Evaluation of the Efficacy of Vestibular Rehabilitation Home Program Based on Brandt Daroff and Gaze Stabilization Exercises in Patients with Idiopathic Vertigo

Year 2023, , 164 - 177, 29.04.2023

Ali Erman Kent , Figen Karabekiroglu

https://doi.org/10.38079/igusabder.1186050

Abstract

Aim: The aim of this study is to evaluate the effectiveness of the vestibular rehabilitation home program consisting of Brandt Daroff and gaze stabilization exercises for individuals who do not have a diagnosed neurological and otological disease and have had vertigo for 3 months or more.
Method: Thirteen individuals, aged 25–45 years, who had vertigo, no hearing loss, and no neurological disease was included in the study. The negative effect of vertigo on the participants' activities of daily living was evaluated with the Activity-Specific Balance Confidence Scale (ABC). The individualized vestibular rehabilitation program was determined according to the direction of head movements in which dizziness increased during activities of daily living. Brandt-Daroff Exercises and gaze stabilization exercises were given as a home program as a vestibular rehabilitation program. Patients were re-evaluated 3 weeks later and 3 months later with ABC Scale. The results were compared.
Results: According to ABC Scale results, the difference between the 3rd week and 3rd month evaluations (p<0.001) and the difference between the first evaluation and 3rd month evaluations (p=0.014) were found to be statistically significant. The difference between the first evaluation and the evaluation after 3 weeks was not statistically significant (p=0.118).
Conclusion: Vestibular rehabilitation exercises to be prepared for individuals with long-term complaints of dizziness can reduce the negative effects of vertigo during daily living activities. It should be recommended that individuals do vestibular rehabilitation exercises regularly in order to observe improvement in their daily living activities.

Keywords

Vertigo, vestibular rehabilitation, exercise, home program

İdiopatik Vertigo Hastalarında Brandt Daroff ve Bakış Stabilizasyon Egzersizlerinin Etkinliğinin Değerlendirilmesi

Abstract

Amaç: Bu çalışmanın amacı, tanısı konmuş nörolojik ve otolojik hastalığı olmayan, 3 ay ve daha uzun süredir başdönmesi şikayeti olan bireyler için Brandt Daroff ve bakış stabilizasyon egzersizlerinden oluşturulan vestibüler rehabilitasyon ev programının etkinliğinin değerlendirilmesidir.
Yöntem: Çalışmaya baş dönmesi şikayeti olan, otolojik ve nörolojik hastalığı olmayan, 25–45 yaş arası, 13 birey dahil edildi. Baş dönmesinin katılımcıların günlük yaşam aktiviteleri üzerindeki olumsuz etkisi Aktiviteye Özgü Denge Güven Ölçeği (AÖDGÖ) ile değerlendirildi. Kişiye özel vestibüler rehabilitasyon programı, günlük yaşam aktiviteleri sırasında baş dönmesinin artış gösterdiği baş hareketlerinin yönüne göre belirlendi. Brandt-Daroff Egzersizleri ve bakış stabilizasyon egzersizleri ev programı şeklinde verildi. Hastalar 3 hafta sonra ve 3 ay sonra AÖDGÖ ile tekrar değerlendirildi. Sonuçlar karşılaştırıldı.
Bulgular: AÖDGÖ skorlarının sonuçlarına göre 3. hafta ile 3. ay değerlendirmeleri arasındaki fark (p<0,001) ve ilk değerlendirme ile 3. ay değerlendirmeleri arasındaki fark (p=0,014) istatistiksel olarak anlamlı bulundu. İlk değerlendirme ile 3 hafta sonraki değerlendirme skorları arasındaki fark istatistiksel olarak anlamlı değildi (p=0,118).
Sonuç: Uzun süredir baş dönmesi şikayeti olan bireyler için hazırlanacak vestibüler rehabilitasyon egzersizleri ile günlük yaşam aktiviteleri sırasında baş dönmesinin yaratacağı olumsuzluklar azaltılabilir. Bireylerin günlük yaşam aktivitelerinde iyileşme gözlenebilmesi için vestibüler rehabilitasyon egzersizlerini düzenli olarak yapmaları önerilmelidir.

Keywords

Vertigo, vestibüler rehabilitasyon, egzersiz, ev programı

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