Öz
Aim: The aim is to compare fatigue severity in patients with unilateral and bilateral vestibular hypofunction.
Method: Patients with complaints of dizziness and balance were included in the study. The degree and direction of hypofunction of the patients were determined with videonystagmography test. Numerical Pain Scale was used to evaluate fatigue severity. Fatigue severity in patients with unilateral and bilateral vestibular hypofunction (VH) was compared.
Results: 100 patients with a mean age of 49.25±14.67 years were included in the study. It was observed that 37% of these patients had Right VH, 30% had Left VH and 33% had Bilateral VH. According to the hypofunction table, the fatigue severity of the groups was 6.57±1.96 in Right VH, 6.79±1.34 in Left VH and 7.51±1.44 in Bilateral VH. When fatigue severity was compared between the groups, no statistical superiority was found (p≥0.05).
Conclusion: There is no difference between the fatigue levels in Unilateral and Bilateral VH patients.
Anahtar Kelimeler
Bilateral vestibular hypofunction unilateral vestibular hypofunction fatigue
Kaynakça
- 1. Ozbal Batuk M, Aksoy S. Vestibüler rehabilitasyon. Turkiye Klinikleri Ear Nose and Throat-Special Topics. 2015;8(3):95-98.
- 2. Burzynski J, Sulway S, Rutka JA. Vestibular rehabilitation: Review of indications, treatments, advances, and limitations. Current Otorhinolaryngology Reports. 2017;5:160-6.
- 3. Porciuncula F, Johnson CC, Glickman LB. The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: A systematic review. Journal of Vestibular Research. 2012;22(5-6):283-298.
- 4. Brodovsky JR, Vnenchak MJ. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Physical Therapy. 2013;93(3): 293-298.
- 5. Herdman SJ, Schubert MC, Das VE, Tusa RJ. Recovery of dynamic visual acuity in unilateral vestibular hypofunction. Archives of Otolaryngology–Head & Neck Surgery. 2003;129(8):819-824.
- 6. Si L, Cui B, Li Z, et al. Altered resting‐state intranetwork and internetwork functional connectivity in patients with chronic unilateral vestibulopathy. Journal of Magnetic Resonance Imaging. 2022;56(1):291-300.
- 7. Zingler VC, Weintz E, Jahn K, et al. Causative factors, epidemiology, and follow‐up of bilateral vestibulopathy. Annals of the New York Academy of Sciences. 2009;1164(1):505-8.
- 8. Genç SG, Budak M, Yilmaz MS, Algun ZC. Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, fatigue, quality of sleep, activities of daily living, and quality of life in bilateral vestibular hypofunction. Medicine. 2023;102(30):e34435.
- 9. Sever E, Kiliç G, Algun ZC. The effects of vestibular rehabilitation on kinesiophobia and balance with individuals who has vestibular hypofunction. Indian Journal of Otolaryngology and Head & Neck Surgery. 2022;74(Suppl 3):4319-4324.
- 10. Naik C. Investigating a patient of vertigo: Where do we stand today? Indian J Otol. 2017;23(2):63.
- 11. McCaslin DL. A volume in the Core Clinical Concepts in Audiology Series, Electronystagmography and Videonystagmography, 1nd ed. Ireland: Plural Publishing; 2013.
- 12. Starkov D, Strupp M, Pleshkov M, Kingma H, van de Berg R. Diagnosing vestibular hypofunction: An update. J Neurol. 2021;268(1):377-85.
- 13. Chari DA, Madhani A, Sharon JD, Lewis RF. Evidence for cognitive impairment in patients with vestibular disorders. Journal of Neurology. 2022;269(11):5831-5842.
- 14. Hanes DA, McCollum G. Cognitive-vestibular interactions: a review of patient difficulties and possible mechanisms. Journal of Vestibular Research. 2006;16(3):75-91.
- 15. Lopez C, Blanke O. The thalamocortical vestibular system in animals and humans. Brain Res Rev. 2011;67(1-2):119-46.
