Aquatic physiotherapy: a vestibular rehabilitation option

Introduction: Vestibular rehabilitation is a fundamental resource for vestibular symptom control. Its performance in the aquatic environment is considered safe for the physical activities of the elderly, because they act simultaneously on musculoskeletal disorders and balance improvement. Objective:...

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Autores principales:	Carolina Maria Maia Pereira, Jalene de Sarah Pinheiro do Vale, Wellington Pinheiro de Oliveira, Denise da Silva Pinto, Renato Valeiro Rodrigues Cal, Yaná Jinkings de Azevedo, Fayez Bahmad, Jr
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Vestibular system Vestibular rehabilitation Aquatic physiotherapy Dizziness Otorhinolaryngology RF1-547
Acceso en línea:	https://doaj.org/article/5bc1f99758014fb194def7519d840a6a
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spelling	oai:doaj.org-article:5bc1f99758014fb194def7519d840a6a2021-11-06T04:23:20ZAquatic physiotherapy: a vestibular rehabilitation option1808-869410.1016/j.bjorl.2019.12.003https://doaj.org/article/5bc1f99758014fb194def7519d840a6a2021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S1808869420300033https://doaj.org/toc/1808-8694Introduction: Vestibular rehabilitation is a fundamental resource for vestibular symptom control. Its performance in the aquatic environment is considered safe for the physical activities of the elderly, because they act simultaneously on musculoskeletal disorders and balance improvement. Objective: To evaluate the effects of an aquatic physiotherapy protocol in individuals with peripheral vestibular alterations. Methods: This was an interventional case study with a paired intentional sample of four subjects, who were selected for convenience. The subjects, all of them diagnosed with peripheral vestibulopathy, were submitted to twelve sessions of aquatic physiotherapy for vestibular rehabilitation, being evaluated for dizziness in three moments: initial, after six sessions and at the end of the sessions. The tests applied were: unipodal support to measure static balance, the Fukuda stepping test, which estimates the dynamic balance and the dizziness handicap inventory protocol, aimed at verifying how dizziness influences daily life. Results: When analyzing the static balance, initially the individuals were in the adaptive and abnormal dimensions, and all reached normality at the end of the protocol. Regarding the dynamic balance, the individuals initially showed marked impairment in the angular deviation, mainly to the side of pathology (75% to the left and 25% to the right), achieving improvement at the end of the study. However, it failed to reach statistical significance. The dizziness handicap inventory showed a statistically significant difference in its totality (p = 0.0414), which addresses the physical, functional and emotional factors. Conclusion: In conclusion, the aquatic physiotherapy protocol for vestibular rehabilitation of patients with peripheral impairment was positively assessed by the participants, considering the improvement in dizziness (static and dynamic) and its impact on daily activities.Carolina Maria Maia PereiraJalene de Sarah Pinheiro do ValeWellington Pinheiro de OliveiraDenise da Silva PintoRenato Valeiro Rodrigues CalYaná Jinkings de AzevedoFayez Bahmad, JrElsevierarticleVestibular systemVestibular rehabilitationAquatic physiotherapyDizzinessOtorhinolaryngologyRF1-547ENBrazilian Journal of Otorhinolaryngology, Vol 87, Iss 6, Pp 649-654 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Vestibular system Vestibular rehabilitation Aquatic physiotherapy Dizziness Otorhinolaryngology RF1-547
spellingShingle	Vestibular system Vestibular rehabilitation Aquatic physiotherapy Dizziness Otorhinolaryngology RF1-547 Carolina Maria Maia Pereira Jalene de Sarah Pinheiro do Vale Wellington Pinheiro de Oliveira Denise da Silva Pinto Renato Valeiro Rodrigues Cal Yaná Jinkings de Azevedo Fayez Bahmad, Jr Aquatic physiotherapy: a vestibular rehabilitation option
description	Introduction: Vestibular rehabilitation is a fundamental resource for vestibular symptom control. Its performance in the aquatic environment is considered safe for the physical activities of the elderly, because they act simultaneously on musculoskeletal disorders and balance improvement. Objective: To evaluate the effects of an aquatic physiotherapy protocol in individuals with peripheral vestibular alterations. Methods: This was an interventional case study with a paired intentional sample of four subjects, who were selected for convenience. The subjects, all of them diagnosed with peripheral vestibulopathy, were submitted to twelve sessions of aquatic physiotherapy for vestibular rehabilitation, being evaluated for dizziness in three moments: initial, after six sessions and at the end of the sessions. The tests applied were: unipodal support to measure static balance, the Fukuda stepping test, which estimates the dynamic balance and the dizziness handicap inventory protocol, aimed at verifying how dizziness influences daily life. Results: When analyzing the static balance, initially the individuals were in the adaptive and abnormal dimensions, and all reached normality at the end of the protocol. Regarding the dynamic balance, the individuals initially showed marked impairment in the angular deviation, mainly to the side of pathology (75% to the left and 25% to the right), achieving improvement at the end of the study. However, it failed to reach statistical significance. The dizziness handicap inventory showed a statistically significant difference in its totality (p = 0.0414), which addresses the physical, functional and emotional factors. Conclusion: In conclusion, the aquatic physiotherapy protocol for vestibular rehabilitation of patients with peripheral impairment was positively assessed by the participants, considering the improvement in dizziness (static and dynamic) and its impact on daily activities.
format	article
author	Carolina Maria Maia Pereira Jalene de Sarah Pinheiro do Vale Wellington Pinheiro de Oliveira Denise da Silva Pinto Renato Valeiro Rodrigues Cal Yaná Jinkings de Azevedo Fayez Bahmad, Jr
author_facet	Carolina Maria Maia Pereira Jalene de Sarah Pinheiro do Vale Wellington Pinheiro de Oliveira Denise da Silva Pinto Renato Valeiro Rodrigues Cal Yaná Jinkings de Azevedo Fayez Bahmad, Jr
author_sort	Carolina Maria Maia Pereira
title	Aquatic physiotherapy: a vestibular rehabilitation option
title_short	Aquatic physiotherapy: a vestibular rehabilitation option
title_full	Aquatic physiotherapy: a vestibular rehabilitation option
title_fullStr	Aquatic physiotherapy: a vestibular rehabilitation option
title_full_unstemmed	Aquatic physiotherapy: a vestibular rehabilitation option
title_sort	aquatic physiotherapy: a vestibular rehabilitation option
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/5bc1f99758014fb194def7519d840a6a
work_keys_str_mv	AT carolinamariamaiapereira aquaticphysiotherapyavestibularrehabilitationoption AT jalenedesarahpinheirodovale aquaticphysiotherapyavestibularrehabilitationoption AT wellingtonpinheirodeoliveira aquaticphysiotherapyavestibularrehabilitationoption AT denisedasilvapinto aquaticphysiotherapyavestibularrehabilitationoption AT renatovaleirorodriguescal aquaticphysiotherapyavestibularrehabilitationoption AT yanajinkingsdeazevedo aquaticphysiotherapyavestibularrehabilitationoption AT fayezbahmadjr aquaticphysiotherapyavestibularrehabilitationoption
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Aquatic physiotherapy: a vestibular rehabilitation option

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