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https://codas.org.br/article/doi/10.1590/2317-1782/e20240356pt
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Relação entre as alterações vestibulares e o desempenho cognitivo de adultos e idosos

Relationship between vestibular alterations and cognitive performance in adults and older adults

Tâmara Isis Santana Santos Barreto; Jeferson Sampaio d’Ávila; Suyanne dos Santos Mendonça; Raphaela Barroso Guedes Granzotti; Ademir Antônio Comerlatto Junior; Josilene Luciene Duarte; Mariane Perin da Silva Comerlatto; Marina Panelli; Luciane Domingues Figueiredo Mariotto; Kelly da Silva

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Resumo

RESUMO: Objetivo: Analisar a relação entre as alterações vestibulares e o desempenho cognitivo de adultos e idosos, com 11 anos ou mais de escolaridade.

Método: Estudo observacional, transversal e quantitativo que avaliou o sistema vestibular e o perfil cognitivo de pessoas adultas e idosas, com 11 ou mais anos de estudo. A avaliação do equilíbrio foi composta pelo exame vídeo Head Impulse Test (vHIT) e manobras de Dix-Hallpike e Head Roll Test. O perfil cognitivo foi avaliado por meio do Instrumento de Avaliação Neuropsicológica Breve NEUPSILIN. Os dados foram analisados de forma descritiva e inferencial, por meio de uma regressão linear múltipla, utilizando-se o software SPSS 25.0 sendo considerado o nível de significância de 5%.

Resultados: Estudo realizado com 60 participantes. Observou-se associação entre a alteração no vHIT e no Dix Hallpike positivo, que se mostraram relacionados a pior desempenho na Memória Verbal. O aumento da idade esteve associado a piores desempenhos na Memória de Trabalho e na Memória de Longo Prazo.

Conclusão: A presença de alterações vestibulares esteve relacionada à piores desempenhos cognitivos de adultos e idosos nas provas de orientação temporoespacial, atenção, percepção, habilidades aritméticas e memória verbal. O aumento da idade foi associado ao pior desempenho na memória de trabalho e na memória de longo prazo.

Palavras-chave

Sistema Vestibular, Equilíbrio Postural, Cognição, Tontura, Escolaridade

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Submetido em:
19/09/2024

Aceito em:
28/08/2025

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