{"id":5443,"date":"2026-09-15T09:45:16","date_gmt":"2026-09-15T09:45:16","guid":{"rendered":"https:\/\/aliantis.es\/?p=5443"},"modified":"2026-09-15T20:13:26","modified_gmt":"2026-09-15T20:13:26","slug":"fred-o-calor-per-alleujar-el-dolor-el-que-diu-realment-la-ciencia","status":"publish","type":"post","link":"https:\/\/aliantis.es\/ca\/2026\/09\/15\/fred-o-calor-per-alleujar-el-dolor-el-que-diu-realment-la-ciencia\/","title":{"rendered":"Vertigen: quines s\u00f3n les causes i quins tractaments s\u00f3n realment efica\u00e7os?"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5443\" class=\"elementor elementor-5443 elementor-5442\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ca98701 e-flex e-con-boxed e-con e-parent\" data-id=\"ca98701\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9de4dd2 elementor-widget__width-inherit elementor-widget elementor-widget-heading\" data-id=\"9de4dd2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Vertigen: quines s\u00f3n les causes i quins tractaments s\u00f3n realment efica\u00e7os?<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-14fa1d3 elementor-widget elementor-widget-text-editor\" data-id=\"14fa1d3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">Entendre per qu\u00e8 apareix el vertigen \u00e9s el primer pas per trobar el tractament m\u00e9s adequat.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-bed9b52 e-con-full e-flex e-con e-child\" data-id=\"bed9b52\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-6873e20 e-con-full e-flex e-con e-child\" data-id=\"6873e20\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-51cfd79 e-con-full e-flex e-con e-child\" data-id=\"51cfd79\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e56832d e-con-full e-flex e-con e-child\" data-id=\"e56832d\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ce2c335 elementor-widget elementor-widget-text-editor\" data-id=\"ce2c335\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Sentir que tot gira al teu voltant. Tenir la sensaci\u00f3 de caminar sobre una barca. Notar inseguretat en aixecar-te del llit o en girar el cap. Moltes persones descriuen aquestes sensacions com a \u201cvertigen\u201d, tot i que en realitat poden correspondre a problemes molt diferents.   <\/p><p> <\/p><p>El vertigen \u00e9s un s\u00edmptoma, no una malaltia. Pot tenir m\u00faltiples causes i, segons el seu origen, el tractament ser\u00e0 completament diferent. Mentre que alguns tipus de vertigen es poden resoldre en pocs minuts mitjan\u00e7ant una maniobra espec\u00edfica realitzada per un professional sanitari, d\u2019altres requereixen rehabilitaci\u00f3 vestibular, tractament m\u00e8dic o un abordatge multidisciplinari.  <\/p><p> <\/p><p>La bona not\u00edcia \u00e9s que la majoria dels pacients milloren quan s\u2019identifica correctament la causa dels seus s\u00edmptomes.<\/p><p> <\/p><p>En aquest article expliquem els tipus de vertigen m\u00e9s freq\u00fcents, qu\u00e8 diu l\u2019evid\u00e8ncia cient\u00edfica sobre el seu tractament i com et pot ajudar un equip multidisciplinari com el d\u2019<a href=\"https:\/\/aliantis.es\/ca\/\">Aliantis<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45f008e elementor-widget elementor-widget-image\" data-id=\"45f008e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-1024x576.webp\" class=\"attachment-large size-large wp-image-5451\" alt=\"vertigos\" srcset=\"https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-1024x576.webp 1024w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-300x169.webp 300w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-768x432.webp 768w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos-1536x864.webp 1536w, https:\/\/aliantis.es\/wp-content\/uploads\/2026\/09\/vertigos.webp 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-34e7e91 elementor-widget elementor-widget-heading\" data-id=\"34e7e91\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Qu\u00e8 entenem realment per \u201cvertigen\u201d?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-502589d elementor-widget elementor-widget-text-editor\" data-id=\"502589d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Tot i que sovint utilitzem la paraula vertigen per descriure qualsevol sensaci\u00f3 de mareig, des d\u2019un punt de vista m\u00e8dic hi ha difer\u00e8ncies importants.<\/p><p> <\/p><p>Algunes persones senten que l\u2019habitaci\u00f3 gira al seu voltant. D\u2019altres descriuen una sensaci\u00f3 d\u2019inestabilitat en caminar, una impressi\u00f3 de \u201cflotar\u201d, de tenir el cap lleuger o de p\u00e8rdua d\u2019equilibri. <\/p><p> <\/p><p>Aquests s\u00edmptomes poden semblar similars, per\u00f2 no sempre tenen el mateix origen.<\/p><p> <\/p><p>Per mantenir l\u2019equilibri, el nostre cervell combina cont\u00ednuament la informaci\u00f3 procedent de tres sistemes:<\/p><ul><li>l\u2019o\u00efda interna (sistema vestibular);<\/li><li>la visi\u00f3;<\/li><li>la informaci\u00f3 que envien els m\u00fasculs i les articulacions sobre la posici\u00f3 del cos (propiocepci\u00f3).<\/li><\/ul><p> <\/p><p>Quan algun d\u2019aquests sistemes deixa de funcionar correctament o envia informaci\u00f3 contradict\u00f2ria, el cervell t\u00e9 dificultats per interpretar on es troba el cos en l\u2019espai i poden apar\u00e8ixer vertigen o alteracions de l\u2019equilibri.<\/p><p> <\/p><p>Per aix\u00f2, una valoraci\u00f3 cl\u00ednica detallada \u00e9s fonamental abans d\u2019iniciar qualsevol tractament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-3443f2f e-con-full e-flex e-con e-child\" data-id=\"3443f2f\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-55c9a18 elementor-widget elementor-widget-text-editor\" data-id=\"55c9a18\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Ho sabies?<\/b><\/span><\/p><p> <\/p><p>L\u2019o\u00efda interna no nom\u00e9s participa en l\u2019audici\u00f3. Tamb\u00e9 allotja el sistema vestibular, un conjunt d\u2019estructures especialitzades que detecten els moviments del cap i ajuden el cervell a mantenir l\u2019equilibri i estabilitzar la visi\u00f3 mentre caminem o movem el coll. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f46127d elementor-widget elementor-widget-heading\" data-id=\"f46127d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Vertigen, mareig, inestabilitat o sensaci\u00f3 de desmai? No volen dir el mateix <\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c2d2050 elementor-widget elementor-widget-text-editor\" data-id=\"c2d2050\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Tot i que moltes persones utilitzen aquestes paraules com si fossin sin\u00f2nims, descriuen sensacions diferents i poden orientar cap a causes diferents. Per aix\u00f2, durant la consulta, una de les primeres preguntes que fem \u00e9s: \u201cQu\u00e8 sents exactament?\u201d<\/p><p> <\/p><p><strong>Vertigen<\/strong><\/p><p>\u00c9s la sensaci\u00f3 que tu o l\u2019entorn esteu girant, tot i que en realitat no hi hagi cap moviment. Sol relacionar-se amb un problema del sistema vestibular (o\u00efda interna) i pot apar\u00e8ixer, per exemple, en girar-te al llit o en moure el cap. <\/p><p> <\/p><p><strong>Inestabilitat<\/strong><\/p><p>La persona sent que li costa mantenir l\u2019equilibri o que podria perdre\u2019l en caminar, especialment en superf\u00edcies irregulars o en llocs amb molt moviment visual. No hi ha sensaci\u00f3 de gir, sin\u00f3 de manca d\u2019estabilitat. <\/p><p> <\/p><p><strong>Desequilibri<\/strong><\/p><p>Fa refer\u00e8ncia a una dificultat objectiva per mantenir la postura o caminar amb normalitat. Pot deure\u2019s a alteracions del sistema vestibular, per\u00f2 tamb\u00e9 a problemes neurol\u00f2gics, musculars, articulars o fins i tot visuals. <\/p><p> <\/p><p><strong>Mareig o sensaci\u00f3 de \u201ccap lleuger\u201d<\/strong><\/p><p>Algunes persones descriuen una sensaci\u00f3 de buit al cap, com si haguessin de desmaiar-se. En aquests casos, l\u2019origen no sol ser vestibular i hi poden intervenir factors com una baixada de la pressi\u00f3 arterial, la deshidrataci\u00f3, determinats medicaments o problemes cardiovasculars. <\/p><p> <\/p><p>Tot i que aquestes sensacions s\u00f3n diferents, de vegades poden coexistir. Per aix\u00f2, una valoraci\u00f3 cl\u00ednica completa \u00e9s essencial per identificar-ne la causa i orientar el tractament m\u00e9s adequat. