAJ
description Abstract Introduction The symptoms associated with chronic peripheral vestibulopathy exert a negative impact on the independence and quality of life of these individuals, and many individuals continue to suffer from these symptoms even after conventional vestibular rehabilitation. Objective To evaluate the acute effect of an anchor system for balance evaluation of patients with chronic dizziness who failed to respond to traditional vestibular rehabilitation. Methods Subjects over 50 years of age, presenting with chronic dizziness and postural instability of peripheral vestibular origin, participated in the study. The limit of stability was evaluated in three positions using the Balance Master® system: Position 1, standing with the arms along the body; Position 2, standing with the elbows bent at 90º (simulating holding the anchors); and Position 3, with the elbows bent at 90º holding the anchors. The variables of movement latency, endpoint excursion and directional control of movement were evaluated. Results Using the anchor system, significant reduction of time in the response at the beginning of the movement compared to Position 1 (p < 0.05); increased endpoint excursion in the left lateral direction compared to Position 1 (p < 0.05); and more directional control of movement in the anterior and posterior directions (p < 0.05) compared to the other positions, were found. Conclusion While using the system anchor, individuals with chronic peripheral vestibulopathy showed an immediate improvement in the stability limit in relation to the movement latency, endpoint excursion, and directional control of movement variables, suggesting that the haptic information aids postural control.
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spelling doaj.art-56872dadcf68445abf80e99ddcffcb122022-12-21T23:27:32ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86868313910.1016/j.bjorl.2015.12.008S1808-86942017000100003Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular originAlmir Resende CoelhoAna Paula do Rego AndreJúlia Licursi Lambertti PerobelliLilian Shizuka SonobeDaniela Cristina Carvalho de AbreuAbstract Introduction The symptoms associated with chronic peripheral vestibulopathy exert a negative impact on the independence and quality of life of these individuals, and many individuals continue to suffer from these symptoms even after conventional vestibular rehabilitation. Objective To evaluate the acute effect of an anchor system for balance evaluation of patients with chronic dizziness who failed to respond to traditional vestibular rehabilitation. Methods Subjects over 50 years of age, presenting with chronic dizziness and postural instability of peripheral vestibular origin, participated in the study. The limit of stability was evaluated in three positions using the Balance Master® system: Position 1, standing with the arms along the body; Position 2, standing with the elbows bent at 90º (simulating holding the anchors); and Position 3, with the elbows bent at 90º holding the anchors. The variables of movement latency, endpoint excursion and directional control of movement were evaluated. Results Using the anchor system, significant reduction of time in the response at the beginning of the movement compared to Position 1 (p < 0.05); increased endpoint excursion in the left lateral direction compared to Position 1 (p < 0.05); and more directional control of movement in the anterior and posterior directions (p < 0.05) compared to the other positions, were found. Conclusion While using the system anchor, individuals with chronic peripheral vestibulopathy showed an immediate improvement in the stability limit in relation to the movement latency, endpoint excursion, and directional control of movement variables, suggesting that the haptic information aids postural control.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942017000100003&lng=en&tlng=enEquilíbrio posturalDoenças vestibularesTonturaInformação háptica
spellingShingle Almir Resende Coelho
Ana Paula do Rego Andre
Júlia Licursi Lambertti Perobelli
Lilian Shizuka Sonobe
Daniela Cristina Carvalho de Abreu
Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
Brazilian Journal of Otorhinolaryngology
Equilíbrio postural
Doenças vestibulares
Tontura
Informação háptica
title Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
title_full Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
title_fullStr Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
title_full_unstemmed Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
title_short Immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
title_sort immediate effects of an anchor system on the stability limit of individuals with chronic dizziness of peripheral vestibular origin
topic Equilíbrio postural
Doenças vestibulares
Tontura
Informação háptica
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-86942017000100003&lng=en&tlng=en
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