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

2015 ◽  
Vol 20 (01) ◽  
pp. 061-068 ◽  
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.

scholarly journals Post-BPPV Syndrome: Our Experience in a Specialized Neurotology Clinic in Kolkata

2019 ◽  
Vol 02 (01) ◽  
pp. 01-09
Author(s):  
Anirban Biswas ◽  
Nilotpal Dutta
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Function ◽  
Poor Quality ◽  
Positional Vertigo ◽  
The Common ◽  
Vestibular Deficit ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

Abstract Introduction The common cause of approximately 25 to 30% of all patients presenting to the neurotologist with the complaint of head-spinning is benign paroxysmal positional vertigo (BPPV) that is the commonest cause for which a patient attends a vertigo clinic. Though BPPV is very effectively treated with the canalith repositioning maneuver (CRM), a considerable percent of these patients (34–61% as per different studies)7 8 9 10 is not completely symptom-free even after a very successful maneuver (s) and complain of a new set of symptoms of light-headedness, unsteadiness, or dizziness or a combination of them termed as post-BPPV syndrome or as residual dizziness (RD) after successful correction of BPPV. Post-BPPV syndrome induces a very poor quality of life and is very incapacitating to most patients who suffer from it. Materials and Methods In Vertigo and Deafness Clinic, Kolkata, a total number of 200 patients were diagnosed with geotropic variety of BPPV in a period of 1 year from April 1, 2018 to March 31, 2019. Out of these 200 patients, the study was conducted on 178 patients who came for follow-up and also underwent all the necessary vestibular function tests. The remaining 22 patients who did not turn up for follow-up or did not undergo the tests either due to financial constraints or lack of time were excluded from the study group. The study was limited only to patients who had geotropic nystagmus and in patients with ageotropic nystagmus who were excluded from the study. One hundred seventy-eight patients of BPPV who were included in the study were managed by a protocol elaborated below devised by the first author. Results Following this protocol of BPPV management, only 23 (13%) patients after successful CRM presented with post-BPPV syndrome that is much less than the international figures of 34 to 61%. Analysis of data also showed that there was a huge psychic component in post-BPPV syndrome and that there was practically no organic vestibular deficit in post-BPPV syndrome. Conclusion Following our protocol of management of BPPV patients, which does not involve any new maneuver, only 13% of the patients complained of RD after the successful repositioning maneuvers. This is far lesser than the published international figures and this protocol may hence be tried and followed by other neurotology centers too. This protocol drastically reduces the morbidity of patients after the BPPV has been corrected by the requisite maneuvers. In our group of 23 patients who had post-BPPV syndrome out of 178 patients who had BPPV, the symptoms subsided spontaneously without medication within 3 weeks in more than 70% of patients. Only in three (13%) patients of post-BPPV syndrome, the RD persisted up to 12 weeks where drugs (selective serotonin reuptake inhibitor, benzodiazepines) and professional psychological counseling were required. None of these patients required any vestibular sedatives or the so called antivertigo drugs for amelioration of symptoms. It may hence be concluded that management of BPPV by this protocol reduces the incidence of post-BPPV syndrome and that antivertigo drugs have no role in the management of post-BPPV syndrome.

Utility Measures of Health-Related Quality of Life in Patients Treated for Benign Paroxysmal Positional Vertigo

2009 ◽  
Vol 30 (3) ◽  
pp. 369-376 ◽  
Author(s):  
Richard A. Roberts ◽  
Harvey Abrams ◽  
Melanie K. Sembach ◽  
Jennifer J. Lister ◽  
Richard E. Gans ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Benign Paroxysmal Positional Vertigo ◽  
Health Related Quality ◽  
Positional Vertigo ◽  
Related Quality ◽  
Health Related ◽  
Utility Measures ◽  
Paroxysmal Positional Vertigo

scholarly journals A sürgősségi osztályon szédüléses panaszokkal megjelent betegek életminőségének vizsgálata

2021 ◽  
Vol 162 (30) ◽  
pp. 1216-1221
Author(s):  
Stefani Maihoub ◽  
András Molnár ◽  
András Csikós ◽  
Péter Kanizsai ◽  
László Tamás ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Emergency Department ◽  
Benign Paroxysmal Positional Vertigo ◽  
Interdisciplinary Cooperation ◽  
Dizziness Handicap Inventory ◽  
Significant Statistical Difference ◽  
Positional Vertigo ◽  
Central Lesions ◽  
Paroxysmal Positional Vertigo