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-83ae57d elementor-widget elementor-widget-heading\" data-id=\"83ae57d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vertigen posicional parox\u00edstic benigne (VPPB): la causa m\u00e9s freq\u00fcent<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4aac772 elementor-widget elementor-widget-text-editor\" data-id=\"4aac772\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El vertigen posicional parox\u00edstic benigne (VPPB) \u00e9s, amb difer\u00e8ncia, la causa m\u00e9s freq\u00fcent de vertigen d\u2019origen vestibular. Malgrat el seu nom, sol generar molta preocupaci\u00f3 perqu\u00e8 les sensacions s\u00f3n molt intenses, tot i que afortunadament no acostuma a tractar-se d\u2019un problema greu. <\/p><p> <\/p><p>El s\u00edmptoma m\u00e9s caracter\u00edstic \u00e9s l\u2019aparici\u00f3 d\u2019un vertigen intens en canviar la posici\u00f3 del cap. Moltes persones el noten en girar-se al llit, en incorporar-se al mat\u00ed, en mirar cap amunt per arribar a un objecte o fins i tot en ajupir-se per recollir alguna cosa del terra. <\/p><p>La crisi sol durar nom\u00e9s uns segons, rarament m\u00e9s d\u2019un minut, per\u00f2 durant aquest temps la sensaci\u00f3 de gir pot ser molt intensa. \u00c9s habitual que vagi acompanyada de n\u00e0usees i d\u2019una sensaci\u00f3 d\u2019inseguretat durant els minuts posteriors. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1be0117 elementor-widget elementor-widget-heading\" data-id=\"1be0117\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Per qu\u00e8 apareix?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-19c2074 elementor-widget elementor-widget-text-editor\" data-id=\"19c2074\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A l\u2019interior de l\u2019o\u00efda hi ha uns petits cristalls de carbonat de calci anomenats otoc\u00f2nies.<\/p><p> <\/p><p>Normalment romanen adherits a una estructura espec\u00edfica del sistema vestibular. Tanmateix, per diferents motius \u2014com l\u2019envelliment, un traumatisme o simplement de manera espont\u00e0nia\u2014 alguns d\u2019aquests cristalls es poden desprendre i despla\u00e7ar cap a un dels canals semicirculars. <\/p><p> <\/p><p>Quan el cap canvia de posici\u00f3, aquests cristalls es mouen dins del canal i envien al cervell un senyal erroni de moviment. El resultat \u00e9s la sensaci\u00f3 que tot gira, encara que el cos estigui pr\u00e0cticament imm\u00f2bil. <\/p><p> <\/p><p>Comprendre aquest mecanisme ajuda a entendre per qu\u00e8 el tractament acostuma a ser tan efica\u00e7.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e78485b elementor-widget elementor-widget-heading\" data-id=\"e78485b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Com es diagnostica?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc557b8 elementor-widget elementor-widget-text-editor\" data-id=\"fc557b8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El diagn\u00f2stic es basa principalment en la hist\u00f2ria cl\u00ednica i en unes proves posicionals espec\u00edfiques realitzades per un <a href=\"https:\/\/aliantis.es\/ca\/fisioterapia-musculoesqueletica-a-sitges\/\">fisioterapeuta<\/a> o un metge amb formaci\u00f3 en patologia vestibular.<\/p><p> <\/p><p>Aquestes maniobres permeten identificar quin canal de l\u2019o\u00efda interna est\u00e0 afectat i reprodueixen temporalment els s\u00edmptomes de manera controlada, facilitant un diagn\u00f2stic prec\u00eds.<\/p><p> <\/p><p>No solen ser necess\u00e0ries proves d\u2019imatge quan l\u2019exploraci\u00f3 cl\u00ednica \u00e9s compatible amb un VPPB t\u00edpic i no hi ha signes d\u2019alarma.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d99f7e elementor-widget elementor-widget-heading\" data-id=\"4d99f7e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quin \u00e9s el tractament m\u00e9s efica\u00e7?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-17e3c10 elementor-widget elementor-widget-text-editor\" data-id=\"17e3c10\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A difer\u00e8ncia del que moltes persones imaginen, el tractament del VPPB no consisteix a prendre medicaci\u00f3.<\/p><p> <\/p><p>Les guies internacionals recomanen com a primera opci\u00f3 les maniobres de reposicionament, sent la m\u00e9s coneguda la maniobra d\u2019Epley per als casos m\u00e9s habituals.<\/p><p> <\/p><p>L\u2019objectiu d\u2019aquesta maniobra \u00e9s senzill: utilitzar una s\u00e8rie de moviments espec\u00edfics del cap per retornar els cristalls a la seva posici\u00f3 original dins de l\u2019o\u00efda interna.<\/p><p> <\/p><p>En un gran nombre de pacients, una sola sessi\u00f3 aconsegueix resoldre completament els s\u00edmptomes, tot i que en alguns casos poden ser necess\u00e0ries diverses repeticions.<\/p><p> <\/p><p>Els medicaments antivertiginosos poden alleujar temporalment les n\u00e0usees en situacions concretes, per\u00f2 no corregeixen la causa del problema i, per tant, no constitueixen el tractament d\u2019elecci\u00f3 del VPPB.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-df0c5a1 elementor-widget elementor-widget-heading\" data-id=\"df0c5a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quin paper t\u00e9 la fisioter\u00e0pia vestibular?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-952ed67 elementor-widget elementor-widget-text-editor\" data-id=\"952ed67\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La fisioter\u00e0pia t\u00e9 un paper fonamental tant en el diagn\u00f2stic com en el tractament.<\/p><p> <\/p><p>A m\u00e9s de realitzar les proves posicionals i les maniobres de reposicionament, el fisioterapeuta pot proposar exercicis espec\u00edfics quan persisteix una lleu sensaci\u00f3 d\u2019inestabilitat o quan el vertigen reapareix de manera repetida.<\/p><p> <\/p><p>Aquesta rehabilitaci\u00f3 vestibular ajuda el cervell a recuperar la confian\u00e7a en el moviment i afavoreix un retorn m\u00e9s r\u00e0pid a les activitats habituals.<\/p><p> <\/p><p>L\u2019evid\u00e8ncia cient\u00edfica actual dona un suport ferm a aquestes intervencions i les considera el tractament de refer\u00e8ncia per al VPPB.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-72d2c4c e-con-full e-flex e-con e-child\" data-id=\"72d2c4c\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-a7e0ce8 elementor-widget elementor-widget-text-editor\" data-id=\"a7e0ce8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <b>Idea equivocada<\/b><\/p><p> <\/p><p class=\"p1\"><b>\u201cSi tinc vertigen, necessito medicaci\u00f3.\u201d<\/b><\/p><p> <\/p><p class=\"p1\">No necess\u00e0riament.<\/p><p> <\/p><p class=\"p1\">En el cas del VPPB, els medicaments no tornen a col\u00b7locar els cristalls responsables del problema. Les maniobres de reposicionament realitzades per un professional acostumen a ser molt m\u00e9s eficaces i permeten tractar directament la causa del vertigen. