Aprimoramento da função visuoespacial em idosos submetidos à reabilitação vestibular
Improvement of visuospatial function in older people undergoing vestibular rehabilitation
Marlon Bruno Nunes Ribeiro; Patricia Cotta Mancini; Maria Aparecida Camargos Bicalho
Resumo
Palavras-chave
Abstract
Purpose: To verify whether visuospatial function improves in older adults with vestibular dysfunction undergoing vestibular rehabilitation.
Methods: Longitudinal, analytical, quasi-experimental study (interrupted time series) with a sample of 52 older adults of both sexes, aged 60 to 86 years. The study included individuals with vestibular dysfunction confirmed by the vestibular evoked myogenic potential and Video Head Impulse Test. Visuospatial function was assessed before and after eight vestibular rehabilitation sessions using the simplified Taylor Complex Figure. The Wilcoxon test compared the variables before and after the vestibular rehabilitation. The Reliable Change Index was used for intra-subject analysis before and after the intervention. The significance level was set at 5% (p < 0.05).
Results: Participants’ response (values) in the assessment were below that which would be expected for their age and education level in the three categories: copy (17.14), immediate recall (7.43), and delayed recall (4.54). Visuospatial function improved after the intervention, mainly in the immediate recall (7.0/9.75) and delayed recall (2.5/8.5).
Conclusion: The older people performed better in visuospatial function after vestibular rehabilitation.
Keywords
References
1 Casale J, Browne T, Murray IV, Gupta G. Physiology, vestibular system [Internet]. Treasure Island: StatPearls Publishing; 2022 [citado em 2025 Out 10]. Disponível em:
2 Guo J, Wang J, Liang P, Tian E, Liu D, Guo Z, et al. Vestibular dysfunction leads to cognitive impairments: state of knowledge in the field and clinical perspectives (Review). Int J Mol Med. 2024;53(4):36-45.
3 Agrawal Y, Smith PF, Rosenberg PB. Vestibular impairment, cognitive decline and Alzheimer’s disease: balancing the evidence. Aging Ment Health. 2020;24(5):705-8.
4 Ferrè ER, Haggard P. Vestibular cognition: state-of-the-art and future directions. Cogn Neuropsychol. 2020;37(7-8):413-20.
5 Guidetti G, Guidetti R, Manfredi M, Manfredi M. Vestibular pathology and spatial working memory. Acta Otorhinolaryngol Ital. 2020;40(1):72-8.
6 Fernandes FS, Carlos EBS. Evidence of the relation between vestibular and cognitive systems: a literature review. Movimenta [Internet]. 2021 [citado em 2025 Out 10];14(1):120-9. Disponível em:
7 Cao Z, Liu X, Ju Y, Zhao X. Neuroimaging studies in persistent postural-perceptual dizziness and related disease: a systematic review. J Neurol. 2022;269(3):1225-35.
8 Smith P. Recent developments in the understanding of the interactions between the vestibular system, memory, the hippocampus, and the striatum. Front Neurol. 2022;13:986302.
9 Guo J, Wang J, Liang P, Tian E, Liu D, Guo Z, et al. Vestibular dysfunction leads to cognitive impairments: state of knowledge in the field and clinical perspectives. Int J Mol Med. 2024;53(4):1-36.
10 Ribeiro MBN, Mancini PC, Bicalho MAC. Habilidades cognitivas envolvidas na avaliação e reabilitação vestibular: revisão integrativa. Distúrb Comun. 2022;34(2):e55278.
11 Ganança F. Definições dos sintomas vestibulares. In: Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial, editor. I Fórum Brasileiro de Otoneurologia: definições e terapias baseadas em evidências. São Paulo: ABORL-CCF; 2019. p. 13-27.
12 Lana LD, Ziani JS, Aguirre TF, Tier CG, Abreu DPG. Fatores de risco para quedas em idosos: revisão integrativa. Rev Kairós. 2021;24(2):309-27.
