Daily Exercise Does Not Prevent Recurrence of Benign Paroxysmal Positional Vertigo

Helminski, Janet Odry; Janssen, İmke; Hain, Timothy C.

doi:10.1097/mao.0b013e318184586d

Cited by 21 publications

(14 citation statements)

References 26 publications

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“…Static and dynamic postural deficits are more severe in patients with posterior SCC-BPPV [18] and the assessment of instability at the time of diagnosis with a simple measure, as we have shown, will be of help to identify which patients would probably benefit from CRMs and home exercises for instability, a measure that has been demonstrated to be of no help if provided to a general population of patients with BPPV [19]. This measurement and its relevance are reinforced by the combined use of the CIEV score, which has a prognostic value according to its developers and first analysis [11].…”

Section: Discussionmentioning

confidence: 93%

Repositioning nystagmus: prognostic usefulness?

Castillo

Santos

et al. 2014

Acta Oto-Laryngologica

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The posterior semicircular canal (SCC) was affected in 84.2% of cases, the horizontal SCC in 10.5%, and the anterior SCC in 5.1%. Appropriate CRMs were performed. ON was present in 67% of cases. Overall resolution after the first treatment was achieved in 56% of cases. With ON present the success rate was 63% and when not observed the rate was 42%. DHI or CIEV scores were not significantly different when comparing the presence vs absence of ON. In nine patients (16%) an abnormal CIEV score was observed after treatment, even though a cured status was achieved in six of these nine patients.

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Section: Discussionmentioning

confidence: 93%

Repositioning nystagmus: prognostic usefulness?

Castillo

Santos

et al. 2014

Acta Oto-Laryngologica

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“…The classifications of the BPPV subtypes such as posterior semicircular canal (PSCC)-type BPPV (P-BPPV), horizontal semicircular canal (HSCC)-type BPPV with geotropic positional nystagmus (GH-BPPV), HSCC-type BPPV with apogeotropic positional nystagmus (AH-BPPV) are well organized, and the treatments for each subtype of BPPVsuch as the canalith repositioning procedure (CRP)are well established [4]. There have been some studies on prevention of recurrence, and Helminski et al reported that daily exercise does not affect the time to recurrence or the rate of P-BPPV recurrence [5]. When we decide to treat patients with BPPV and decide on preventive measures, we have to diagnose the subtype and the affected ear by observation of positional and positioning nystagmus.…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of the subtype and affected ear of benign paroxysmal positional vertigo using a questionnaire

Higashi-Shingai

Imai

Kitahara

et al. 2011

Acta Oto-Laryngologica

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“…The third DHT (#3) was administered one month after the second DHT in all patients. If the DHT (#3) was still positive for nystagmus and vertigo, then a third PRM was given ( Figure 1) and defined as "recurrence of BPPV" (15). Subjective complaints measured using VAS, with "residual daily dizziness" defined as the sensation of unsteadiness or lightheadedness without rotational and/or positional vertigo.…”

Section: Treatment Methodsmentioning

confidence: 99%

Balance and Gait Performance After Particle Repositioning Maneuver in Benign Paroxysmal Positional Vertigo Patients

Balci

2019

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Purpose:The purpose of this study was to examine subjective complaints, recurrence of benign paroxysmal positional vertigo (BPPV), balance and gait with a particle repositioning maneuver (PRM), and to investigate the effects of Brandt Daroff (BD) exercises and comorbid factors as migraine on recovery in BPPV patients. Methods:Fifty-seven patients were treated with a PRM for posterior canal BPPV. The perception of vertigo was estimated with Visual Analogue Scale (VAS), gait with Dynamic Gait Index (DGI), balance with the modified Clinical Test of Sensory Integration and Balance (mCTSIB). If the Dix-Hallpike test was still positive one week after the PRM, the maneuver was repeated. When remission was confirmed, patients were called back after one month to repeat all tests. If the patient suffered only from residual dizziness after one week, BD exercises were recommended for one month. Results:The VAS scores for all patients improved significantly one month after a PRM (p<0.001). The abnormal balance on foam stance before a PRM improved significantly (p<0.05). The DGI scores improved without a statistical difference (p>0.05). It was found that patients with migraine had complaints of more severe imbalance.Conclusion: Subjective complaints, balance and gait abilities improved in all patients after PRM. BPPV patients with migraine have a greater risk of recurrence and lower improvement in balance and gait ability after PRM. BD exercises did not prevent recurrence and residual dizziness.Amaç: Benign paroksismal pozisyonel vertigo (BBPV) hastalarında partikül yerleştirme manevrasından (PYM) önce ve sonra subjektif yakınmalar, rekürrens, denge ve yürüme yeteneklerini incelemek; Brandt Daroff (BD) egzersizleri ile migren gibi komorbit faktörlerin tekrarlama üzerine etkisini belirlemekti. Yöntem:Posterior kanal BPPV'si sebebiyle 57 hastaya PYM uygulandı. Vertigo algısı, Vizüel Analog Skalası (VAS) ile; yürüme, Dinamik Yürüme İndeksi (DYI) ile; denge, duyusal integrasyon ve dengenin kliniğe uyarlanmış testi (DİDKT) ile değerlendirildi. Eğer hastada Dix-Hallpike testi manevradan bir hafta sonra pozitif ise manevra tekrarlandı. Remisyon onaylandığında manevra tekrar edilmedi ve hasta bir ay sonra testlerin tekrarı için kontrole çağrıldı. Hastanın bir hafta sonraki konrolünde sadece baş dönmesi yakınması varsa bir ay boyunca BD egzersizleri yapması önerildi. Sonuçlar: VAS değerleri tüm hastalarda manevradan bir ay sonra anlamlı olarak iyileşti (p<0,001). Manevra öncesinde kötü olan sünger zeminde duruş dengesi anlamlı olarak iyileşti (p<0,05). DYİ skorları iyileşti fakat anlamlı fark bulunmadı (p>0,05). Migrenli hastalarda daha şiddetli denge bozukluğu yakınmaları tespit edildi.Tartışma: Subjektif yakınmalar, denge ve yürüme yetenekleri tüm hastalarda iyileşme gösterdi. Migrenli BPPV hastalarının tekrarlama riskinin daha fazla olduğu ve yürüme ve denge yeteneklerinde daha az iyileşme olduğu görüldü. BD egzersizlerinin tekrarlama ve baş dönmesi yakınmalarını önlemediği tespit edildi.

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Daily Exercise Does Not Prevent Recurrence of Benign Paroxysmal Positional Vertigo

Abstract: Our results suggest that a daily routine of the self-CRP does not affect the time to recurrence and the rate of recurrence of posterior canal-BPPV.

Cited by 21 publications

References 26 publications

Repositioning nystagmus: prognostic usefulness?

Repositioning nystagmus: prognostic usefulness?

Diagnosis of the subtype and affected ear of benign paroxysmal positional vertigo using a questionnaire

Balance and Gait Performance After Particle Repositioning Maneuver in Benign Paroxysmal Positional Vertigo Patients

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