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1badc80 elementor-widget elementor-widget-heading\" data-id=\"1badc80\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quin sol ser el pron\u00f2stic?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d100e92 elementor-widget elementor-widget-text-editor\" data-id=\"d100e92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El pron\u00f2stic del VPPB \u00e9s generalment excel\u00b7lent.<\/p><p> <\/p><p>La majoria dels pacients experimenten una millora r\u00e0pida despr\u00e9s del tractament i poden reprendre les seves activitats habituals en pocs dies.<\/p><p> <\/p><p>No obstant aix\u00f2, aquest tipus de vertigen pot tornar a apar\u00e8ixer mesos o fins i tot anys despr\u00e9s. Quan aix\u00f2 passa, acostuma a respondre novament molt b\u00e9 a les maniobres de reposicionament, de manera que un diagn\u00f2stic preco\u00e7 permet resoldre el problema amb rapidesa i evitar limitacions innecess\u00e0ries. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bf40ae1 elementor-widget elementor-widget-heading\" data-id=\"bf40ae1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Neuritis vestibular: un vertigen intens que pot durar diversos dies<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-662dfcc elementor-widget elementor-widget-text-editor\" data-id=\"662dfcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La neuritis vestibular apareix quan un dels nervis encarregats de transmetre la informaci\u00f3 de l\u2019equilibri des de l\u2019o\u00efda interna fins al cervell deixa de funcionar correctament, generalment com a conseq\u00fc\u00e8ncia d\u2019un proc\u00e9s inflamatori, sovint relacionat amb una infecci\u00f3 v\u00edrica recent.<\/p><p> <\/p><p>A difer\u00e8ncia del VPPB, en qu\u00e8 el vertigen apareix \u00fanicament amb determinats moviments del cap, la neuritis vestibular sol provocar un vertigen intens i continu que pot prolongar-se durant hores o fins i tot diversos dies.<\/p><p> <\/p><p>Les persones afectades solen descriure una sensaci\u00f3 molt intensa de gir, acompanyada de n\u00e0usees, v\u00f2mits i una gran dificultat per mantenir-se dretes o caminar durant la fase aguda.<\/p><p> <\/p><p>Tot i que els s\u00edmptomes solen millorar progressivament, \u00e9s freq\u00fcent que durant diverses setmanes persisteixin certa inestabilitat, inseguretat en caminar o mol\u00e8sties en moure r\u00e0pidament el cap.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-45a7708 elementor-widget elementor-widget-heading\" data-id=\"45a7708\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Com es tracta?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-154141f elementor-widget elementor-widget-text-editor\" data-id=\"154141f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Durant els primers dies pot ser necessari un tractament m\u00e8dic per alleujar els s\u00edmptomes m\u00e9s intensos, sempre sota indicaci\u00f3 facultativa.<\/p><p> <\/p><p>Tanmateix, un cop superada la fase aguda, l\u2019element m\u00e9s important del tractament acostuma a ser la rehabilitaci\u00f3 vestibular.<\/p><p> <\/p><p>El cervell t\u00e9 una gran capacitat d\u2019adaptaci\u00f3, coneguda com a compensaci\u00f3 vestibular. Gr\u00e0cies a aquest mecanisme pot aprendre a utilitzar de manera m\u00e9s eficient la informaci\u00f3 procedent de l\u2019o\u00efda sana, de la visi\u00f3 i de la propiocepci\u00f3 per recuperar l\u2019equilibri. <\/p><p> <\/p><p>Aquesta adaptaci\u00f3 no es produeix \u00fanicament amb el pas del temps: el moviment i els exercicis adequats ajuden a fer que el proc\u00e9s sigui m\u00e9s r\u00e0pid i efica\u00e7.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-87d6555 elementor-widget elementor-widget-heading\" data-id=\"87d6555\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quin paper t\u00e9 la fisioter\u00e0pia?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a19e881 elementor-widget elementor-widget-text-editor\" data-id=\"a19e881\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La fisioter\u00e0pia vestibular constitueix un dels pilars del tractament.<\/p><p> <\/p><p>Despr\u00e9s d\u2019una valoraci\u00f3 individualitzada, el fisioterapeuta dissenya un programa d\u2019exercicis que pot incloure:<\/p><ul><li>exercicis per estabilitzar la mirada durant els moviments del cap;<\/li><li>entrenament de l\u2019equilibri;<\/li><li>exercicis d\u2019habituaci\u00f3 per reduir progressivament el mareig provocat per determinats moviments;<\/li><li>reeducaci\u00f3 de la marxa i de les activitats quotidianes.<\/li><\/ul><p> <\/p><p>Les guies internacionals consideren la rehabilitaci\u00f3 vestibular una intervenci\u00f3 altament efica\u00e7 per a les persones amb hipofunci\u00f3 vestibular perif\u00e8rica.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-46b19e9 elementor-widget elementor-widget-heading\" data-id=\"46b19e9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Migranya vestibular: quan el vertigen forma part de la migranya<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6dbffad elementor-widget elementor-widget-text-editor\" data-id=\"6dbffad\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Moltes persones associen la migranya \u00fanicament al mal de cap. Tanmateix, existeix una forma particular anomenada migranya vestibular, en qu\u00e8 el vertigen pot convertir-se en el s\u00edmptoma predominant. <\/p><p> <\/p><p>En alguns pacients, el mal de cap \u00e9s molt lleu o fins i tot est\u00e0 completament absent durant els episodis de vertigen, fet que pot dificultar el diagn\u00f2stic.<\/p><p> <\/p><p>Els episodis poden durar des de diversos minuts fins a hores i, en alguns casos, prolongar-se encara m\u00e9s.<\/p><p> <\/p><p>A m\u00e9s del vertigen, \u00e9s freq\u00fcent presentar sensibilitat a la llum o al soroll, antecedents personals o familiars de migranya, tend\u00e8ncia al mareig durant els viatges i una major susceptibilitat durant per\u00edodes d\u2019estr\u00e8s, manca de <a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/21\/trastorns-del-son-en-dones\/\">son<\/a> o <a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/21\/alimentacio-i-hormones-femenines-entendre-la-seva-relacio-en-cada-etapa-de-la-vida\/\">canvis hormonals<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-39e84ea elementor-widget elementor-widget-heading\" data-id=\"39e84ea\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Com es tracta?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-338208c elementor-widget elementor-widget-text-editor\" data-id=\"338208c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El tractament acostuma a combinar diferents estrat\u00e8gies.<\/p><p> <\/p><p>En primer lloc, \u00e9s important identificar els factors desencadenants. Dormir poques hores, saltar-se \u00e0pats, una hidrataci\u00f3 insuficient o un exc\u00e9s de cafe\u00efna o alcohol poden afavorir l\u2019aparici\u00f3 de crisis en algunes persones. <\/p><p> <\/p><p>Segons la freq\u00fc\u00e8ncia i la intensitat dels episodis, el metge pot valorar tractaments espec\u00edfics per controlar les crisis o reduir-ne l\u2019aparici\u00f3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-48af12a elementor-widget elementor-widget-heading\" data-id=\"48af12a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Pot ajudar la rehabilitaci\u00f3 vestibular?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-520a1b6 elementor-widget elementor-widget-text-editor\" data-id=\"520a1b6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>S\u00ed.