کاربرد مقیاس فعالیت های روزمره زندگی در اختلالات دهلیزی در بررسی محدودیت عملکردی بیماران با اختلالات دهلیزی

نوع مقاله : مقاله مروری

نویسندگان

1 مرکز تحقیقات و فن آوری دانشجویان. دانشجوی کارشناسی ارشد شنوایی‌شناسی، گروه شنوایی‌شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

2 مربی گروه شنوایی‌شناسی، دانشکده علوم توانبخشی، دانشگاه علوم پزشکی شهید بهشتی، تهران، ایران

چکیده

یکی از مهمترین وظایفی که سیستم کنترل وضعیتی بدن انسان انجام میدهد، حفظ تعادل است و با اهمیت ترین بخش آن، سیستم دهلیزی می‌باشد. در صورت وجود هر گونه اختلال در سیستم دهلیزی، علائمی مانند سرگیجه، گیجی و عدم‌تعادل ایجاد خواهد شد. این علایم و عدم تحمل آن می‌تواند منجر به محدودیت عملکردی ، و قصور در انجام وظایف روزمره زندگی می‌شود. در نتیجه میزان وابستگی به دیگران افزایش می‌یابد. بنابراین ضروری است که برای طرح ریزی درمان میزان تاثیر اختلال تعادلی بر شیوه زندگی و ناتوانی درک شده توسط بیمار را دریابیم. شایان توجه است که این اطلاعات از طریق هیچ‌کدام از آزمونهای تعادلی و عملکردی بدست نمی‌آید. در این رابطه، پرسشنامه‌های استاندارد شده‌ی متعددی وجود دارند که میزان تاثیر اختلال تعادلی بر عملکرد فرد را بررسی می‌کنند ولی از لحاظ هدف و مفهوم با هم متفاوت هستند. VADL یکی از مقیاس‌های بین‌المللی خودارزیابی است که برای تعیین سطح محدودیت عملکردی یا ناتوانی بیماران با اختلال دهلیزی به‌کار می‌رود. و راهنمای مناسبی برای طرح‌ریزی درمان و توانبخشی وستیبول می‌باشد.

کلیدواژه‌ها

موضوعات


عنوان مقاله [English]

Application of the Vestibular Disorders Activities of Daily Living Scale in Assessment of Functional Limitation in Patients with Vestibular Disorders

نویسندگان [English]

  • Nasrin sadat Hashemi doulabi 1
  • Homa Zarrinkoob 2
1 Student Research Committee. MSc Student in Audiology, Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 MSc in Audiology, Department of Audiology, School of Rehabilitation, Shahid Beheshti University of Medical Sciences, Tehran, Iran
چکیده [English]

Background and Aim:One the of most important tasks of the human body postural control system is that of balancing the body, and the vestibular system is one of the most important tools to control posture. Any impairment in the vestibular system will create symptoms such as vertigo, dizziness, and disequilibrium. These symptoms and the underlying impairments can lead to functional limitations or deficits in performing routine daily life tasks. As a result, it will increase dependency on others. Therefore, it is necessary to know the individuals who are susceptible to be influenced by vestibular disorders for therapy planning. It should be noted that no vestibular and functional test can provide this information. There are several other standard scales to assess functional limitation in vestibular disorders, but these questionnaires differ from each other in their purposes as well as their content. Vestibular disorders Activities of Daily living scale is one of the several international self-assessment scales that is useful for determining the level of functional limitation or disability in patients with vestibular disorders, and guide therapy planning and vestibular rehabilitation in particular.
Materials and Methods: In order to review the VADL to assess functional limitation in patients with vestibular disorders, all articles in this field, published from 1983 to 2015, were reviewed in ScienceDirect, EBSCO, PubMed, PMC, Google Scholar, Elsevier, Ovid, Proquest, Scopus, and Springer databases.
Result: More than 300 articles on topics related to functional assessment in vestibular disorders, activities of daily living, quality of life, and vestibular disorders questionnaires were available in these databases. Finally, we used 32 full papers and 6 research abstracts.
Conclusion:. Given that the psychometric evaluation of the Persian version of VADL has not been conducted in Iran, it seems necessary to translate the questionnaire into Persian and carry out cross-cultural adaptation as well as verification of the psychometric properties of VADL.

