Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_SP |
Texto Completo: | https://tede2.pucsp.br/handle/handle/19615 |
Resumo: | INTRODUCTION: Dizziness is a very common symptom and it affects mainly adults and the elderly. It can lead to significant damage, disrupting the patient´s quality of life. Considering the high prevalence of reported dizziness in the population, many studies have been carried out in order to both identify its possible causes and develop speech therapy intervention techniques. OBJECTIVE: To evaluate the benefits of speech therapy intervention in adults and elderly people with dizziness. METHOD: Prospective and longitudinal clinical study conducted on a sample of 20 patients with complaints of dizziness, of both sexes and aged between 48 and 85 years of age (average of 66 years of age). All subjects were referred to vestibular rehabilitation by medical indication and they underwent ten sessions of exercises based and adapted from the Cawthorne (1944) and Cooksey (1946) Protocol. In addition, we applied the Dizziness Handicap Inventory (DHI), the Geriatric Depression Scale (GDS) and the Dizziness Quantification Scale questionnaires in three moments: before the intervention, at the fifth session of speech therapy intervention and after the tenth session. At the end of the ten sessions, all subjects answered a question concerning the improvement of the dizziness symptomatology. We used the questionnaires in the three moments of intervention both for comparison purposes and for the assessment of the effectiveness of the treatment. RESULTS: After the intervention, 17 subjects (85%) showed improvement in the DHI score and 18 (90%) reported improvement in the dizziness symptomatology. In spite of the fact that the three tests had a decrease in average in the three moments, we observed intervention interference only in relation to the DHI. The symptoms of depression, anxiety and insecurity were considered as influence variables in the intervention results. Cronbach’s Alpha showed that the DHI delivers a good consistency level, whereas GDS-5 showed only reasonable significance. CONCLUSION: The speech therapy intervention on dizziness proved to be effective. We observed there was a greater benefit in the 10-session intervention, when compared to the 5-session intervention. The use of questionnaires to assess the result of the interventions is an important instrument in the assessment of the treatment effectiveness. However, self-reference and clinical hearing should be taken into account |
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Fiorini, Ana Claudiahttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4335107Z0Rosa, Luiza Diniz da2017-01-10T11:32:24Z2016-12-12Rosa, Luiza Diniz da. Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura. 2016. 80 f. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo, 2016.https://tede2.pucsp.br/handle/handle/19615INTRODUCTION: Dizziness is a very common symptom and it affects mainly adults and the elderly. It can lead to significant damage, disrupting the patient´s quality of life. Considering the high prevalence of reported dizziness in the population, many studies have been carried out in order to both identify its possible causes and develop speech therapy intervention techniques. OBJECTIVE: To evaluate the benefits of speech therapy intervention in adults and elderly people with dizziness. METHOD: Prospective and longitudinal clinical study conducted on a sample of 20 patients with complaints of dizziness, of both sexes and aged between 48 and 85 years of age (average of 66 years of age). All subjects were referred to vestibular rehabilitation by medical indication and they underwent ten sessions of exercises based and adapted from the Cawthorne (1944) and Cooksey (1946) Protocol. In addition, we applied the Dizziness Handicap Inventory (DHI), the Geriatric Depression Scale (GDS) and the Dizziness Quantification Scale questionnaires in three moments: before the intervention, at the fifth session of speech therapy intervention and after the tenth session. At the end of the ten sessions, all subjects answered a question concerning the improvement of the dizziness symptomatology. We used the questionnaires in the three moments of intervention both for comparison purposes and for the assessment of the effectiveness of the treatment. RESULTS: After the intervention, 17 subjects (85%) showed improvement in the DHI score and 18 (90%) reported improvement in the dizziness symptomatology. In spite of the fact that the three tests had a decrease in average in the three moments, we observed intervention interference only in relation to the DHI. The symptoms of