<\/p><p> <\/p><p>Quan els s\u00edmptomes persisteixen entre les crisis o el pacient comen\u00e7a a evitar determinats moviments per por de desencadenar un nou episodi, la rehabilitaci\u00f3 vestibular pot millorar la toler\u00e0ncia al moviment i l\u2019estabilitat.<\/p><p> <\/p><p>Tot i que l\u2019evid\u00e8ncia cient\u00edfica continua desenvolupant-se, els estudis actuals mostren resultats globalment favorables, especialment quan la fisioter\u00e0pia forma part d\u2019un tractament multidisciplinari.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f35d19e e-con-full e-flex e-con e-child\" data-id=\"f35d19e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ef0cd24 elementor-widget elementor-widget-text-editor\" data-id=\"ef0cd24\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Ho sabies?<\/b><\/span><\/p><p> <\/p><p class=\"p1\">Les persones amb migranya vestibular presenten amb m\u00e9s freq\u00fc\u00e8ncia antecedents de mareig en cotxe, vaixell o avi\u00f3 des de la inf\u00e0ncia. Aquesta dada pot aportar informaci\u00f3 \u00fatil durant la valoraci\u00f3 cl\u00ednica. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2d8f93f elementor-widget elementor-widget-heading\" data-id=\"2d8f93f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Malaltia de M\u00e9ni\u00e8re: vertigen acompanyat de p\u00e8rdua d\u2019audici\u00f3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9995dc1 elementor-widget elementor-widget-text-editor\" data-id=\"9995dc1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La malaltia de M\u00e9ni\u00e8re \u00e9s una malaltia de l\u2019o\u00efda interna que provoca crisis repetides de vertigen acompanyades de s\u00edmptomes auditius.<\/p><p> <\/p><p>Tot i que \u00e9s molt menys freq\u00fcent que el VPPB, pot afectar de manera important la qualitat de vida quan les crisis es repeteixen.<\/p><p> <\/p><p>El que la diferencia de la majoria de les altres causes de vertigen \u00e9s la pres\u00e8ncia de p\u00e8rdua d\u2019audici\u00f3 fluctuant, ac\u00fafens (brunzits a l\u2019o\u00efda) i sensaci\u00f3 d\u2019o\u00efda tapada o plena.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-03501c1 elementor-widget elementor-widget-heading\" data-id=\"03501c1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Com es manifesta?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a6d6c65 elementor-widget elementor-widget-text-editor\" data-id=\"a6d6c65\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les crisis apareixen de manera espont\u00e0nia i solen durar entre 20 minuts i diverses hores.<\/p><p> <\/p><p>Durant aquest temps \u00e9s habitual experimentar un vertigen intens acompanyat de n\u00e0usees, v\u00f2mits i una gran dificultat per mantenir-se dret.<\/p><p> <\/p><p>Moltes persones tamb\u00e9 noten que hi senten pitjor d\u2019una orella, perceben un brunzit continu (ac\u00fafen) o tenen una sensaci\u00f3 de pressi\u00f3 o plenitud a l\u2019o\u00efda afectada.<\/p><p> <\/p><p>Amb el pas dels anys, l\u2019audici\u00f3 es pot deteriorar progressivament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c01520 elementor-widget elementor-widget-heading\" data-id=\"6c01520\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Per qu\u00e8 passa?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d1e45b elementor-widget elementor-widget-text-editor\" data-id=\"4d1e45b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La causa exacta encara no es coneix completament.<\/p><p> <\/p><p>La teoria m\u00e9s acceptada \u00e9s que existeix un augment de la pressi\u00f3 del l\u00edquid de l\u2019o\u00efda interna (hidrops endolimf\u00e0tic), que altera temporalment el funcionament del sistema vestibular i de l\u2019audici\u00f3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49701d8 elementor-widget elementor-widget-heading\" data-id=\"49701d8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Com es tracta?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d86b03c elementor-widget elementor-widget-text-editor\" data-id=\"d86b03c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El tractament acostuma a combinar diverses estrat\u00e8gies.<\/p><p> <\/p><p>Durant les crisis, el metge pot prescriure medicaci\u00f3 per alleujar el vertigen i les n\u00e0usees.<\/p><p> <\/p><p>A llarg termini, es poden recomanar canvis en l\u2019alimentaci\u00f3 (com reduir el consum de sal), mantenir una bona hidrataci\u00f3 i, en alguns pacients, tractaments farmacol\u00f2gics espec\u00edfics o procediments realitzats per l\u2019otorinolaring\u00f2leg.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b494c48 elementor-widget elementor-widget-heading\" data-id=\"b494c48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">La rehabilitaci\u00f3 vestibular pot ajudar?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-144ce69 elementor-widget elementor-widget-text-editor\" data-id=\"144ce69\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>S\u00ed. La rehabilitaci\u00f3 vestibular pot ser especialment \u00fatil quan, entre les crisis, persisteix una sensaci\u00f3 d\u2019inestabilitat o quan el cervell necessita readaptar-se despr\u00e9s d\u2019episodis repetits. <\/p><p> <\/p><p>Tanmateix, no evita les crisis pr\u00f2pies de la malaltia de M\u00e9ni\u00e8re. Per aix\u00f2, habitualment forma part d\u2019un tractament multidisciplinari juntament amb el seguiment m\u00e8dic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1e7f4b4 e-con-full e-flex e-con e-child\" data-id=\"1e7f4b4\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-73a7c7a elementor-widget elementor-widget-text-editor\" data-id=\"73a7c7a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <span class=\"s2\"><b>Ho sabies?<\/b><\/span><\/p><p> <\/p><p>A difer\u00e8ncia del VPPB, en qu\u00e8 el problema afecta \u00fanicament l\u2019equilibri, la malaltia de M\u00e9ni\u00e8re altera alhora el sistema vestibular i l\u2019auditiu. Per aix\u00f2, la combinaci\u00f3 de vertigen + p\u00e8rdua d\u2019audici\u00f3 + ac\u00fafens + sensaci\u00f3 d\u2019o\u00efda plena o tapada \u00e9s un signe molt orientatiu per al diagn\u00f2stic. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f5c2dd3 elementor-widget elementor-widget-heading\" data-id=\"f5c2dd3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vertigen postural-perceptiu persistent (PPPD): quan el cervell roman en \u201cmode d\u2019alerta\u201d<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a1216c8 elementor-widget elementor-widget-text-editor\" data-id=\"a1216c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>En algunes persones, el problema no desapareix completament despr\u00e9s d\u2019un episodi vestibular.<\/p><p> <\/p><p>Tot i que l\u2019o\u00efda interna ja funciona correctament, el cervell continua interpretant determinades situacions com una amena\u00e7a per a l\u2019equilibri. Aquesta condici\u00f3 rep el nom de vertigen postural-perceptiu persistent (PPPD). <\/p><p> <\/p><p>Actualment es considera una de les causes m\u00e9s freq\u00fcents de mareig cr\u00f2nic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ccc3854 elementor-widget elementor-widget-heading\" data-id=\"ccc3854\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Com es manifesta?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-abae26d elementor-widget elementor-widget-text-editor\" data-id=\"abae26d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>A difer\u00e8ncia del VPPB, aqu\u00ed no sol existir una sensaci\u00f3 intensa que tot gira.<\/p><p> <\/p><p>El m\u00e9s habitual \u00e9s experimentar una sensaci\u00f3 gaireb\u00e9 di\u00e0ria d\u2019inestabilitat, balanceig o inseguretat en caminar.