The test and treatment methods of benign paroxysmal positional vertigo and an addition to the management of vertigo due to the superior vestibular canal (BPPV-SC)

Rahko, T.

doi:10.1046/j.1365-2273.2002.00602.x

Cited by 34 publications

(21 citation statements)

References 14 publications

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“…None of the patients in this study reported sleep disturbances. Neck and shoulder problems have been reported in BPPV (28). In this study, 13/17 experienced neck Áshoulder pain.…”

Section: Discussionmentioning

confidence: 48%

Evaluation of treatment in benign paroxysmal positional vertigo (BPPV)

Kollén

Bjerlemo

Möller³

2006

Advances in Physiotherapy

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Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. The prognosis is good, usually with spontaneous remission within three months, but symptoms may last. Patients were consecutively evaluated before and 1, 6 and 12 months after treatment, to evaluate the long-term effects of the Semont manoeuvre and Brandt & Daroff exercises. The subjects were 17 patients (13 women and four men, mean age 52 years) who had suffered from BPPV for more than 3 months. The Semont manoeuvre was performed. Patients with vertigo after two Semont manoeuvres were instructed to perform Brandt & Daroff exercises. Follow-up was done by the Dix ÁHallpike test, measurement of static/ dynamic balance and a health questionnaire; for the vertigo, a visual analogue scale (VAS) was used. Three of 17 patients still suffered from vertigo after 12 months but the nystagmus during the Dix ÁHallpike test was significantly decreased. At the end of the study, nine of 17 patients still experienced unsteadiness during standing and walking. It is of importance to perform not only manoeuvres and Brandt & Daroff exercises but also to instruct the patient in vestibular rehabilitation including static/dynamic balance exercises in order to reduce unsteadiness.

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“…None of the patients in this study reported sleep disturbances. Neck and shoulder problems have been reported in BPPV (28). In this study, 13/17 experienced neck Áshoulder pain.…”

Section: Discussionmentioning

confidence: 48%

Evaluation of treatment in benign paroxysmal positional vertigo (BPPV)

Kollén

Bjerlemo

Möller³

2006

Advances in Physiotherapy

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“…Another maneuver for AC-BPPV was described by Rahko [11]. In this maneuver, the patient lies on the healthy side.…”

Section: Introductionmentioning

confidence: 99%

New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo

2009

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This article describes the clinical features of anterior semicircular canal benign paroxysmal positional vertigo (AC-BPPV) and a new therapeutic maneuver for its management. Our study was a retrospective review of cases from an ambulatory tertiary referral center. Thirteen patients afflicted with positional paroxysmal vertigo exhibiting brief positional down-beating nystagmus in positional tests (Dix-Hallpike and head-hanging position) were treated with a maneuver comprised of the following movements: Sequential head positioning beginning supine with head hanging 30 degrees dependent with respect to the body, then supine with head inclined 30 degrees forward, and ending sitting with head 30 degrees forward. All cases showed excellent therapeutic response to our repositioning procedure, i.e. relief of vertigo and elimination of nystagmus. The maneuver described is an option for AC-BPPV treatment.

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“…Patients who suffer from vertigo and imbalance of any origin generally have comorbid cervical muscular tension, stiffness, and pain. 57 These may be physiological reactions to the perception of less stability and risk of falling. This postural behavior is easily observed and manifested in conditions of instability not only in healthy individuals (e.g., when walking on ice), but also in patients with pathological conditions (e.g., uncompensated vestibular hypofunction).…”

Section: Differential Diagnosismentioning

confidence: 99%