Abstract
ABSTRACT Objective: to verify, in the literature, the proposals to rehabilitate the vestibular function, so as to propose a training program for body balance for children. Methods: this article sought studies that proposed to rehabilitate or train body balance in the Medical Literature Analysis and Retrieval System Online (MEDLINE/PubMed) and Scientific Electronic Library Online (SCIELO) databases, in addition to digital sources from Brazilian public universities. As descriptors, the terms “rehabilitation”, “balance” and “child” were used, combined with the Boolean operator AND. The variables analyzed were: public submitted to the intervention, number of subjects and age group, number and frequency of sessions, number and/or time of execution of the exercise, duration of the session and the program. Results: 17 (60.74%) articles were Brazilian, 14 (50%) used the Cawthorne and Cooksey protocol, 9 (32.14%) studied children, and the majority (67.85%) organized the program in weeks. A body balance training program, stimulating the three body balance systems, consisting of 30-minute sessions twice a week for 7 weeks, totaling 14 sessions, was developed. Conclusion: the analysis of the variable related to the protocol/strategy to rehabilitate the vestibular function indicated that no study proposed the stimulation of the three body balance systems, with no standardization for children, adults and the elderly. A vestibular function rehabilitation program was developed for children, with stimulation of these three systems, expanding the therapeutic possibilities in this area.
Highlights
IntroductionBody balance is a complex sensorimotor phenomenon generated by the integration of information from three sensory systems (visual, proprioceptive and vestibular) and processed in the Central Nervous System[1]
Body balance is a complex sensorimotor phenomenon generated by the integration of information from three sensory systems and processed in the Central Nervous System[1].Changes in maintaining body balance can cause symptoms such as tinnitus and hearing loss[2]
From the variables in this integrative review, especially regarding the protocol or strategy used for the rehabilitation of the vestibular function, no study was found proposing the stimulation of the three BB systems, and those found emphasized one or two of these systems, depending on the study
Summary
Body balance is a complex sensorimotor phenomenon generated by the integration of information from three sensory systems (visual, proprioceptive and vestibular) and processed in the Central Nervous System[1]. Changes in maintaining body balance can cause symptoms such as tinnitus and hearing loss[2]. In addition to identifying schoolchildren at risk for otoneurological disorders, and minimizing their effects on child development and academic performance, it is urgent to prepare teachers to recognize these complaints in their students. Parents should be instructed to take their child through a complete otoneurological assessment in the event of complaints of this nature[4]. In the search to remedy or alleviate symptoms related to changes in the vestibular system, researchers sought alternatives for their treatment. There are several forms of treatment for vestibular disorders, especially drugs, surgeries, nutritional guidance, correction of inappropriate habits, psychotherapy and vestibular rehabilitation (VR)[5]
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