<\/p><p> <\/p><p>Els s\u00edmptomes solen empitjorar en romandre molta estona dret, caminar per centres comercials, supermercats, estacions o llocs amb molt moviment visual, utilitzar pantalles durant per\u00edodes prolongats o trobar-se en espais molt concorreguts.<\/p><p> <\/p><p>Moltes persones descriuen que senten com si caminessin \u201csobre un matal\u00e0s\u201d, \u201csobre una barca\u201d o \u201ccom si el terra no fos completament estable\u201d.<\/p><p> <\/p><p>Amb freq\u00fc\u00e8ncia, el PPPD apareix despr\u00e9s d\u2019un episodi previ de VPPB, una neuritis vestibular o una migranya vestibular, tot i que tamb\u00e9 es pot desenvolupar despr\u00e9s d\u2019un per\u00edode prolongat d\u2019ansietat o d\u2019un esdeveniment especialment estressant.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8b77e08 elementor-widget elementor-widget-heading\" data-id=\"8b77e08\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Per qu\u00e8 passa?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7d6600a elementor-widget elementor-widget-text-editor\" data-id=\"7d6600a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El nostre cervell est\u00e0 dissenyat per protegir-nos.<\/p><p> <\/p><p>Despr\u00e9s de patir un episodi important de vertigen, pot augmentar temporalment el seu nivell de vigil\u00e0ncia per evitar noves p\u00e8rdues d\u2019equilibri.<\/p><p> <\/p><p>En la majoria de les persones, aquest mecanisme desapareix un cop recuperat el sistema vestibular.<\/p><p> <\/p><p>Tanmateix, en alguns pacients el cervell mant\u00e9 aquest estat d\u2019alerta durant massa temps.<\/p><p> <\/p><p>Com a conseq\u00fc\u00e8ncia, es torna excessivament sensible a petits moviments o a est\u00edmuls visuals normals, generant una sensaci\u00f3 persistent d\u2019inestabilitat.<\/p><p> <\/p><p>Aix\u00f2 no significa que \u201ctot sigui al cap\u201d ni que el pacient s\u2019imagini els s\u00edmptomes.<\/p><p> <\/p><p>El problema \u00e9s completament real i reflecteix una alteraci\u00f3 en la manera com el cervell processa la informaci\u00f3 relacionada amb l\u2019equilibri.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c6d542 elementor-widget elementor-widget-heading\" data-id=\"3c6d542\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quin \u00e9s el tractament?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5f103d1 elementor-widget elementor-widget-text-editor\" data-id=\"5f103d1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Actualment, l\u2019abordatge m\u00e9s efica\u00e7 sol ser multidisciplinari.<\/p><p> <\/p><p>La rehabilitaci\u00f3 vestibular continua sent una part important del tractament, per\u00f2 normalment es combina amb estrat\u00e8gies destinades a reduir la hipervigil\u00e0ncia i recuperar la confian\u00e7a en el moviment.<\/p><p> <\/p><p>En alguns casos, el metge tamb\u00e9 pot considerar un tractament farmacol\u00f2gic.<\/p><p> <\/p><p>L\u2019evid\u00e8ncia cient\u00edfica m\u00e9s recent suggereix que els millors resultats s\u2019obtenen quan es combinen diferents intervencions adaptades a les necessitats de cada pacient.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0520e2 elementor-widget elementor-widget-heading\" data-id=\"a0520e2\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">El paper de la fisioter\u00e0pia i la psicologia<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-66a143f elementor-widget elementor-widget-text-editor\" data-id=\"66a143f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>En el PPPD, la fisioter\u00e0pia no consisteix simplement a \u201cfer exercicis d\u2019equilibri\u201d.<\/p><p> <\/p><p>L\u2019objectiu \u00e9s exposar el cervell de manera gradual i controlada a aquells moviments i situacions que generen s\u00edmptomes, afavorint una adaptaci\u00f3 progressiva sense provocar un empitjorament excessiu.<\/p><p> <\/p><p>Al mateix temps, la <a href=\"https:\/\/aliantis.es\/ca\/terapia-per-a-adults-a-sitges\/\">psicologia<\/a> pot tenir un paper molt important quan apareixen por al moviment, ansietat, evitaci\u00f3 de determinades activitats o una p\u00e8rdua important de confian\u00e7a.<\/p><p> <\/p><p>Les intervencions basades en la ter\u00e0pia cognitivoconductual (TCC) han mostrat resultats prometedors, especialment quan s\u2019integren dins d\u2019un programa global juntament amb la rehabilitaci\u00f3 vestibular.<\/p><p> <\/p><p>L\u2019objectiu no \u00e9s conv\u00e8ncer el pacient que \u201cno t\u00e9 res\u201d, sin\u00f3 ajudar el cervell a deixar d\u2019interpretar com a perilloses situacions que ja no representen una amena\u00e7a real per a l\u2019equilibri.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-552ab76 elementor-widget elementor-widget-heading\" data-id=\"552ab76\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Les cervicals poden provocar vertigen?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-446d268 elementor-widget elementor-widget-text-editor\" data-id=\"446d268\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>\u00c9s una de les preguntes m\u00e9s freq\u00fcents a la consulta i tamb\u00e9 una de les que genera m\u00e9s confusi\u00f3.<\/p><p> <\/p><p>La resposta curta \u00e9s s\u00ed, per\u00f2 no sempre.<\/p><p> <\/p><p>Des de fa anys es descriu una entitat coneguda com a mareig o vertigen cervicog\u00e8nic (cervicogenic dizziness). Es tracta d\u2019una sensaci\u00f3 d\u2019inestabilitat o mareig que apareix associada a un dolor o una disfunci\u00f3 del coll. <\/p><p> <\/p><p>Tanmateix, la comunitat cient\u00edfica coincideix que es tracta d\u2019un diagn\u00f2stic complex i, sobretot, d\u2019exclusi\u00f3. Aix\u00f2 significa que, abans d\u2019atribuir els s\u00edmptomes a les cervicals, \u00e9s fonamental descartar altres causes m\u00e9s freq\u00fcents, com un trastorn de l\u2019o\u00efda interna, una migranya vestibular, determinades malalties neurol\u00f2giques o problemes cardiovasculars. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2054893 elementor-widget elementor-widget-heading\" data-id=\"2054893\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Per qu\u00e8 el coll pot influir en l\u2019equilibri?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4fa8fd4 elementor-widget elementor-widget-text-editor\" data-id=\"4fa8fd4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Les articulacions, els m\u00fasculs i els lligaments del coll contenen milers de receptors que informen constantment el cervell sobre la posici\u00f3 del cap.<\/p><p> <\/p><p>Aquesta informaci\u00f3 s\u2019integra amb la que prov\u00e9 de l\u2019o\u00efda interna i de la visi\u00f3 per mantenir l\u2019equilibri.<\/p><p> <\/p><p>Quan existeix un traumatisme, com un fuetada cervical (latigazo cervical), una limitaci\u00f3 important de la mobilitat o una alteraci\u00f3 del control motor cervical, aquests senyals poden perdre precisi\u00f3.<\/p><p> <\/p><p>El cervell rep aleshores una informaci\u00f3 que no coincideix completament amb la que procedeix dels ulls o del sistema vestibular, fet que pot contribuir a generar una sensaci\u00f3 d\u2019inestabilitat.<\/p><p> <\/p><p>Tanmateix, aquest mecanisme encara s\u2019est\u00e0 investigant i no explica tots els casos de mareig associats al dolor cervical.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c3eea1e elementor-widget elementor-widget-heading\" data-id=\"c3eea1e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Quan es pot sospitar un origen cervical?