کلیدواژه‌ها [English]

  • Vestibular Disorders Activities of Daily Living scale
  • Functional assessment
  • Vestibular disorders
  • Quality of life
  1. Herdman SJ. Vestibular rehabilitation. Current opinion in neurology. 2013;26(1):96-101. ##
  2. Marchetti GF, Whitney SL. Older adults and balance dysfunction. Neurologic clinics. 2005;23(3):785-805, vii. ##
  3. Cohen HS, Kimball KT. Development of the vestibular disorders activities of daily living scale. Archives of Otolaryngology–Head & Neck Surgery. 2000;126(7):881-7. ##
  4. Legters K. Fear of falling. Physical therapy. 2002;82(3):264-72. ##
  5. Yardley L, Smith H. A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. The Gerontologist. 2002;42(1):17-23. ##
  6. Lachman ME, Howland J, Tennstedt S, Jette A, Assmann S, Peterson EW. Fear of falling and activity restriction: the survey of activities and fear of falling in the elderly (SAFE). The journals of gerontology Series B, Psychological sciences and social sciences. 1998;53(1):P43-50. ##
  7. Jorstad EC, Hauer K, Becker C, Lamb SE. Measuring the psychological outcomes of falling: a systematic review. Journal of the American Geriatrics Society. 2005;53(3):501-10. ####
  8. Cohen HS, Kimball KT, Adams AS. Application of the vestibular disorders activities of daily living scale. The Laryngoscope. 2000;110(7):1204-9.
  9. Cohen H. Defining disablement in otolaryngology. Ear, nose, & throat journal. 1995;74(4):233-7. ##

10. Gill-Body KM, Beninato M, Krebs DE. Relationship among balance impairments, functional performance, and disability in people with peripheral vestibular hypofunction. Physical therapy. 2000;80(8):748-58. ##

11. Alghwiri AA, Marchetti GF, Whitney SL. Content comparison of self-report measures used in vestibular rehabilitation based on the international classification of functioning, disability and health. Physical therapy. 2011;91(3):346-57. ##

12. Cohen H. Vestibular rehabilitation reduces functional disability. Otolaryngology--Head and Neck Surgery. 1992;107(5):638-43. ##

13. Cohen HS, Sangi-Haghpeykar H. Canalith repositioning variations for benign paroxysmal positional vertigo. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2010;143(3):405-12. ##

14. Salvinelli F, Trivelli M, Casale M, Firrisi L, Di Peco V, D'Ascanio L, et al. Treatment of benign positional vertigo in the elderly: a randomized trial. The Laryngoscope. 2004;114(5):827-31. ##

15. Cohen HS, Kimball KT. Increased independence and decreased vertigo after vestibular rehabilitation. Otolaryngology--Head and Neck Surgery. 2003;128(1):60-70. ##

16. Resende CR, Taguchi CK, Almeida JGd, Fujita RR. Reabilitação vestibular em pacientes idosos portadores de vertigem posicional paroxística benigna. Rev Bras Otorrinolaringol. 2003;69(4):535-40. ##

17. Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Archives of otolaryngology--head & neck surgery. 1990;116(4):424-7. ##

18. Yardley L, Putman J. Quantitative analysis of factors contributing to handicap and distress in vertiginous patients: a questionnaire study. Clinical otolaryngology and allied sciences. 1992;17(3):231-6. ##

19. Yardley L, Masson E, Verschuur C, Haacke N, Luxon L. Symptoms, anxiety and handicap in dizzy patients: development of the vertigo symptom scale. Journal of psychosomatic research. 1992;36(8):731-41. ##

20. Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. The journals of gerontology Series A, Biological sciences and medical sciences. 1995;50a(1):M28-34. ##

21. Hassan H, Zarrinkoob H, JAFARZADEH S, AKBAR ZBA. Psychometric Evaluation Of Persian Version Of Activities-Specific Balance Confidence Scale For Elderly Persians. 2015. ##

