Influência das alterações vestibulares nas atividades diárias e no nível de confiança em idosas pré-frágeis

Abstract

Introduction: Population aging is a natural process, manifested by a decline in functions in different systems. The assessment of balance in pre-fragile makes possible a more assertive functional diagnosis for the rehabilitation and effective monitoring of the possible evolution of the clinical picture. Objective: To evaluate the influence of vestibular changes in daily activities and the level of confidence in pre-frail elderly women. Methods: The design of this study was observational, descriptive, prospective cross-sectional design. Female participants were evaluated divided into two groups (G1 composed of pre-frail elderly women and G2 composed of elderly women with hearing loss, without symptoms of frailty or pre-frailty), aged between 60 and 85 years. All elderly women underwent an otorhinolaryngological evaluation, anamnesis, and examination of the vestibular system with vectoelectronystagmography (VENG). Within order to check if daily activities would be impaired due to changes Vestibular Disorders Activities of Daily questionnaires were applied Ldos data was performed using descriptive statistics, Mann Whitney test, and the test Fisher data paired at the significance level [0.05%]. Results: The results demonstrate that in relation to auditory and vestibular complaints, the presence of complaints of dizziness (G1 = 75% and G2 = 95%), hearing loss (G1 = 45% and G2 = 100%) and tinnitus (G1 = 60% and G2 = 55%). The comparison of the total score of the VADL and ABC found no statistically significant difference between G1 and G2. About activity analysis observed a statistically significant difference between G1 and G2 in the questions walking on a flat surface (p = 0.0095), going up steps (p = 0.0400), going down steps (p = 0.0095) and driving a car (p = 0.0141) on the VADL scale and only in the activity walking around the house (p = 0.0293) on the ABC scale. Conclusion: It is concluded that older women frail women had a higher prevalence of vestibular alterations to elderly women with hearing loss without pre-frailty symptoms. There was no difference between the elderly in the prefrail groups and with hearing loss to dizziness and tinnitus. There was no difference between groups regarding the impact of dizziness and imbalance body level, as well as to the level of confidence of the elderly to maintain balance in activities of daily living.