<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3834ac5 elementor-widget elementor-widget-text-editor\" data-id=\"3834ac5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El mareig cervicog\u00e8nic se sol considerar quan apareixen diverses d\u2019aquestes caracter\u00edstiques:<\/p><ul><li>dolor o rigidesa cervical clarament associats a l\u2019inici dels s\u00edmptomes;<\/li><li>sensaci\u00f3 d\u2019inestabilitat m\u00e9s que no pas de gir intens;<\/li><li>s\u00edmptomes que augmenten amb determinats moviments del coll;<\/li><li>antecedent de traumatisme cervical, com un accident de tr\u00e0nsit o una caiguda;<\/li><li>abs\u00e8ncia de troballes que expliquin millor el quadre despr\u00e9s d\u2019una valoraci\u00f3 m\u00e8dica i vestibular.<\/li><\/ul><p> <\/p><p>Cap d\u2019aquests elements, per si sol, confirma el diagn\u00f2stic. Per aix\u00f2 \u00e9s tan important realitzar una exploraci\u00f3 completa. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-ba3546e e-con-full e-flex e-con e-child\" data-id=\"ba3546e\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-62b7cf1 elementor-widget elementor-widget-text-editor\" data-id=\"62b7cf1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">\ud83d\udca1 <b>Idea equivocada<\/b><\/p><p> <\/p><p class=\"p1\"><b>\u201cSi em fa mal el coll, el vertigen ve de les cervicals.\u201d<\/b><\/p><p> <\/p><p>No necess\u00e0riament.<\/p><p> <\/p><p>Moltes persones presenten dolor cervical i un trastorn vestibular al mateix temps. En altres ocasions, el mateix vertigen provoca rigidesa al coll a causa de la tensi\u00f3 i de la por de moure el cap. <\/p><p> <\/p><p>Les recomanacions internacionals consideren el mareig cervicog\u00e8nic un diagn\u00f2stic d\u2019exclusi\u00f3 i aconsellen valorar primer altres causes m\u00e9s freq\u00fcents.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ba79e1 elementor-widget elementor-widget-heading\" data-id=\"1ba79e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Com pot ajudar la fisioter\u00e0pia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a0f598c elementor-widget elementor-widget-text-editor\" data-id=\"a0f598c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>La fisioter\u00e0pia t\u00e9 un paper fonamental en la majoria dels trastorns vestibulars.<\/p><p> <\/p><p>El primer pas consisteix a realitzar una valoraci\u00f3 completa per identificar l\u2019origen m\u00e9s probable dels s\u00edmptomes. Segons el cas, el fisioterapeuta pot dur a terme proves posicionals per detectar un VPPB, valorar el funcionament del sistema vestibular, analitzar l\u2019equilibri, la marxa i la mobilitat cervical. <\/p><p> <\/p><p>A partir d\u2019aquesta valoraci\u00f3, el tractament pot incloure diferents estrat\u00e8gies.<\/p><p> <\/p><p>En un VPPB, les maniobres de reposicionament acostumen a resoldre el problema amb rapidesa.<\/p><p> <\/p><p>En altres trastorns vestibulars, la rehabilitaci\u00f3 vestibular utilitza exercicis espec\u00edfics per millorar l\u2019estabilitzaci\u00f3 de la mirada, recuperar l\u2019equilibri, disminuir la sensibilitat al moviment i facilitar el retorn progressiu a les activitats de la vida di\u00e0ria.<\/p><p> <\/p><p>Quan existeix una alteraci\u00f3 cervical associada, tamb\u00e9 es poden incorporar exercicis de mobilitat, enfortiment i control motor del coll, sempre adaptats a cada pacient.<\/p><p> <\/p><p>L\u2019objectiu no \u00e9s \u00fanicament que desapareguin els s\u00edmptomes, sin\u00f3 que la persona torni a moure\u2019s amb seguretat i confian\u00e7a.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8d81669 elementor-widget elementor-widget-heading\" data-id=\"8d81669\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quin paper pot tenir l\u2019osteopatia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cbff6ee elementor-widget elementor-widget-text-editor\" data-id=\"cbff6ee\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019<a href=\"https:\/\/aliantis.es\/ca\/osteopatia-general-a-sitges\/\">osteopatia<\/a> pot formar part del tractament en determinats pacients, per\u00f2 \u00e9s important comprendre quin \u00e9s el seu paper.<\/p><p> <\/p><p>No pret\u00e9n substituir una valoraci\u00f3 m\u00e8dica ni la rehabilitaci\u00f3 vestibular quan aquestes estan indicades.<\/p><p> <\/p><p>Tanmateix, quan el vertigen o la sensaci\u00f3 d\u2019inestabilitat s\u2019acompanyen de dolor cervical, rigidesa o limitacions de mobilitat, un tractament manual pot contribuir a millorar el confort del pacient i facilitar el treball actiu posterior.<\/p><p> <\/p><p>A Aliantis entenem la ter\u00e0pia manual com un complement dins d\u2019un pla de tractament m\u00e9s ampli, que inclou educaci\u00f3, exercici terap\u00e8utic i una recuperaci\u00f3 progressiva de l\u2019activitat.<\/p><p> <\/p><p>Les recomanacions cient\u00edfiques actuals conviden a actuar amb prud\u00e8ncia, ja que la qualitat de l\u2019evid\u00e8ncia sobre les t\u00e8cniques manuals en el mareig cervicog\u00e8nic continua sent limitada. Per aix\u00f2, el tractament s\u2019ha d\u2019individualitzar i basar-se sempre en una valoraci\u00f3 cl\u00ednica completa. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-95ce2c7 elementor-widget elementor-widget-heading\" data-id=\"95ce2c7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">I la psicologia?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-02b3d2b elementor-widget elementor-widget-text-editor\" data-id=\"02b3d2b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Quan els s\u00edmptomes es prolonguen durant setmanes o mesos, moltes persones desenvolupen por que el vertigen torni a apar\u00e8ixer. \u00c9s comprensible. <\/p><p> <\/p><p>Algunes deixen de conduir, eviten sortir soles, renuncien a viatjar o redueixen progressivament la seva activitat f\u00edsica.<\/p><p> <\/p><p>Aquest cercle de por i evitaci\u00f3 pot afavorir que el cervell romangui en un estat d\u2019hipervigil\u00e0ncia, especialment en el PPPD.<\/p><p> <\/p><p>En aquests casos, l\u2019acompanyament psicol\u00f2gic pot ser una eina molt \u00fatil.<\/p><p> <\/p><p>Les intervencions basades en la ter\u00e0pia cognitivoconductual (TCC) ajuden a comprendre millor els s\u00edmptomes, reduir l\u2019ansietat associada al moviment i recuperar progressivament la confian\u00e7a en les activitats quotidianes.<\/p><p> <\/p><p>Aix\u00f2 no significa que el vertigen sigui \u201cpsicol\u00f2gic\u201d. Significa que el cervell i el cos formen un sistema integrat, i que abordar tots dos aspectes pot afavorir una recuperaci\u00f3 m\u00e9s completa. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c559722 elementor-widget elementor-widget-heading\" data-id=\"c559722\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Pot influir l\u2019alimentaci\u00f3?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c18ba9 elementor-widget elementor-widget-text-editor\" data-id=\"7c18ba9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>No existeix una dieta espec\u00edfica capa\u00e7 de curar tots els tipus de vertigen.<\/p><p> <\/p><p>Tanmateix, <a href=\"https:\/\/aliantis.es\/ca\/2026\/04\/20\/canviar-els-teus-habits-de-vida\/\">alguns h\u00e0bits<\/a> poden influir en determinats pacients.<\/p><p> <\/p><p>En les persones amb migranya vestibular, mantenir horaris regulars dels \u00e0pats, evitar la deshidrataci\u00f3 i recon\u00e8ixer possibles desencadenants individuals \u2014com un exc\u00e9s d\u2019alcohol, cafe\u00efna o la manca de son\u2014 pot contribuir a reduir la freq\u00fc\u00e8ncia de les crisis.<\/p><p> <\/p><p>En altres casos, una alimentaci\u00f3 equilibrada ajuda a mantenir un bon estat general de salut i evita factors que poden augmentar la sensaci\u00f3 d\u2019inestabilitat, com la deshidrataci\u00f3 o les baixades de glucosa.