- 16. Schautzer F, Hamilton D, Kalla R, Strupp M, Brandt T. Spatial memory deficits in patients with chronic bilateral vestibular failure. Annals of the New York Academy of Sciences. 2003;1004(1):316-324.
- 17. Hüfner K, Hamilton DA, Kalla R, et al. Spatial memory and hippocampal volume in humans with unilateral vestibular deafferentation. Hippocampus. 2007;17(6):471-485.
- 18. Dieterich M, Brandt T. Functional brain imaging of peripheral and central vestibular disorders. Brain. 2008;131(10):2538-2552.
- 19. Harun A, Semenov YR, Agrawal Y. Vestibular function and activities of daily living: Analysis of the 1999 to 2004 National Health and Nutrition Examination Surveys. Gerontology and Geriatric Medicine. 2015;1:2333721415607124.
- 20. Tramontano M, Martino Cinnera A, Manzari L, et al. Vestibular rehabilitation has positive effects on balance, fatigue and activities of daily living in highly disabled multiple sclerosis people: A preliminary randomized controlled trial. Restorative Neurology and Neuroscience. 2018;36(6):709-718.
- 21. Ghaffari A, Asadi B, Zareian A, Akbarfahimi M, Raissi GR, Fathali Lavasani F. The effects of vestibular rehabilitation on poststroke fatigue: A randomized controlled trial study. Stroke Research and Treatment. 2022;2022(1):3155437.
Öz
Amaç: Unilateral ve bilateral vestibüler hipofonksiyonu (VH) olan hastalarda yorgunluk şiddetini karşılaştırmak amaçlanmıştır.
Yöntem: Baş dönmesi ve denge şikayeti olan hastalar çalışmaya katıldı. Hastaların hipofonksiyonunun derecesi ve yönü videonistagmografi testi ile belirlendi. Yorgunluk şiddetini değerlendirmek için Sayısal Ağrı Skalası kullanıldı. Unilateral ve bilateral vestibüler hipofonksiyonu olan hastalarda yorgunluk şiddeti karşılaştırıldı.
Bulgular: Çalışmaya yaş ortalaması 49,25±14,67 yıl olan 100 hasta dahil edildi. Bu hastaların %37'sinin Sağ VH, %30'unun Sol VH ve %33'ünün Bilateral VH olduğu görüldü. Hipofonksiyon tablosuna göre grupların yorgunluk şiddeti Sağ VH'de 6,57±1,96, Sol VH'de 6,79±1,34 ve Bilateral VH'de 7,51±1,44 idi. Gruplar arasında yorgunluk şiddeti karşılaştırıldığında istatistiksel olarak üstünlük bulunmamıştır (p≥0,05).
Sonuç: Unilateral ve bilateral VH hastalarında yorgunluk seviyeleri arasında fark yoktur.
Anahtar Kelimeler
Bilateral vestibüler hipofonksiyon unilateral vestibüler hipofonksiyon yorgunluk
Kaynakça
- 1. Ozbal Batuk M, Aksoy S. Vestibüler rehabilitasyon. Turkiye Klinikleri Ear Nose and Throat-Special Topics. 2015;8(3):95-98.
- 2. Burzynski J, Sulway S, Rutka JA. Vestibular rehabilitation: Review of indications, treatments, advances, and limitations. Current Otorhinolaryngology Reports. 2017;5:160-6.
- 3. Porciuncula F, Johnson CC, Glickman LB. The effect of vestibular rehabilitation on adults with bilateral vestibular hypofunction: A systematic review. Journal of Vestibular Research. 2012;22(5-6):283-298.
- 4. Brodovsky JR, Vnenchak MJ. Vestibular rehabilitation for unilateral peripheral vestibular dysfunction. Physical Therapy. 2013;93(3): 293-298.
- 5. Herdman SJ, Schubert MC, Das VE, Tusa RJ. Recovery of dynamic visual acuity in unilateral vestibular hypofunction. Archives of Otolaryngology–Head & Neck Surgery. 2003;129(8):819-824.
