Fisioterapia vestibular na tontura postural-perceptual persistente: revisão sistemática

Abstract

Objectives: To evaluate the physiotherapy modalities in Persistent Postural-Perceptual Dizziness - PPD. Methods: This is a systematic review where searches for articles were carried out in the United States National Library of Medicine (PubMED) and Virtual Health Library (VHL) databases, from August to November 2022, using uncontrolled terms. found in Portuguese “vestibular rehabilitation”; “Perceptual-Persistent Postural Dizziness”; “physiotherapy” and “rehabilitation”. And for the uncontrolled terms in English “Postural dizziness perceptive perspective” and “Persistent Postural Perceptual dizziness and vestibular rehabilitation”. They were carried out in Portuguese and English, using the Boolean operators OR and AND. Results: Four studies eligible for the research were found, two prospective studies, one feasibility study and one pilot study, published between 2019 and 2022; all studies were submitted to the PEDro Scale obtaining a score of 9 to 7 points; two studies worked on vestibular rehabilitation and two other studies addressed vestibular rehabilitation with psychological interventions. Conclusion: Physical therapy modalities for TPPP should work on the complaints of each patient individually through balance exercises, gaze stabilization and desensitization, having a greater effect when associated with psychological interventions.