<\/p><p> <\/p><p>La <a href=\"https:\/\/aliantis.es\/ca\/vitalitat-i-composicio-corporal-a-sitges\/\">nutrici\u00f3<\/a> s\u2019ha d\u2019entendre com un suport dins d\u2019una estrat\u00e8gia personalitzada i no com un tractament \u00fanic.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cb6c942 elementor-widget elementor-widget-heading\" data-id=\"cb6c942\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Quan \u00e9s important consultar de manera urgent?<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a7bd5e elementor-widget elementor-widget-text-editor\" data-id=\"7a7bd5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Tot i que la majoria dels vert\u00edgens tenen un origen benigne, hi ha situacions en qu\u00e8 \u00e9s imprescindible buscar <a href=\"https:\/\/aliantis.es\/ca\/2026\/03\/26\/dolor-que-requereix-atencio-medica-immediata\/\">atenci\u00f3 m\u00e8dica immediata<\/a>.<\/p><p> <\/p><p>Cal acudir a un servei d\u2019urg\u00e8ncies o trucar al 112 si el vertigen apareix acompanyat d\u2019algun dels s\u00edmptomes seg\u00fcents:<\/p><ul><li>debilitat o p\u00e8rdua de for\u00e7a en un bra\u00e7 o una cama;<\/li><li>dificultat per parlar o comprendre el llenguatge;<\/li><li>visi\u00f3 doble o p\u00e8rdua sobtada de la visi\u00f3;<\/li><li>entumiment d\u2019una part del cos;<\/li><li>dificultat important per caminar que apareix de manera sobtada;<\/li><li>mal de cap molt intens i diferent de l\u2019habitual;<\/li><li>p\u00e8rdua de coneixement o desmai;<\/li><li>dolor tor\u00e0cic o dificultat respirat\u00f2ria.<\/li><\/ul><p> <\/p><p>Aquests s\u00edmptomes poden indicar un problema neurol\u00f2gic o cardiovascular que requereix una valoraci\u00f3 urgent.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0936690 elementor-widget elementor-widget-heading\" data-id=\"0936690\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A Aliantis apostem per una atenci\u00f3 personalitzada<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eaf807e elementor-widget elementor-widget-text-editor\" data-id=\"eaf807e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>No totes les persones amb vertigen necessiten el mateix tractament.<\/p><p> <\/p><p>Algunes milloren despr\u00e9s d\u2019una simple maniobra de reposicionament. Altres necessiten un programa de rehabilitaci\u00f3 vestibular durant diverses setmanes. En determinats casos, l\u2019abordatge tamb\u00e9 es pot beneficiar de l\u2019osteopatia, la psicologia o l\u2019assessorament nutricional.  <\/p><p> <\/p><p>Per aix\u00f2, a Aliantis creiem que el primer pas no \u00e9s tractar el s\u00edmptoma, sin\u00f3 comprendre\u2019n l\u2019origen.<\/p><p> <\/p><p>Una valoraci\u00f3 rigorosa permet orientar el tractament cap a la causa del problema i acompanyar el pacient en la seva recuperaci\u00f3 amb un enfocament basat en l\u2019evid\u00e8ncia cient\u00edfica i adaptat a les seves necessitats.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0acd4cc elementor-widget elementor-widget-heading\" data-id=\"0acd4cc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Conclusi\u00f3<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-579bbaa elementor-widget elementor-widget-text-editor\" data-id=\"579bbaa\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>El vertigen pot resultar molt incapacitant i generar una gran preocupaci\u00f3, per\u00f2 en la majoria dels casos t\u00e9 una explicaci\u00f3 i existeixen tractaments efica\u00e7os.<\/p><p> <\/p><p>L\u2019aspecte m\u00e9s important no \u00e9s trobar un tractament universal, sin\u00f3 identificar correctament la causa dels s\u00edmptomes. Un diagn\u00f2stic prec\u00eds permet escollir l\u2019estrat\u00e8gia m\u00e9s adequada, evitar tractaments innecessaris i afavorir una recuperaci\u00f3 m\u00e9s r\u00e0pida i segura. <\/p><p> <\/p><p>Si presentes episodis de vertigen, mareig o inestabilitat que persisteixen o interfereixen en la teva vida di\u00e0ria, una valoraci\u00f3 per part d\u2019un professional sanitari et pot ajudar a comprendre qu\u00e8 est\u00e0 passant i quin \u00e9s l\u2019abordatge m\u00e9s adequat per a la teva situaci\u00f3.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5786716 elementor-widget elementor-widget-text-editor\" data-id=\"5786716\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p class=\"p1\">Comprendre l\u2019origen del vertigen \u00e9s el primer pas per recuperar l\u2019equilibri.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-949997b elementor-widget elementor-widget-heading\" data-id=\"949997b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Preguntes freq\u00fcents sobre el vertigen<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7a3ad599 elementor-widget elementor-widget-n-accordion\" data-id=\"7a3ad599\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;default_state&quot;:&quot;all_collapsed&quot;,&quot;max_items_expended&quot;:&quot;one&quot;,&quot;n_accordion_animation_duration&quot;:{&quot;unit&quot;:&quot;ms&quot;,&quot;size&quot;:400,&quot;sizes&quot;:[]}}\" data-widget_type=\"nested-accordion.default\">\n\t\t\t\t\t\t\t<div class=\"e-n-accordion\" aria-label=\"Accordion. Open links with Enter or Space, close with Escape, and navigate with Arrow Keys\">\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2050\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"1\" tabindex=\"0\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2050\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Per qu\u00e8 tinc vertigen quan em giro al llit? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2050\" class=\"elementor-element elementor-element-375245f9 e-con-full e-flex e-con e-child\" data-id=\"375245f9\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-2df04e2e elementor-widget elementor-widget-text-editor\" data-id=\"2df04e2e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t\u00c9s una de les manifestacions m\u00e9s t\u00edpiques del vertigen posicional parox\u00edstic benigne (VPPB), causat pel despla\u00e7ament de petits cristalls de l\u2019o\u00efda interna. Generalment es pot tractar mitjan\u00e7ant maniobres de reposicionament. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2051\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"2\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2051\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> L\u2019estr\u00e8s pot provocar vertigen? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2051\" class=\"elementor-element elementor-element-4355928c e-con-full e-flex e-con e-child\" data-id=\"4355928c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5346870b elementor-widget elementor-widget-text-editor\" data-id=\"5346870b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tL\u2019estr\u00e8s no acostuma a ser la causa directa d\u2019un trastorn vestibular, per\u00f2 pot agreujar els s\u00edmptomes i afavorir quadres com la migranya vestibular o el vertigen postural-perceptiu persistent (PPPD).\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2052\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"3\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2052\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Les cervicals poden provocar vertigen? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2052\" class=\"elementor-element elementor-element-1be963e3 e-con-full e-flex e-con e-child\" data-id=\"1be963e3\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-273631f9 elementor-widget elementor-widget-text-editor\" data-id=\"273631f9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tS\u00ed, \u00e9s possible, encara que \u00e9s menys freq\u00fcent del que moltes persones creuen. Abans d\u2019atribuir els s\u00edmptomes al coll, cal descartar altres causes vestibulars, neurol\u00f2giques o cardiovasculars. