RSS-Feed abonnieren

DOI: 10.1055/s-0045-1811175
Profile and postrehabilitation outcome of patients with vertigo in a clinic in Southern Santa Catarina
Autoren
Abstract
Background
For the purposes of the present study, we define vertigo as the sensation of rotation of the environment or of the person moving. The demand for care for this complaint has been increasing; therefore, it is important to know the profile of patients treated with this complaint, the causes, the comorbidities, the associated factors, and the response of these individuals to rehabilitation.
Objective
To analyze the epidemiological profile of patients reporting vertigo and their outcome after physiotherapeutic rehabilitation.
Methods
We conducted a descriptive cross-sectional study of secondary data analysis. The sample was collected through a census in a specialized clinic in the south of the state of Santa Catarina, Brazil. Individuals were evaluated through a questionnaire developed by the authors, which covered the patient's demographic and clinical data. The statistical analysis was performed using the IBM SPSS Statistics for Windows (IBM Corp.) software, version 23.0.
Results
A total of 200 medical records were evaluated, 5 of which were excluded due to non-adherence to treatment, totaling a sample of 195 patients. Their mean age was of 51.18 ± 16.84 years, 62.6% were female subjects, and benign paroxysmal positional vertigo (BPPV) was the most prevalent cause (55.9%), with associated symptoms such as tinnitus (30.8%) and depression and/or anxiety (29.2%). Of the 195 patients, 193 responded positively to the vestibular rehabilitation treatment, and the vertigo of 58% improved after 1 session.
Conclusion
The population older than 50 years of age is the most affected by vertigo, especially women, with BPPV as the main cause and associated symptoms such as tinnitus, depression, and anxiety. Most patients improved after the first vestibular rehabilitation session.
Data Availability Statement
The datasets generated and/or analyzed during the current study are not publicly available due to ethical, legal and privacy restrictions but are available from the corresponding author upon reasonable request.
Authors' Contributions
Conceptualization: EHP, VBF, TPB; Data curation: EHP, VBF, LF, KR, TPB; Formal analysis: EHP, VBF, KR; Funding acquisition: EHP, VBF; Investigation: EHP, LF; Methodology: EHP, VBF, LF; Project administration: EHP, TPB; Resources: EHP, VBF; Software: EHP, VBF, KR; Supervision: EHP, VBF, TPB; Validation: EHP, TPB; Visualization: EHP, VBF; Writing – original draft: EHP, VBF, TPB; Writing – review & editing: EHP, VBF, LF, TPB. All authors declare that the second author contributed equally to the writing and development of this study as the first.
Editor-in-Chief: Hélio A. G. Teive (https://orcid.org/0000-0003-2305-1073).
Associate Editor: Tamine Teixeira da Costa Capato (https://orcid.org/0000-0003-4235-4141).
Publikationsverlauf
Eingereicht: 17. März 2024
Angenommen: 03. Juni 2025
Artikel online veröffentlicht:
31. August 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil
Emanuela Hannoff Pilon, Vitor Benincá-Fernandes, Letícia Fernandes, Karina Rossa, Tatiana Pizzolotto Bruch. Profile and postrehabilitation outcome of patients with vertigo in a clinic in Southern Santa Catarina. Arq Neuropsiquiatr 2025; 83: s00451811175.
DOI: 10.1055/s-0045-1811175
-
References
- 1 Stanton M, Freeman AM. Vertigo. In: StatPearls. Treasure Island, FL: StatPearls Publishing; ; 2025
- 2 Dommaraju S, Perera E. An approach to vertigo in general practice. Aust Fam Physician 2016; 45 (04) 190-194
- 3 Kovacs E, Wang X, Grill E. Economic burden of vertigo: a systematic review. Health Econ Rev 2019; 9 (01) 37
- 4 Neuhauser HK. The epidemiology of dizziness and vertigo. Handb Clin Neurol 2016; 137: 67-82
- 5 Ciorba A, Bianchini C, Scanelli G, Pala M, Zurlo A, Aimoni C. The impact of dizziness on quality-of-life in the elderly. Eur Arch Otorhinolaryngol 2017; 274 (03) 1245-1250
- 6 Shaikh AG, Manto M. Vertigo in Cerebellar Disease-Do the Eyes Have It or Is There More to Perceive?. Cerebellum 2019; 18 (03) 295-297
- 7 Januário F, Amaral C. Fisiologia do equilíbrio. Rev SPMFR 2013; ;19(2):31–37
- 8 Strupp M, Brandt T. Peripheral vestibular disorders. Curr Opin Neurol 2013; 26 (01) 81-89
- 9 Peluso ET, Quintana MI, Ganança FF. Anxiety and depressive disorders in elderly with chronic dizziness of vestibular origin. Braz J Otorhinolaryngol 2016; 82 (02) 209-214
- 10 Ganança MM, Bittar RSM, Ganança FF, Mezzalira R, Salmito MC, Venosa AR. . As muitas atipias da VPPB. 2022: 1-8
- 11 Hoskin JL. Ménière's disease: new guidelines, subtypes, imaging, and more. Curr Opin Neurol 2022; 35 (01) 90-97
- 12 Le TN, Westerberg BD, Lea J. Vestibular Neuritis: Recent Advances in Etiology, Diagnostic Evaluation, and Treatment. Adv Otorhinolaryngol 2019; 82: 87-92