depression, anxiety and insecurity were considered as influence variables in the intervention results. Cronbach’s Alpha showed that the DHI delivers a good consistency level, whereas GDS-5 showed only reasonable significance. CONCLUSION: The speech therapy intervention on dizziness proved to be effective. We observed there was a greater benefit in the 10-session intervention, when compared to the 5-session intervention. The use of questionnaires to assess the result of the interventions is an important instrument in the assessment of the treatment effectiveness. However, self-reference and clinical hearing should be taken into accountINTRODUÇÃO: a tontura é um sintoma muito comum e afeta principalmente adultos e idosos. Pode levar a prejuízos significativos, atrapalhando a qualidade de vida. Considerando a alta prevalência da queixa de tontura na população, muitos estudos têm sido realizados com o objetivo tanto de identificar as possíveis causas, quanto de desenvolver técnicas de intervenção fonoaudiológica. OBJETIVO: avaliar o benefício da intervenção fonoaudiológica em adultos e idosos com tontura. MÉTODO: estudo clínico prospectivo e longitudinal realizado em uma amostra de 20 pacientes com queixa de tontura, de ambos os sexos e com idade entre 48 e 85 anos (média de 66 anos). Todos os sujeitos foram encaminhados para reabilitação vestibular por indicação médica e realizaram dez sessões de exercícios, baseados e adaptados do Protocolo de Cawthorne (1944) e Cooksey (1946). Além disso, foram aplicados os questionários Dizziness Handicap Inventory (DHI), Escala Geriátrica de Depressão (GDS) e Escala de Quantificação da Tontura (QT) em três momentos: antes da intervenção, na 5ª sessão de intervenção fonoaudiológica e após a décima sessão. No término das dez sessões, todos responderam a uma questão referente à melhoria do sintoma de tontura. Os questionários foram utilizados para fins comparativos entre os três momentos da intervenção e para avaliação da efetividade do tratamento. RESULTADOS: após a intervenção, 17 sujeitos (85%) apresentaram melhora no escore do DHI e 18 (90%) relataram melhora do sintoma de tontura. Apesar dos três testes terem tido diminuição das médias nos três momentos, foi observada interferência da intervenção apenas em relação ao DHI. Os sintomas de depressão, ansiedade e insegurança foram considerados como variáveis de influência nos resultados das intervenções. O Alfa de Conbrach mostrou que o DHI apresenta um bom nível de consistência, já a GDS-15 demonstrou significância razoável. CONCLUSÃO: a intervenção fonoaudiológica na tontura mostrou-se efetiva. Foi observado maior benefício quanto a intervenção com 10 sessões, quando comparado a 5 sessões. O uso de questionários para verificar o resultado das intervenções consiste em um importante instrumento de avaliação da efetividade do tratamento. Entretanto, a auto-referência e a escuta clínica devem ser valorizadasConselho Nacional de Pesquisa e Desenvolvimento Científico e Tecnológico - CNPqapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/40761/Luiza%20Diniz%20da%20Rosa.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBrasilFaculdade de Ciências Humanas e da SaúdeTonturaVertigemEquilíbrioDizzinessVertigoBalanceCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAAvaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tonturainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTLuiza Diniz da Rosa.pdf.txtLuiza Diniz da Rosa.pdf.txtExtracted texttext/plain130285https://repositorio.pucsp.br/xmlui/bitstream/handle/19615/5/Luiza%20Diniz%20da%20Rosa.pdf.txt92a4b45ae0b2a40aee31caec958fe657MD55ORIGINALLuiza Diniz da Rosa.pdfLuiza Diniz da Rosa.pdfapplication/pdf1572053https://repositorio.pucsp.br/xmlui/bitstream/handle/19615/2/Luiza%20Diniz%20da%20Rosa.pdf0d46bf8493716356da06f9d1a1d0253aMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165https://repositorio.pucsp.br/xmlui/bitstream/handle/19615/3/license.txtbd3efa91386c1718a7f26a329fdcb468MD53THUMBNAILLuiza Diniz da Rosa.pdf.jpgLuiza Diniz da Rosa.pdf.jpgGenerated Thumbnailimage/jpeg1943https://repositorio.pucsp.br/xmlui/bitstream/handle/19615/4/Luiza%20Diniz%20da%20Rosa.pdf.jpgcc73c4c239a4c332d642ba1e7c7a9fb2MD54handle/196152022-04-28 18:19:58.192oai:repositorio.pucsp.br: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Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-28T21:19:58Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
title |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
spellingShingle |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura Rosa, Luiza Diniz da Tontura Vertigem Equilíbrio Dizziness Vertigo Balance CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
