Reabilitação vestibular após acidente vascular cerebral: Relato de casos

Abstract

Objective. Evaluate the effectiveness of Vestibular Rehabilitation (VR) in postural balance recovery after a stroke. Method. A study of cases has been made with five patients of both sexes, aged between 30 and 70 years, with hemiparesis on the right or left side after a stroke. The subjects were evaluated at the beginning and end of treatment through the following assessment methods: Modification of Rankin Scale (MRS), Motor Sensitive Quotient (QSM), Berg Balance Scale (BBS), Tinetti Balance and Mobility Scale (TBMS), Stroke Specific Quality of life scale (SS- QOL) and Brasilian version of the Dizziness Handicap Inventory (DHI). The treatment protocol was based on Cawthorne and Cooksey's VR, held twice weekly, lasting 50 minutes, with a total of 12 sessions for each individual. Results. The comparison between pre and post treatment assessments indicated a statistically significant improvement in balance and postural control, mobility and life quality. There was no significant reduction in the dizziness rate. Conclusion. Cawthorne and Cooksey's VR is effective in recovering the body balance after a stroke.