Individuals with peripheral vestibulopathy and poor quality of sleep are at a higher risk for falls

• Published in: Brazilian journal of otorhinolaryngology Vol. 87; no. 4; pp. 440 - 446
• Main Authors: Andrade Junior, Mario Chueire de, Stefanini, Renato, Gazzola, Juliana Maria, Haddad, Fernanda Louise Martinho, Ganança, Fernando Freitas
• Format: Journal Article
• Language: English
• Published: Brazil Elsevier Editora Ltda 01-07-2021; Elsevier; Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial
• Subjects: Dizziness - etiology; Humans; Original; OTORHINOLARYNGOLOGY; Postural Balance; Quality of Life; Sleep; Sleep disorders; Vestibular Diseases - complications; Vestibular disorders; Sleep disorders; Vestibular disorders; Postural balance; Quality of life; Equilíbrio postural; Distúrbios do sono; Qualidade de vida; Distúrbios vestibulares
• ISSN: 1808-8694; 1808-8686; 1808-8686
• DOI: 10.1016/j.bjorl.2019.10.013

There is a lack of scientific studies on the assessment of patients with vestibular disorders associated with sleep quality disorders and its impact on the balance and overall quality of life.
to assess the impact of the sleep quality on the balance and quality of life of individuals with peripheral vestibulopathies.
52 individuals with peripheral vestibulopathies underwent sleep quality assessment through the Pittsburgh sleep quality index, neurotological examination through dizziness handicap inventory and Tetrax posturography (Sunlight Medical Ltd.) in eight sensory conditions. Thirty-two healthy individuals (G3) participated as the control group.
Fourteen individuals with vestibulopathy had good quality of sleep (G1) and 38 showed poor quality of sleep (G2) as demonstrated by the Pittsburgh sleep quality index global scores (p=0.001). The dizziness handicap inventory showed worse impact of the dizziness on the quality of life in G2 when compared to G1 (p=0.045). The G2 showed higher risk of falling in posturography when compared to G3 (p=0.012) and higher index of postural instability in five sensory conditions in comparison with G3. In the vestibulopathy groups, the worse the sleep quality, the higher the risk of falling (r=0.352) and the worse the quality of life (r=0.327).
Individuals with peripheral vestibulopathies and poor quality of sleep demonstrate worse balance evidenced by increased postural instability, higher risk of falls and worse perceived quality of life. The quality of sleep is a predictive factor for worse perceived quality of life and for higher risk of falls in individuals with peripheral vestibulopathies.