New analyses of the sensory organization test compared to the clinical test of sensory integration and balance in patients with benign paroxysmal positional vertigo

Objectives: This study was performed to investigate the correlation between subjective residual dizziness and objective postural imbalance after successful canalith repositioning procedure (CRP) in benign paroxysmal positional vertigo (BPPV) by using questionnaires and modified Clinical Test of Sensory Integration and Balance (mCTSIB). Methods: A total of 31 patients with BPPV were included prospectively in the study. All included patients were successfully treated after initial CRP and their symptoms and nystagmus disappeared. Two weeks after CRP, all patients were asked to fill out the questionnaire including both Dizziness Handicap Inventory (DHI) and visual analog scale (VAS). We also conducted mCTSIB 2 weeks after CRP. We divided patients into two groups according to VAS: RD (residual dizziness) group, VAS＞0; non-RD group, VAS=0. We compared age, number of CRP, rates associated with three semicircular canals, DHI score and mCTSIB results between two groups. In addition, we analyzed the correlation between DHI score and mCTSIB results. Results: There were no significant differences in age, number of CRP, and rates associated with three semicircular canals between the two groups. RD group showed significantly higher DHI score and abnormal mCTSIB results than the non-RD group (<i>p</i>＜0.05). DHI score and the number of abnormal mCTSIB showed a statistically significant correlation. Conclusions: We demonstrated the correlation between DHI score and mCTSIB after successful CRP for BPPV. It also represents that subjective residual dizziness is correlated with objective postural imbalance even after successful CRP. Therefore, mCTSIB would be a useful test to evaluate both residual dizziness and postural imbalance after CRP in BPPV.

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Benign Paroxysmal Positional Vertigo and Clinical Test of Sensory Interaction and Balance in Ankylosing Spondylitis

Otology & Neurotology ◽

10.1097/mao.0b013e3182016534 ◽

2011 ◽

Vol 32 (2) ◽

pp. 278-283 ◽

Cited By ~ 4

Author(s):

Juan C. Amor-Dorado ◽

María P. Barreira-Fernández ◽

Tomas R. Vázquez-Rodríguez ◽

José A. Miranda-Filloy ◽

Javier Llorca ◽

...

Keyword(s):

Ankylosing Spondylitis ◽

Benign Paroxysmal Positional Vertigo ◽

Clinical Test ◽

Sensory Interaction ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

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Assessment of sensory organization testing in benign paroxysmal positional vertigo patients before and after repositioning manoeuvre

Acta Otorrinolaringológica Española ◽

10.1016/j.otorri.2021.04.007 ◽

2021 ◽

Author(s):

Samir Assal ◽

Hebatollah Mohamed Morsy ◽

Naima Muftah Almagassbi ◽

Mirhan Eldeeb

Keyword(s):

Benign Paroxysmal Positional Vertigo ◽

Sensory Organization ◽

Positional Vertigo ◽

Before And After ◽

Paroxysmal Positional Vertigo

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Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

International Archives of Otorhinolaryngology ◽

10.1055/s-0035-1565915 ◽

2015 ◽

Vol 20 (01) ◽

pp. 061-068 ◽

Cited By ~ 4

Author(s):

Camila Silva ◽

Karyna Ribeiro ◽

Raysa Freitas ◽

Lidiane Ferreira ◽

Ricardo Guerra

Keyword(s):

