Effectiveness of Otolith Repositioning Maneuvers and Vestibular Rehabilitation exercises in elderly people with Benign Paroxysmal Positional Vertigo: a systematic review

Ribeiro, Karyna Myrelly Oliveira Bezerra de Figueiredo; Oliveira, Bruna Steffeni; Freitas, Raysa Vanessa de Medeiros; Ferreira, Lidiane Maria de Brito Macedo; Deshpande, Nandini; Guerra, Ricardo Oliveira

doi:10.1016/j.bjorl.2017.06.003

Cited by 9 publications

(12 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In a Brazilian review of the effectiveness of CRPs in the treatment of older adults, Ribeiro et al 101 confirmed the improvement in symptomatology in a group of 300 patients with an average age that ranged between 67.2 and 74.5 years. Prokopakis et al 102 studied 965 individuals with BPPV, and found that CRPs resulted in successful treatment of BPPV, with 85% effectiveness after the first session.…”

Section: Treatmentmentioning

confidence: 92%

Benign paroxysmal positional vertigo in the elderly: current insights

Balatsouras

Koukoutsis

Fassolis

et al. 2018

CIA

View full text Add to dashboard Cite

Balance disorders, unsteadiness, dizziness and vertigo in the elderly are a significant health problem, needing appropriate treatment. One third of elderly patients with vertigo were diagnosed with benign paroxysmal positional vertigo (BPPV), the most common cause of dizziness in both primary care specialist Neurology and Ear Nose Throat settings. BPPV presents a specific paroxysmal positional nystagmus which can be obtained using the appropriate diagnostic positional test and can be treated effectively using specific therapeutic maneuvers. This review presents current insights into the diagnostic, pathogenetic and therapeutic aspects of BPPV in the elderly. BPPV in older patients does not differ significantly from BPPV in younger patients, with regard to pathogenesis, diagnosis and treatment. However, in older patients, its prevalence is higher and it responds less effectively to treatment, having a tendency for recurrence. Specific issues which should be considered in the elderly are: 1) difficulty in obtaining an accurate history; 2) difficulty in performing the diagnostic and therapeutic maneuvers, which should be executed with slow and gentle movements and extremely cautiously to avoid any vascular or orthopedic complications; and 3) the relation between BPPV and falls.

show abstract

Section: Treatmentmentioning

confidence: 92%

Benign paroxysmal positional vertigo in the elderly: current insights

Balatsouras

Koukoutsis

Fassolis

et al. 2018

CIA

View full text Add to dashboard Cite

show abstract

“…Repositioning maneuvers can successfully free the affected semicircular canals from the displaced otoconia in almost the totality of patients, even if performance of this treatment in the older population could be challenging because of some orthopedic problems limiting the range of motion in the cervical spine. Also, a previous history of vertebrobasilar insufficiency, stroke, or cervical spine instability should suggest caution in performing extension of the cervical spine [43,44].…”

Section: Benign Paroxysmal Positional Vertigo (Bppv)mentioning

confidence: 99%

Current Insights into Treating Vertigo in Older Adults

Casani¹,

Gufoni²,

Capobianco³

2021

Drugs Aging

View full text Add to dashboard Cite

The number of older people has been increasing over recent decades in Western populations. Dizziness, imbalance, and vertigo constitute some of the most common complaints in older patients, and risk of falling is the most frequent and worrying consequence. It has been reported that 15-20% of the adult population experiences these debilitating symptoms. Among the diseases that may be associated with vertigo, the three classes of otological, central, and functional (psychological) dizziness may be distinguished. Overall, vestibular disorders account for 48% of vertiginous complaints in the older population. The main focus of this article is to review the forms of pharmacotherapy for vertigo, especially with regard to older patients, who may be treated simultaneously with other drugs for different comorbidities. Interactions with other drugs should be considered in the choice of a particular course of treatment. Moreover, overuse of pharmacotherapy for the management of vertigo in the elderly may prevent the development of the central compensatory mechanism that sustains both static and dynamic imbalance after a vertiginous crisis. In the majority of patients, vestibular and physical rehabilitation are strongly advised and rarely contraindicated.

show abstract

“… Source: Adapted from Nascimento et al 49 ; Soares and Sachelli 48 ; Allet et al 47 and Ribeiro et al . 50 *For each series performed, the participant will be entitled to 30 s of rest. †The mats (height: 3 × width: 43 × length: 93 cm) will be used to create an unstable surface …”

Section: Methods and Analysismentioning

confidence: 99%

“… Source: Adapted from Nascimento et al 49 ; Soares and Sachelli 48 ; Allet et al 47 and Ribeiro et al . 50 …”

Section: Methods and Analysismentioning

confidence: 99%

Effects of exergames training on postural balance in patients who had a chronic stroke: study protocol for a randomised controlled trial

et al. 2020

View full text Add to dashboard Cite

IntroductionExergames training, as an additional therapy to standard care, has been widely used for motor recovery after patients who had a stroke, and it is a valuable and positive tool in the rehabilitation of this population. This study describes a single-blind randomised clinical trial that will aim to investigate the effects of exergames training on postural balance in patients with chronic stroke.Methods and analysisForty-two individuals with chronic stroke (>6 months), aged 20–75 years, will be randomised into two groups: the experimental group, which will be subjected to an exergames protocol, and control group, which will undergo a kinesiotherapy protocol. Both protocols are based on postural balance. The intervention will consist of 40-minute sessions two times per week for 10 consecutive weeks. The volunteers will be evaluated before the treatment, at the end of the interventions and 8 weeks thereafter. The primary outcome will be postural balance (Berg Balance Scale, Functional Reach Test, Timed Up and Go test and Centre of Pressure variables) and secondary outcomes will include gait (6 m timed walk and Kinovea Software), cortical activation patterns (electroencephalography Emotiv EPOC), functional independence (Functional Independence Measure), quality of life (Stroke-Specific Quality of Life Scale) and motivation (Intrinsic Motivation Inventory).Ethics and disseminationThis protocol was approved by the Ethics Committee of the Federal University of Rio Grande do Norte (number 3.434.350). The results of the study will be disseminated to participants through social networks and will be submitted to a peer-reviewed journal and scientific meetings.Trial registration numberBrazilian Registry of Clinical Trials (RBR-78v9hx).

show abstract

Effectiveness of Otolith Repositioning Maneuvers and Vestibular Rehabilitation exercises in elderly people with Benign Paroxysmal Positional Vertigo: a systematic review

Cited by 9 publications

References 48 publications

Benign paroxysmal positional vertigo in the elderly: current insights

Benign paroxysmal positional vertigo in the elderly: current insights

Current Insights into Treating Vertigo in Older Adults

Effects of exergames training on postural balance in patients who had a chronic stroke: study protocol for a randomised controlled trial

Contact Info

Product

Resources

About