title_full |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
title_fullStr |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
title_full_unstemmed |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
title_sort |
Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura |
author |
Rosa, Luiza Diniz da |
author_facet |
Rosa, Luiza Diniz da |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Fiorini, Ana Claudia |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4335107Z0 |
dc.contributor.author.fl_str_mv |
Rosa, Luiza Diniz da |
contributor_str_mv |
Fiorini, Ana Claudia |
dc.subject.por.fl_str_mv |
Tontura Vertigem Equilíbrio |
topic |
Tontura Vertigem Equilíbrio Dizziness Vertigo Balance CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Dizziness Vertigo Balance |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
INTRODUCTION: Dizziness is a very common symptom and it affects mainly adults and the elderly. It can lead to significant damage, disrupting the patient´s quality of life. Considering the high prevalence of reported dizziness in the population, many studies have been carried out in order to both identify its possible causes and develop speech therapy intervention techniques. OBJECTIVE: To evaluate the benefits of speech therapy intervention in adults and elderly people with dizziness. METHOD: Prospective and longitudinal clinical study conducted on a sample of 20 patients with complaints of dizziness, of both sexes and aged between 48 and 85 years of age (average of 66 years of age). All subjects were referred to vestibular rehabilitation by medical indication and they underwent ten sessions of exercises based and adapted from the Cawthorne (1944) and Cooksey (1946) Protocol. In addition, we applied the Dizziness Handicap Inventory (DHI), the Geriatric Depression Scale (GDS) and the Dizziness Quantification Scale questionnaires in three moments: before the intervention, at the fifth session of speech therapy intervention and after the tenth session. At the end of the ten sessions, all subjects answered a question concerning the improvement of the dizziness symptomatology. We used the questionnaires in the three moments of intervention both for comparison purposes and for the assessment of the effectiveness of the treatment. RESULTS: After the intervention, 17 subjects (85%) showed improvement in the DHI score and 18 (90%) reported improvement in the dizziness symptomatology. In spite of the fact that the three tests had a decrease in average in the three moments, we observed intervention interference only in relation to the DHI. The symptoms of depression, anxiety and insecurity were considered as influence variables in the intervention results. Cronbach’s Alpha showed that the DHI delivers a good consistency level, whereas GDS-5 showed only reasonable significance. CONCLUSION: The speech therapy intervention on dizziness proved to be effective. We observed there was a greater benefit in the 10-session intervention, when compared to the 5-session intervention. The use of questionnaires to assess the result of the interventions is an important instrument in the assessment of the treatment effectiveness. However, self-reference and clinical hearing should be taken into account |
publishDate |
2016 |
dc.date.issued.fl_str_mv |
2016-12-12 |
dc.date.accessioned.fl_str_mv |
2017-01-10T11:32:24Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Rosa, Luiza Diniz da. Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura. 2016. 80 f. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo, 2016. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/19615 |
identifier_str_mv |
Rosa, Luiza Diniz da. Avaliação do benefício da intervenção fonoaudiológica em adultos e idosos com tontura. 2016. 80 f. Dissertação (Mestrado em Fonoaudiologia) - Programa de Estudos Pós-Graduados em Fonoaudiologia, Pontifícia Universidade Católica de São Paulo, São Paulo, 2016. |
url |
https://tede2.pucsp.br/handle/handle/19615 |
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por |
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por |
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Pontifícia Universidade Católica de São Paulo |
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Programa de Estudos Pós-Graduados em Fonoaudiologia |
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PUC-SP |
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Brasil |
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Faculdade de Ciências Humanas e da Saúde |
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Pontifícia Universidade Católica de São Paulo |
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