Quality Of Life ◽

Elderly People ◽

Postural Balance ◽

Benign Paroxysmal Positional Vertigo ◽

Wilcoxon Test ◽

Clinical Test ◽

Positional Vertigo ◽

Repositioning Maneuver ◽

Paroxysmal Positional Vertigo

Introduction Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common and treatable causes of peripheral vestibular vertigo in adults. Its incidence increases with age, eventually leading to disability and a decreased quality of life. Objective The research aims to assess short-term effects of Otolith Repositioning Maneuver (ORM) on dizziness symptoms, quality of life, and postural balance in elderly people with Benign Paroxysmal Positional Vertigo. Methods A quasi-experimental study, which evaluated 14 elderly people that underwent the Otolith Repositioning Maneuver and reevaluation after one week. The authors performed statistical analysis by descriptive analysis of central tendency and dispersion; for pre- and post-treatment conditions, the authors used the Wilcoxon test. Results All aspects of the Dizziness Handicap Inventory (physical, functional, emotional, and total scores) as well as the Visual Analogue Scale (VAS) decreased after therapy (p < 0.05 and p = 0.001, respectively). However, more than half of the elderly participants did not achieve negative Dix-Hallpike. Regarding static and dynamic balance, there were significant differences in some parameters of the modified Clinical Test of Sensory Interaction and Balance, Limits of Stability and gait assessment measured by the Dizziness Gait Index (p < 0.05). Conclusion Results reveal clinical and functional benefits in elderly people with Benign Paroxysmal Positional Vertigo submitted to Otolith Repositioning Maneuver. However, most of the participants did not overcome Benign Paroxysmal Positional Vertigo and not all aspects of postural balance improved. Therefore, a longer follow-up period and a multidisciplinary team are required to establish comprehensive care for elderly patients with dizziness complaints.

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Benign Paroxysmal Positional Vertigo and Clinical Test of Sensory Interaction and Balance in Systemic Sclerosis

Otology & Neurotology ◽

10.1097/mao.0b013e31818a086e ◽

2008 ◽

Vol 29 (8) ◽

pp. 1155-1161 ◽

Cited By ~ 20

Author(s):

Juan C. Amor-Dorado ◽

Maria P. Barreira-Fernandez ◽

Maria C. Arias-Nuñez ◽

Ines Gomez-Acebo ◽

Javier Llorca ◽

...

Keyword(s):

Systemic Sclerosis ◽

Benign Paroxysmal Positional Vertigo ◽

Clinical Test ◽

Sensory Interaction ◽

Positional Vertigo ◽

Paroxysmal Positional Vertigo

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Predictors of residual dizziness in patients with benign paroxysmal positional vertigo after successful repositioning: A multi-center prospective cohort study

Journal of Vestibular Research ◽

10.3233/ves-201535 ◽

2020 ◽

pp. 1-11

Author(s):

Peixia Wu ◽

Jun Yang ◽

Xinsheng Huang ◽

Zhaoxin Ma ◽

Tianzheng Zhang ◽

...

Keyword(s):

Cohort Study ◽

Prospective Cohort Study ◽

Prospective Cohort ◽

Benign Paroxysmal Positional Vertigo ◽

Treatment Strategies ◽

Vestibular Evoked Myogenic Potentials ◽

Sensory Organization ◽

Positional Vertigo ◽

Risk Predictors ◽

Paroxysmal Positional Vertigo

BACKGROUND: While patients with benign paroxysmal positional vertigo (BPPV) commonly develop residual dizziness (RD) after successful repositioning, the factors predictive of RD remain controversial. OBJECTIVE: To identify factors predictive of RD onset in patients with BPPV following successful repositioning. METHODS: This multi-center prospective cohort study enrolled 243 patients with idiopathic BPPV. Vestibular functional and psychological wellbeing assessments administered before repositioning provided the data used to identify factors predictive of RD with a log-binomial model. The endpoint was RD at 1 week after successful repositioning. RESULTS: Of the enrolled patients, 118 reported RD. After adjusting for cofounders, mild [risk ratio (RR), 2.06; 95% confidence interval (CI), 1.39–3.04] or severe (RR, 3.08; 95% CI, 2.17–4.38) anxiety and abnormal vestibular ratio of sensory organization test (RR, 2.68; 95% CI, 1.82–3.95) were identified as risk predictors. Presence of ocular vestibular evoked myogenic potentials responses, either unilateral (RR, 0.55 95% CI, 0.44–0.69) or bilateral (RR, 0.49, 95% CI, 0.36–0.68), were protective factors. CONCLUSIONS: Anxiety and abnormal balance are significant predictors of RD, while the presence of ocular vestibular evoked myogenic potentials responses predicts against it. These findings may help to improve BPPV outcomes by informing prognoses and guiding treatment strategies. Trial registration: ChiCTR1800018004 (date of registration: 26 August 2018)

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