Dizziness is very common, but it is never normal. Dizziness can make performing daily activities, work, and walking difficult. Inner ear balance problems can make people dizzy when they turn their head, which can cause problems during walking and make people more likely to fall. Most of the time dizziness is not from a life-threatening disease. Often, dizziness is related to a problem of the vestibular (or inner ear balance) system. Vestibular disorders can be caused by infections in the ear, problems with the immune system, medications that harm the inner ear, and rarely from diabetes or stroke because of a lack of blood flow to the inner ear. Stress, poor sleep, migraine headaches, overdoing some activities, and feeling anxious or sad can increase symptoms of dizziness. Updated guidelines for the treatment of inner ear disorders are published in this issue of the Journal of Neurologic Physical Therapy. The guideline recommends which exercises are best to treat the dizziness and balance problems commonly seen with an inner ear problem.

Made available in DSpace on 2014-12-17T15:43:49Z (GMT). No. of bitstreams: 1 LidianeMBMF_DISSERT.pdf: 3767124 bytes, checksum: cfd0a539259485f1e7035a06b32592ab (MD5) Previous issue date: 2013-03-25 / the institutionalized elderly presents for being more fragile a lot of body balance s changes, which can induce falls and health frailty. One of the consequences of it is the appearance of dizziness, vestibular or not. This study aims to identify the risk factors related to dizziness in institutionalized elderly, with and without vestibular disorders, in the city of Natal-RN. Method: a case-control study realized in 12 regulated by Health Surveillance Long Term Care Institutions for the elderly in Natal-RN. Elected seniors with good cognitive level and able to walk, totaling 115 individuals, and of these, 102 were selected according to the presence of dizziness in the last year (n = 51) and their controls (n = 51), paired by sex and age. The 51 elderly patients with dizziness were divided into 3 groups case: case one, for elderly with dizziness and without vestibulopathy (n=38); case two, for elderly with dizziness and vestibulopathy (n=13) and case three, for all the seniors with dizziness, or added to the case 1 case 2 (n=51). The 51 seniors who served as controls were also divided into three groups, according to the number of individuals of each case: control 1, n = 38, control 2, n = 13 control and 3 (sum of 1 control with control 2), n = 51. As possible risk factors were analyzed variables related to characteristics of the institution, to the habits of life of older people and those concerned with the health of the elderly. For statistical analysis, we used the chi-square or Fisher exact test for a significance level of 5% and calculating the association magnitude between variables by measuring the Odds Ratio. Results: as risk factors for dizziness without vestibular disorders were found the presence of hypertension and cardiovascular disease, as well as the presence of three or more disorders for elderly and use of gastric protector drugs. For the elderly group from case two were found no associated risk factor. For elderly patients with dizziness in the case group three, we observed the same risk factors found for the elderly in the case group one, plus the presence of osteoarthritis pathology, which was also significant for this group. Conclusion: dizziness in institutionalized elderly is associated with systemic common diseases in this age group and the vestibulopathy presents itself as pathology on an isolated way, not being possible, with our data, associate it with non-risk factors / O idoso institucionalizado apresenta, por ser mais fr?gil, v?rias altera??es do equil?brio corporal, podendo levar a quedas e debilidade de sua sa?de. Uma das consequ?ncias disto ? o surgimento do sintoma tontura, que pode ser de origem vestibular ou n?o. Este trabalho tem o objetivo de identificar os fatores de risco relacionados com tontura em idosos institucionalizados, vestibulopatas e n?o-vestibulopatas, na cidade do Natal-RN. M?todo: trata-se de um estudo caso-controle realizado nas 12 Institui??es de longa perman?ncia para idosos de Natal-RN, regulamentadas pela Vigil?ncia Sanit?ria. Foram eleitos os idosos com bom n?vel cognitivo e capazes de deambular, totalizando 115 indiv?duos, e destes, foram selecionados 102 de acordo com a presen?a da queixa de tontura no ?ltimo ano (n=51) e os respectivos controles (n=51), emparelhados por sexo e idade. Os 51 idosos com queixa de tontura foram divididos em 3 grupos caso: caso 1, para idosos com tontura e sem vestibulopatia (n=38); caso 2, para idosos com tontura e com vestibulopatia (n=13) e caso 3, para todos os idosos com tontura, ou seja, caso 1 somado ao caso 2 (n=51). Os 51 idosos que serviram de controle foram tamb?m divididos em tr?s grupos, seguindo o n?mero de indiv?duos de cada caso: controle 1, n=38; controle 2, n=13 e controle 3 (soma do controle 1 com o controle 2), n=51. Como poss?veis fatores de risco, foram analisadas vari?veis referentes a caracter?sticas da institui??o, aos h?bitos de vida dos idosos e as relacionadas com a sa?de dos idosos. Para a an?lise estat?stica, utilizou-se o teste do Qui-quadrado ou exato de Fisher para um n?vel de signific?ncia de 5% e c?lculo da magnitude da associa??o entre as vari?veis, atrav?s da medida da OddsRatio. Resultados: como fatores de risco para tontura sem vestibulopatia, foram achados a presen?a de hipertens?o arterial sist?mica e doen?a cardiovascular, assim como a presen?a de 3 ou mais patologias por idoso e o uso de medicamentos protetores g?stricos. Para os idosos do grupo caso 2, n?o foi encontrado nenhum fator de risco associado. Para os idosos com tontura pertencentes ao grupo caso 3, foram observados os mesmos fatores de risco encontrados para os idosos do grupo caso 1, acrescido da presen?a da patologia osteoartrose, que tamb?m se mostrou significativa para este grupo. Conclus?o: a tontura no idoso institucionalizado est? associada a doen?as sist?micas comuns nesta faixa et?ria, e a vestibulopatia apresenta-se como patologia de forma isolada, n?o sendo poss?vel com os dados deste estudo associ?-la a nenhum fator de risco