13 Lôbo F, Santos MAO. Fatores de risco para quedas em idosos com tontura. ULAKES J Med. 2022;2(1):5-14.
14 Nascimento FR, Maggi MR, Sant Helena BRM. Reabilitação vestibular na prevenção de quedas em idosos.. Monumenta [Internet]. 2021 [citado em 2025 Out 10];2(3):103-22. Disponível em:
15 Andrade JF, Magni C, Conto J, Gorski LP. Ocorrência e caracterização da tontura em idosos atendidos em uma Estratégia Saúde da Família (ESF). Distúrb Comun. 2020;32(4):669-77.
16 Edwards C, Franklin E. Vestibular rehabilitation [Internet]. Treasure Island: StatPearls Publishing; 2024 [citado em 2025 Out 10]. Disponível em:
17 Tramontano M, Princi AA, De Angelis S, Indovina I, Manzari L. Vestibular rehabilitation in patients with persistent postural-perceptual dizziness: a scoping review. Hearing Balance Commun. 2021;19(1):282-90.
18 Whitney S, Sparto P, Furman J. Vestibular rehabilitation and factors that can affect outcome. Semin Neurol. 2020;40(1):165-72.
19 Ribeiro MBN, Mancini PC, Bicalho MAC. Effectiveness of vestibular rehabilitation on balance, dizziness, functioning, and depressive symptoms in older adults. Audiol Commun Res. 2023;28(1):e2750.
20 Ribeiro MBN, Mancini PC, Bicalho MAC. Habilidades cognitivas em idosos com disfunção vestibular submetidos à reabilitação vestibular: estudo piloto. Distúrb Comun. 2023;35(1):e60065.
21 Ribeiro MBN, Morganti LOG, Mancini PC. Video head impulse test (v-hit) in individuals with type 1 diabetes mellitus. Audiol Commun Res. 2020;25(1):e2284.
22 Ribeiro MBN, Mancini PC. Efeito do envelhecimento sobre a função vestibular por meio dos potenciais evocados miogênicos vestibulares cervical e ocular. RBCEH. 2022;19(1):87-95.
23 Brucki SMD, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Sugestões para o uso do mini-exame do estado mental no Brasil. Arq Neuropsiquiatr. 2003;61(3B):777-81.
24 Edgar Nunes de Moraes EN, Carmo JA, Moraes FL, Azevedo RS, Machado CJ, Montilla DER. Clinical-Functional Vulnerability Index-20 (IVCF-20): rapid recognition of frail older adults. Rev Saude Publica. 2016;50(1):81.
25 De Paula JJ, Costa MV, Andrade GF, Ávila RT, Malloy-Diniz LF. Validity and reliability of a" simplified" version of the Taylor Complex Figure Test for the assessment of older adults with low formal education. Dement Neuropsychol. 2016;10(1):52-7.
26 Cawthorne T. Vestibular injuries. Proc R Soc Med. 1946;39(1):270-3.
27 Cooksey F. Rehabilitation in vestibular injuries. Proc R Soc Med. 1946;39(5):273-8.
28 McAleavey AA. When (not) to rely on the reliable change index: a critical appraisal and alternatives to consider in clinical psychology. Washington, D.C.: American Psychological Association; 2024.
29 Embrechts E, Van Criekinge J, Schröder J, Nijboer T, Lafosse C, Truijen S, et al. The association between visuospatial neglect and balance and mobility post-stroke onset: a systematic review. Ann Phys Rehabil Med. 2021;64(4):101449.
30 Ribeiro MBN, Mancini PC, Bicalho MAC. Correlação entre disfunção vestibular com piores resultados cognitivos, funcionalidade e depressão em idosos. Estud. Interdiscipl. Envelhec. 2024;29(1):e128984.
Submitted date:
10/10/2025
Accepted date:
02/19/2026
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email