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Reabilitação Vestibular à pessoa com hipofunção vestibular periférica em fase aguda: uma scoping review
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Advisor(s)
Abstract(s)
A vertigem é uma causa frequente de assistência médica, sendo um sintoma não específico e muitas vezes incapacitante, cujas queixas podem durar vários meses.
A persistência e recorrência sintomática pode dever-se a estratégias compensatórias inadequadas após um episódio vestibular agudo. A reabilitação vestibular, através de um programa de exercícios específicos, tem como propósito promover ou acelerar a compensação vestibular, reduzindo a sintomatologia associada, com impacto na qualidade de vida.
Objetivos: Mapear estratégias de reabilitação vestibular dirigidas à pessoa em fase aguda de hipofunção vestibular periférica; Analisar o tempo de início da implementação das estratégias de reabilitação utilizadas em fase aguda na pessoa com hipofunção vestibular periférica, e duração das mesmas; Examinar os resultados da implementação das estratégias de reabilitação em fase aguda na pessoa com hipofunção vestibular periférica; Identificar os contributos para a enfermagem de Reabilitação.
Métodos: Scoping Review orientada pela metodologia proposta pelo Joanna Briggs Institute para a realização de Scoping Reviews. Foram considerados para inclusão nesta revisão estudos de acesso livre, escritos em inglês, espanhol e português, sem limite temporal, com exercícios dirigidos a hipofunção vestibular periférica aguda, pesquisados nas seguintes fontes bibliográficas: CINAHL Complete, MEDLINE Complete e Cochrane Central Register of Controlled Trials (Via EBSCO); PubMed; Google Scholar, PeDro, RCAAP;
Resultados: Após triagem e seleção, foram incluídos 10 artigos para análise. A RV foi a intervenção mais frequentemente referenciada, mas observou-se uma grande variabilidade nas diversas características dos exercícios descritos.
Conclusão: Os estudos incluídos demonstraram que a reabilitação vestibular, quando iniciada precocemente, pode ser uma abordagem segura e eficaz na redução de sintomas e na aceleração da compensação vestibular, contribuindo ainda para reduzir o impacto psicológico e a ansiedade. Estes resultados poderão contribuir para estruturação de um programa de reabilitação à pessoa com hipofunção vestibular em fase aguda.
Vertigo is a common reason for seeking medical care, as it is a non-specific and frequently debilitating symptom, with complaints that may persist for several months. The persistence and recurrence of symptoms may be related to inadequate compensatory strategies following an acute vestibular episode. Vestibular rehabilitation (VR), implemented through a program of specific exercises, aims to promote or accelerate vestibular compensation, thereby reducing associated symptoms and improving quality of life. Objective: To map vestibular rehabilitation strategies aimed at individuals in the acute phase of peripheral vestibular hypofunction; To analyze the time of onset of implementation of rehabilitation strategies aimed at individuals in the acute phase of peripheral vestibular hypofunction, and their duration; To evaluate the results of the implementation of rehabilitation strategies aimed at individuals in the acute phase of peripheral vestibular hypofunction; Identify the contributions to Rehabilitation Nursing. Methods: This scoping review was guided by the methodology proposed by the Joanna Briggs Institute for conducting scoping reviews. Open-access studies, written in English, Spanish, and Portuguese, with no time restrictions and addressing acute peripheral vestibular hypofunction, were considered for inclusion in this review. These studies were searched in the following bibliographic sources: CINAHL Complete, MEDLINE Complete, and the Cochrane Central Register of Controlled Trials (via EBSCO); PubMed; Google Scholar, PeDro, RCAAP; Results: After screening and selection, 10 articles were included for analysis. VR was the most frequently reported intervention, although a high degree of variability was observed in the different characteristics of the exercises described. Conclusion: The included studies demonstrated that when initiated early, vestibular rehabilitation can be a safe and effective approach to reducing symptoms and accelerating vestibular compensation. Moreover, it may contribute to reducing psychological distress and anxiety. These results may support the development of a rehabilitation program for individuals experiencing acute peripheral vestibular hypofunction.
Vertigo is a common reason for seeking medical care, as it is a non-specific and frequently debilitating symptom, with complaints that may persist for several months. The persistence and recurrence of symptoms may be related to inadequate compensatory strategies following an acute vestibular episode. Vestibular rehabilitation (VR), implemented through a program of specific exercises, aims to promote or accelerate vestibular compensation, thereby reducing associated symptoms and improving quality of life. Objective: To map vestibular rehabilitation strategies aimed at individuals in the acute phase of peripheral vestibular hypofunction; To analyze the time of onset of implementation of rehabilitation strategies aimed at individuals in the acute phase of peripheral vestibular hypofunction, and their duration; To evaluate the results of the implementation of rehabilitation strategies aimed at individuals in the acute phase of peripheral vestibular hypofunction; Identify the contributions to Rehabilitation Nursing. Methods: This scoping review was guided by the methodology proposed by the Joanna Briggs Institute for conducting scoping reviews. Open-access studies, written in English, Spanish, and Portuguese, with no time restrictions and addressing acute peripheral vestibular hypofunction, were considered for inclusion in this review. These studies were searched in the following bibliographic sources: CINAHL Complete, MEDLINE Complete, and the Cochrane Central Register of Controlled Trials (via EBSCO); PubMed; Google Scholar, PeDro, RCAAP; Results: After screening and selection, 10 articles were included for analysis. VR was the most frequently reported intervention, although a high degree of variability was observed in the different characteristics of the exercises described. Conclusion: The included studies demonstrated that when initiated early, vestibular rehabilitation can be a safe and effective approach to reducing symptoms and accelerating vestibular compensation. Moreover, it may contribute to reducing psychological distress and anxiety. These results may support the development of a rehabilitation program for individuals experiencing acute peripheral vestibular hypofunction.
Description
Keywords
Vestibular diseases Acute peripheral vestibulopathy Rehabilitation Exercise