- 6. Si L, Cui B, Li Z, et al. Altered resting‐state intranetwork and internetwork functional connectivity in patients with chronic unilateral vestibulopathy. Journal of Magnetic Resonance Imaging. 2022;56(1):291-300.
- 7. Zingler VC, Weintz E, Jahn K, et al. Causative factors, epidemiology, and follow‐up of bilateral vestibulopathy. Annals of the New York Academy of Sciences. 2009;1164(1):505-8.
- 8. Genç SG, Budak M, Yilmaz MS, Algun ZC. Effects of structured exercise program on severity of dizziness, kinesiophobia, balance, fatigue, quality of sleep, activities of daily living, and quality of life in bilateral vestibular hypofunction. Medicine. 2023;102(30):e34435.
- 9. Sever E, Kiliç G, Algun ZC. The effects of vestibular rehabilitation on kinesiophobia and balance with individuals who has vestibular hypofunction. Indian Journal of Otolaryngology and Head & Neck Surgery. 2022;74(Suppl 3):4319-4324.
- 10. Naik C. Investigating a patient of vertigo: Where do we stand today? Indian J Otol. 2017;23(2):63.
- 11. McCaslin DL. A volume in the Core Clinical Concepts in Audiology Series, Electronystagmography and Videonystagmography, 1nd ed. Ireland: Plural Publishing; 2013.
- 12. Starkov D, Strupp M, Pleshkov M, Kingma H, van de Berg R. Diagnosing vestibular hypofunction: An update. J Neurol. 2021;268(1):377-85.
- 13. Chari DA, Madhani A, Sharon JD, Lewis RF. Evidence for cognitive impairment in patients with vestibular disorders. Journal of Neurology. 2022;269(11):5831-5842.
- 14. Hanes DA, McCollum G. Cognitive-vestibular interactions: a review of patient difficulties and possible mechanisms. Journal of Vestibular Research. 2006;16(3):75-91.
- 15. Lopez C, Blanke O. The thalamocortical vestibular system in animals and humans. Brain Res Rev. 2011;67(1-2):119-46.
- 16. Schautzer F, Hamilton D, Kalla R, Strupp M, Brandt T. Spatial memory deficits in patients with chronic bilateral vestibular failure. Annals of the New York Academy of Sciences. 2003;1004(1):316-324.
- 17. Hüfner K, Hamilton DA, Kalla R, et al. Spatial memory and hippocampal volume in humans with unilateral vestibular deafferentation. Hippocampus. 2007;17(6):471-485.
- 18. Dieterich M, Brandt T. Functional brain imaging of peripheral and central vestibular disorders. Brain. 2008;131(10):2538-2552.
- 19. Harun A, Semenov YR, Agrawal Y. Vestibular function and activities of daily living: Analysis of the 1999 to 2004 National Health and Nutrition Examination Surveys. Gerontology and Geriatric Medicine. 2015;1:2333721415607124.
- 20. Tramontano M, Martino Cinnera A, Manzari L, et al. Vestibular rehabilitation has positive effects on balance, fatigue and activities of daily living in highly disabled multiple sclerosis people: A preliminary randomized controlled trial. Restorative Neurology and Neuroscience. 2018;36(6):709-718.
- 21. Ghaffari A, Asadi B, Zareian A, Akbarfahimi M, Raissi GR, Fathali Lavasani F. The effects of vestibular rehabilitation on poststroke fatigue: A randomized controlled trial study. Stroke Research and Treatment. 2022;2022(1):3155437.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Fiziksel Tıp ve Rehabilitasyon |
| Bölüm | Makaleler |
| Yazarlar | |
| Erken Görünüm Tarihi | 29 Nisan 2025 |
| Yayımlanma Tarihi | 29 Nisan 2025 |
| Gönderilme Tarihi | 19 Ekim 2024 |
| Kabul Tarihi | 24 Şubat 2025 |
| Yayımlandığı Sayı | Yıl 2025 Sayı: 25 |
Alıntı-Gayriticari-Türetilemez 4.0 Uluslararası (CC BY-NC-ND 4.0)