Cervical Mobility and Vestibular Rehabilitation
Condition: Vestibular Diseases
MeSH terms: Vestibular Diseases
Study type: Interventional

Summary: 
      Vertigo, dizziness and imbalance are the main symptoms of vestibular dysfunction. They can
      lead to physical consequences, such as the reduction of postural control and falls,
      psychological and / or psychiatric consequences such as anxiety and depression, panic and
      cognitive changes, especially in the elderly. It is known that individuals affected by these
      disorders may improve with the completion of vestibular rehabilitation protocol.Treatment
      protocols can introduce variability of exercises to control the signs and symptoms related to
      vestibular diseases, in order to customize the treatment to affected individuals .
    

Detailed description: 
      The objective of this study will be to compare the effectiveness of a multisensory exercises
      protocol of vestibular rehabilitation versus conventional protocol of Cawthorne & Cooksey
      exercises for the treatment of patients with vestibular disorders. Methods: There will be a
      Clinical Trial Random, blind, Hidden Allocation. The sample will consist of 54 subjects
      submitted to two different protocols of vestibular rehabilitation exercises (Intervention
      Group (IG) and Control Group (CG)), to be held with individual treatment once a week,
      totaling 12 attendences. All will be assessed before and after treatment and the main
      variables analyzed are general characteristics of the clinical signs and symptoms caused by
      vestibular diseases, perception of quality of life and functional capacity paras activities
      of daily life, body flexibility, range of motion in the region cervical, parameters of static
      and dynamic postural balance and the perception of the results promoted by the treatment of
      vestibular rehabilitation and will compare the results of the groups. Expected results: It is
      expected, clinically, that subjects who receive treatment through multisensory exercises
      Protocol for VR present reduction of clinical signs and symptoms of dizziness, complaints of
      pains and cervical joint limitations, parameters of improvement related to postural balance,
      aspects of functional capacity and quality of life.
    

Intervention name(s): Intervention Group (IG); Control Group (CG)
Intervention type(s): Other; Other
Intervention description(s): Therapeutic approaches to this proposal are intended to promote muscle relaxation to increase range of motion and analgesia of neck and shoulder girdle region, as well as the fascial release these regions with the intervention of cervical global pompage, exercises for body mobility for upper limb and trunk in the positions supine, lateral and dorsal, sitting and standing and gradually followed by proprioceptive exercises to the lower limbs and trunk in sitting and standing positions with aid devices such as foams, pool baguettes, balance boards, Swiss balls, steps, trampolines and BOSU ( BOSU® Home Balance Trainer ).
The exercises will be held in individual treatments lasting sixty minutes with a frequency of once a week for all group members.; The exercises consist of eye movements in different directions, slow and fast; head movements in different planes, with open and closed eyes, slow and fast; and body exercises such as lifting and sit, walk open and closed eyes, up and down ramps and stairs, as well as some activities and ball games.
The exercises will be held in individual treatments lasting sixty minutes with a frequency of once a week for all group members.
Other intervention name(s): Multisensory Exercises Protocol of Vestibular Rehabilitation; Conventional Protocol of Cawthorne & Cooksey Exercises
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Investigator)
Primary purpose: Treatment
Keywords: Rehabilitation; Physical Therapy Specialty; Postural Balance; Vertigo; Dizziness