22. Honrubia V, Bell TS, Harris MR, Baloh RW, Fisher LM. Quantitative evaluation of dizziness characteristics and impact on quality of life. Otology & Neurotology. 1996;17(4):595-602. ##

23. Kato BM, LaRouere MJ, Bojrab DI, Michaelides EM. Evaluating quality of life after endolymphatic sac surgery: The Meniere's Disease Outcomes Questionnaire. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology. 2004;25(3):339-44. ##

24. Morris AE, Lutman ME, Yardley L. Measuring outcome from vestibular rehabilitation, part II: refinement and validation of a new self-report measure. International journal of audiology. 2009;48(1):24-37. ##

25. Aratani MC, Ricci NA, Caovilla HH, Gananca FF. Brazilian version of the Vestibular Disorders Activities of Daily Living Scale (VADL). Brazilian journal of otorhinolaryngology. 2013;79(2):203-11. ##

26. Ricci NA, Aratani MC, Caovilla HH, Cohen HS, Gananca FF. Evaluation of properties of the Vestibular Disorders Activities of Daily Living Scale (Brazilian version) in an elderly population. Brazilian journal of physical therapy. 2014;18(2):174-82. ##

27. Cohen HS. Use of the Vestibular Disorders Activities of Daily Living Scale to describe functional limitations in patients with vestibular disorders. Journal of vestibular research : equilibrium & orientation. 2014;24(1):33-8. ##

28. Berry A, Hoberg J, Stevens T, Taylor K, Vetter M. Reliability and Validity of the Modified Vestibular Disorders Activities of Daily Living Scale in Older Adult Balance Examination. 2014. ##

29. Cohen H, Ewell LR, Jenkins HA. Disability in Meniere's disease. Archives of otolaryngology--head & neck surgery. 1995;121(1):29-33. ##

30. Min KK, Ha JS, Kim MJ, Cho CH, Cha HE, Lee JH. Clinical use of subjective visual horizontal and vertical in patients of unilateral vestibular neuritis. Otology & Neurotology. 2007;28(4):520-5. ##

31. Wall C, 3rd, Wrisley DM, Statler KD. Vibrotactile tilt feedback improves dynamic gait index: a fall risk indicator in older adults. Gait & posture. 2009;30(1):16-21. ##

32. Myers PJ, Wilmington DJ, Gallun FJ, Henry JA, Fausti SA, editors. Hearing impairment and traumatic brain injury among soldiers: Special considerations for the audiologist. Seminars in Hearing; 2009: Published in 2009 by Thieme Medical Publishers. ##

33. Strupp M, Kalla R, Claassen J, Adrion C, Mansmann U, Klopstock T, et al. A randomized trial of 4-aminopyridine in EA2 and related familial episodic ataxias. Neurology. 2011;77(3):269-75. ##

34. Guneri EA, Kustutan O. The effects of betahistine in addition to epley maneuver in posterior canal benign paroxysmal positional vertigo. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 2012;146(1):104-8. ##

35. Aquaroni Ricci N, Aratani MC, Caovilla HH, Freitas Gananca F. Effects of conventional versus multimodal vestibular rehabilitation on functional capacity and balance control in older people with chronic dizziness from vestibular disorders: design of a randomized clinical trial. Trials. 2012;13:246. ##

36. Helmchen C, Ye Z, Sprenger A, Munte TF. Changes in resting-state fMRI in vestibular neuritis. Brain structure & function. 2014;219(6):1889-900. ##

37. Cleary KK, Skornyakov E. Reliability and Internal Consistency of the Activities-Specific Balance Confidence Scale. Physical & Occupational Therapy In Geriatrics. 2014;32(1):58-67. ##

38. Rubenstein LZ. Falls in older people: epidemiology, risk factors and strategies for prevention. Age and ageing. 2006;35 Suppl 2:ii37-ii41. ##

دوره 6، شماره 2
خرداد و تیر 1396
صفحه 197-205
  • تاریخ دریافت: 06 تیر 1395
  • تاریخ بازنگری: 03 مرداد 1395
  • تاریخ پذیرش: 23 مرداد 1395
  • تاریخ اولین انتشار: 01 تیر 1396