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2053\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"4\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2053\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quant dura un episodi de vertigen? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2053\" class=\"elementor-element elementor-element-e695ca7 e-con-full e-flex e-con e-child\" data-id=\"e695ca7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-804d56a elementor-widget elementor-widget-text-editor\" data-id=\"804d56a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tDep\u00e8n de la causa. El VPPB acostuma a provocar episodis de menys d\u2019un minut, mentre que una neuritis vestibular pot produir s\u00edmptomes durant diversos dies i el PPPD es pot prolongar durant setmanes o mesos. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2054\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"5\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2054\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Puc conduir si tinc vertigen? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2054\" class=\"elementor-element elementor-element-55aef3c e-con-full e-flex e-con e-child\" data-id=\"55aef3c\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fccda56 elementor-widget elementor-widget-text-editor\" data-id=\"fccda56\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tNo \u00e9s recomanable conduir durant un episodi de vertigen o mentre els s\u00edmptomes comprometin la seguretat. Si el problema persisteix, consulta un professional sanitari abans de reprendre la conducci\u00f3. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2055\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"6\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2055\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Els exercicis vestibulars realment funcionen? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2055\" class=\"elementor-element elementor-element-eed5d00 e-con-full e-flex e-con e-child\" data-id=\"eed5d00\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-37fa455 elementor-widget elementor-widget-text-editor\" data-id=\"37fa455\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tS\u00ed. La rehabilitaci\u00f3 vestibular compta amb una s\u00f2lida evid\u00e8ncia cient\u00edfica i constitueix un dels tractaments m\u00e9s efica\u00e7os per a nombrosos trastorns de l\u2019equilibri i del sistema vestibular. \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t\t<details id=\"e-n-accordion-item-2056\" class=\"e-n-accordion-item\" >\n\t\t\t\t<summary class=\"e-n-accordion-item-title\" data-accordion-index=\"7\" tabindex=\"-1\" aria-expanded=\"false\" aria-controls=\"e-n-accordion-item-2056\" >\n\t\t\t\t\t<span class='e-n-accordion-item-title-header'><div class=\"e-n-accordion-item-title-text\"> Quin professional he de consultar si tinc vertigen? <\/div><\/span>\n\t\t\t\t\t\t\t<span class='e-n-accordion-item-title-icon'>\n\t\t\t<span class='e-opened' ><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-minus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h384c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t\t<span class='e-closed'><svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-plus\" viewBox=\"0 0 448 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M416 208H272V64c0-17.67-14.33-32-32-32h-32c-17.67 0-32 14.33-32 32v144H32c-17.67 0-32 14.33-32 32v32c0 17.67 14.33 32 32 32h144v144c0 17.67 14.33 32 32 32h32c17.67 0 32-14.33 32-32V304h144c17.67 0 32-14.33 32-32v-32c0-17.67-14.33-32-32-32z\"><\/path><\/svg><\/span>\n\t\t<\/span>\n\n\t\t\t\t\t\t<\/summary>\n\t\t\t\t<div role=\"region\" aria-labelledby=\"e-n-accordion-item-2056\" class=\"elementor-element elementor-element-01212b2 e-con-full e-flex e-con e-child\" data-id=\"01212b2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1867535 elementor-widget elementor-widget-text-editor\" data-id=\"1867535\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tDependr\u00e0 de l\u2019origen dels s\u00edmptomes. Segons el cas, pot ser necess\u00e0ria la valoraci\u00f3 per part d\u2019un metge, un fisioterapeuta especialitzat en rehabilitaci\u00f3 vestibular, un otorrinolaring\u00f2leg o un neur\u00f2leg. En situacions concretes, un enfocament multidisciplinari pot oferir millors resultats.  \t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/details>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0c754f3 e-con-full e-flex e-con e-child\" data-id=\"0c754f3\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-1fec814 elementor-widget elementor-widget-text-editor\" data-id=\"1fec814\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><em>Aquest article de blog no t\u00e9 com a objectiu generar nous coneixements; la seva redacci\u00f3 es basa en la lectura de publicacions cient\u00edfiques, articles de blog i altres textos.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-7cc1488 e-con-full e-flex e-con e-child\" data-id=\"7cc1488\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-db3466c elementor-widget elementor-widget-text-editor\" data-id=\"db3466c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Fonts:<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8f26d21 elementor-widget elementor-widget-text-editor\" data-id=\"8f26d21\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Bhattacharyya N, Gubbels SP, Schwartz SR, et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngology\u2013Head and Neck Surgery.   2017.<\/p><p>Hall CD, Herdman SJ, Whitney SL, et al. Vestibular Rehabilitation for Peripheral Vestibular Hypofunction: An Updated Clinical Practice Guideline. Journal of Neurologic Physical Therapy.   2022.<\/p><p>Smyth N, et al. Vestibular migraine treatment: a comprehensive practical review. Brain.   2022.<\/p><p>Geraghty AW, et al. The INVEST Trial: Psychologically Informed Vestibular Rehabilitation for Persistent Postural-Perceptual Dizziness. Journal of Neurology.   2022.<\/p><p>Comparative efficacy of non-pharmacological interventions for persistent postural-perceptual dizziness: a systematic review and network meta-analysis. Journal of Neurology.  2026.<\/p><p>Corna S, et al. Physical therapy interventions for older people with vertigo, dizziness and balance disorders. BMC Geriatrics.   2020.<\/p><p>Dizziness and neck pain: a perspective on cervicogenic dizziness exploring pathophysiology, diagnostic challenges, and therapeutic implications. Frontiers in Neurology.  2025.<\/p><p>The effects of physiotherapy on neck pain with associated symptoms, including cervicogenic dizziness and tinnitus: a systematic review. BMC Musculoskeletal Disorders.  2026.<\/p><p>Reid SA, Rivett DA. Comparison of Mulligan Sustained Natural Apophyseal Glides and Maitland Mobilizations for Treatment of Cervicogenic Dizziness. Physical Therapy.   2013.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Descobreix les principals causes del vertigen, com diferenciar-les i quins tractaments compten amb evid\u00e8ncia cient\u00edfica per recuperar l\u2019equilibri.<\/p>\n","protected":false},"author":1,"featured_media":4997,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[48],"tags":[],"class_list":["post-5443","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dolor"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Vertigen: causes, s\u00edmptomes i tractaments efica\u00e7os | Aliantis<\/title>\n<meta name=\"description\" content=\"Descobreix les principals causes del vertigen, com diferenciar-les i 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