Subiektywna i obiektywna ocena wyników leczenia zawrotów głowy pochodzenia szyjnego za pomocą terapii ruchowej

Abstract

Summary Introduction The study aimed at the subjective and objective evaluation of the results of cervical vertigo kinesitherapy. Material and methods The tests were conducted on 100 random patients, including 65 women aged 20–76 and 35 men aged 20–73, under kinesitherapy. The patients were divided into 2 groups: I – 50 cervical vertigo patients, II – healthy subjects, no vertigo. With consideration to the previous history and possible contraindications, every patient was subject to an individually selected cycle of exercises including: postisometric relaxation of the perivertebral cervical muscles, isometric exercises of the neck muscles, relaxation exercises, habituation exercises, posture exercises, exercises in spatial awareness through 2 months (three times per day). The objective evaluation of the effectiveness of the applied therapy was performed by means of videonystagmography and cervical spine mobility measurements before and after 2 weeks, one month and two months. The subjective evaluation of the therapy results was based on the patient's opinion before and after the therapeutic cycle, according to Silvoniemi's criteria. Results Due to kinesitherapy the symptoms intensification in patients from group I with lesions in videonystagmography was decreasing in consecutive periods: after 2 weeks, one month and two months. These findings are presented in Table VI. However, after 2 months the lesions were persistent in videonystagmography: calibration in 16 cases (32%), pendulum test 0.3 Hz in 25 cases (50.0%), pendulum test 0.45 Hz in 31 cases (62.0%), pendulum test 0.6 Hz in 38 cases (76.0%) and spontaneous nystagmus in one case (2.0%). Conclusions In the conducted tests, both objective (videonystagmography) and subjective (Silvoniemi’ criteria) the major part of the patients (82.3%) revealed a complete abatement or a significant decrease in the cervical vertigo intensification due to kinesitherapy.