Összefoglaló. Bevezetés: A szédülés gyakori panasz, amellyel a betegek felkeresik a sürgősségi osztályt. Emellett fontos tünet, hiszen kihívást jelent mind a diagnosztika, mind a terápia szempontjából, és nagy hatással lehet a betegek életminőségére. Célkitűzés: Kutatásunk célja annak vizsgálata, hogy mennyire befolyásolta a szédülés a betegek életminőségét a sürgősségi osztály elhagyását követően. Módszer: A vizsgálat időtartama alatt 879, szédülést panaszoló beteg jelent meg a Semmelweis Egyetem sürgősségi osztályán. Részükre kérdőív került kiküldésre, amely tartalmazta a ’Dizziness Handicap Inventory’ (DHI-) kérdőívet is. Megkeresésünkre 308 beteg (110 férfi, 198 nő; átlagéletkor: 61,8 ± 12,31 SD) válaszolt, az általuk visszaküldött kérdőíveket részletesen elemeztük. Eredmények: A leggyakoribb diagnózisok közé a benignus paroxysmalis positionalis vertigo, a centrális egyensúlyrendszeri eltérések és a szédülékenység tartoztak. Az elemzés alapján különbség volt látható a fizikális, a funkcionális és az emocionális pontszámok között. Kiemelendő, hogy a legmagasabb értékeket a fizikális csoportban regisztráltuk. A részletes otoneurológiai kivizsgáláson átesett betegek DHI-értékeit összevetettük azokéival, akik nem jártak ilyen vizsgálaton, a két csoport értékei között azonban nem volt szignifikáns különbség (p = 0,97). Emellett a DHI-érték emelkedése volt látható a végleges diagnózisig eltelt idő függvényében. Következtetés: A végleges diagnózisig eltelt idő, illetve a megfelelő kivizsgálás hiánya jelentős hatással van a szédülő betegek életminőségére. Lényeges a kivizsgálás, a mielőbbi diagnózis és a részletes egyensúlyrendszeri vizsgálat szerepe, ugyanakkor az utóbbi indokolt esetben kell, hogy történjen. Orv Hetil. 2021; 162(30): 1216–1221. Summary. Introduction: Dizziness and vertigo are among the most common complaints in the emergency department. This may require interdisciplinary cooperation due to their complex presentation in the department and the effects on the patients’ quality of life. Objective: Our study aimed to assess the effect of an acute vertigo episode on the quality of life after patients’ discharge from the emergency department. Method: 879 patients examined at the Semmelweis University emergency department with vertigo and dizziness were included in the study. A questionnaire, including the Dizziness Handicap Inventory (DHI), was addressed to this population. We received 308 answered questionnaires back (110 males, 198 females; mean age 61.8 years ± 12.31 SD), which were further analyzed. Results: The most frequent diagnoses were benign paroxysmal positional vertigo, central lesions and dizziness. According to the analysis of the DHI questionnaire, a difference between physical, functional and emotional scores was shown, whereas the highest scores were registered in the physical group. The DHI questionnaire scores of patients undergoing a neurotological examination and those who did not were further compared, whereas no significant statistical difference was indicated (p = 0.97). In addition, an increase in DHI scores was seen depending on the time elapse for the definitive diagnosis. Conclusion: The absence of adequate examination and a late diagnosis of the dizziness cause have a significant impact on the quality of life of patients. Therefore, substantial investigation, early diagnosis, and detailed vestibular examination are essential, but the latter should take place in justified cases. Orv Hetil. 2021; 162(30): 1216–1221.

Impact of Treatment on Health-Related Quality of Life in Patients with Posterior Canal Benign Paroxysmal Positional Vertigo

2003 ◽  
Vol 24 (4) ◽  
pp. 637-641 ◽  
Author(s):  
Jose A. Lopez-Escamez ◽  
Maria J. Gamiz ◽  
Antonio Fernandez-Perez ◽  
Manuel Gomez-Fiñana ◽  
Isabel Sanchez-Canet
Keyword(s):  
Quality Of Life ◽  
Benign Paroxysmal Positional Vertigo ◽  
Health Related Quality ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Related Quality ◽  
Health Related ◽  
Paroxysmal Positional Vertigo

scholarly journals Vestibular rehabilitation therapy in elderly with benign paroxysmal positional vertigo

2020 ◽  
Vol 5 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Yeny Concha Cisternas ◽  
Eduardo Guzmán-Muñoz
Keyword(s):  
Quality Of Life ◽  
Physical Therapy ◽  
Vestibular System ◽  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Rehabilitation ◽  
Rehabilitation Therapy ◽  
Positional Vertigo ◽  
High Prevalence ◽  
Paroxysmal Positional Vertigo

The vestibular system contributes to the maintenance of the bipedal posture and balance. Peripheral vestibular alterations such as paroxysmal positional benign vertigo have high prevalence in elderly, being responsible for a large number of falls, which can cause disability and death. It has been shown that repositioning maneuvers and physical therapy aimed at restoring balance have good results in reducing symptoms, and also improve the quality of life of elderly.

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