- 13 Argaet EC, Bradshaw AP, Welgampola MS. Benign positional vertigo, its diagnosis, treatment and mimics. Clin Neurophysiol Pract 2019; 4: 97-111
- 14 Kim JS, Zee DS. Clinical practice. Benign paroxysmal positional vertigo. N Engl J Med 2014; 370 (12) 1138-1147
- 15 McDonnell MN, Hillier SL. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Cochrane Database Syst Rev 2015; 1 (01) CD005397
- 16 Jiang M, Xi K. [Advances in vestibular rehabilitation in the treatment of peripheral vestibular vertigo]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2022; 36 (07) 566-570
- 17 Asal S, Sobhy O, Balbaa A. oVEMP as an objective indicator of successful repositioning maneuver. Acta Otorrinolaringol Esp (Engl Ed) 2018; 69 (03) 141-148
- 18 Herdman SJ. Vestibular rehabilitation. Curr Opin Neurol 2013; 26 (01) 96-101
- 19 Conselho Federal de Fisioterapia e Terapia Ocupacional (COFFITO). Resolução no 419, de 02 de junho de 2012. Reconhece a Reabilitação Vestibular como área de atuação do fisioterapeuta. Brasília: Diário Oficial da União; 2012 Available from: https://www.coffito.gov.br/nsite/?p=3182
- 20 Korkmaz M, Korkmaz H. Cases requiring increased number of repositioning maneuvers in benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2016; 82 (04) 452-457
- 21 Andrade Junior MC, Stefanini R, Gazzola JM, Haddad FLM, Ganança FF. Individuals with peripheral vestibulopathy and poor quality of sleep are at a higher risk for falls. Braz J Otorhinolaryngol 2021; 87 (04) 440-446
- 22 Oliveira JBS, Pinheiro HA. Associação entre tontura e fragilidade em idosos. Fisioter Bras 2022; 23 (01) 51-61
- 23 Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T. et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngol Head Neck Surg 2017; 156 (3_suppl) S1-S47
- 24 Lüscher M, Theilgaard S, Edholm B. Prevalence and characteristics of diagnostic groups amongst 1034 patients seen in ENT practices for dizziness. J Laryngol Rhinol Otol 2014; 128 (02) 128-133
- 25 Carrera ELL, Rosa MRDd, Oliveira JRMd, Lopes AC, Mondelli MFCG. . Characterization of patients with tinnitus seen by the Hearing Health service. Rev CEFAC 2022;24(6):e7922
- 26 Ribeiro MBN, Mancini PC, Bicalho MAC. Efetividade da reabilitação vestibular no equilíbrio, tontura, funcionalidade e sintomas depressivos em idosos. Audiol Commun Res 2023; 28: e2750
- 27 Kim SK, Kim YB, Park IS, Hong SJ, Kim H, Hong SM. Clinical Analysis of Dizzy Patients with High Levels of Depression and Anxiety. J Audiol Otol 2016; 20 (03) 174-178
- 28 Yang L, Ding W, Wu M. [Anxiety and depression state among patients with different type of vertigo and dizziness]. Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi 2021; 35 (05) 440-443
- 29 Toledo RCd, Formiga CKMR, Ayres FM. Association between diabetes and vestibular dysfunction: an integrative review. Rev CEFAC 2020; 22 (01) e4719
- 30 D'Silva LJ, Whitney SL, Santos M, Dai H, Kluding PM. The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo. J Diabetes Complications 2017; 31 (06) 976-982
- 31 Picciotti PM, Lucidi D, De Corso E, Meucci D, Sergi B, Paludetti G. Comorbidities and recurrence of benign paroxysmal positional vertigo: personal experience. Int J Audiol 2016; 55 (05) 279-284
- 32 Messina A, Casani AP, Manfrin M, Guidetti G. Italian survey on benign paroxysmal positional vertigo. Acta Otorhinolaryngol Ital 2017; 37 (04) 328-335
- 33 Jeong S-H, Kim J-S, Kim H-J, Choi J-Y, Koo J-W, Choi K-D. et al. Prevention of benign paroxysmal positional vertigo with vitamin D supplementation: A randomized trial. Neurology 2020; 95 (09) e1117-e1125
- 34 Whitney SL, Sparto PJ, Furman JM. Vestibular rehabilitation and factors that can affect outcome. Semin Neurol 2020; 40 (01) 165-172
- 35 Longo IA, Nunes ADM, Rocha CH, Branco FM, Moreira RR, Neves-Lobo IF. et al. Effects of a vestibular rehabilitation program on workers in the working environment: a pilot study. Rev CEFAC 2018; 20 (03) 304-312
- 36 Kundakci B, Sultana A, Taylor AJ, Alshehri MA. The effectiveness of exercise-based vestibular rehabilitation in adult patients with chronic dizziness: A systematic review. F1000 Res 2018; 7: 276
- 37 Salmito MC, EMaia FCZ, Gretes ME, Venosa A, Ganança FF, Ganança MM. et al. Neurotology: definitions and evidence-based therapies - Results of the I Brazilian Forum of Neurotology. Braz J Otorhinolaryngol 2020; 86 (02) 139-148
- 38 Whitney SL, Alghadir AH, Anwer S. . Recent Evidence About the Effectiveness of Vestibular Rehabilitation. Curr Treat Options Neurol 2016; 18(13)
- 39 Micarelli A, Viziano A, Micarelli B, Augimeri I, Alessandrini M. Vestibular rehabilitation in older adults with and without mild cognitive impairment: Effects of virtual reality using a head-mounted display. Arch Gerontol Geriatr 2019; 83: 246-256
- 40 Lopes AL, Lemos SMA, Chagas CA, Araújo SG, Santos JN. Scientific evidence of vestibular rehabilitation in primary health care: a systematic review. Audiol Commun Res 2018; 23: e2032
