Analysis of Residual Symptoms after Treatment in Benign Paroxysmal Positional Vertigo Using Questionnaire

Lee, No Hee; Kwon, Hee Jun; Ban, Jae Ho

doi:10.1016/j.otohns.2009.04.006

Cited by 24 publications

(25 citation statements)

References 21 publications

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“…In the BPPV+DM group, 5 participants had mild restriction, 3 had moderate and 1 had severe perception of handicap persist after the CRM. Results of our study are similar to others that have shown improvement in DHI scores after resolution of vertigo in people with BPPV (Kasse et al, 2010), with persistence of residual symptoms (Lee, Kwon, & Ban, 2009; Silva, Ribeiro, Freitas, Ferreira, & Guerra, 2016). …”

Section: Discussionsupporting

confidence: 91%

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

D’Silva

Whitney

Santos

et al. 2017

Journal of Diabetes and its Complications

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AIM The prevalence of benign paroxysmal positional vertigo (BPPV) is higher in people with type 2 diabetes (DM). The impact of DM on mobility, balance, and management of BPPV is unknown. This prospective study compared symptom severity, mobility and balance before and after the canalith repositioning maneuver (CRM) in people with posterior canal BPPV canalithiasis, with and without DM. METHODS Fifty participants, BPPV (n=34) and BPPV+DM (n=16) were examined for symptom severity (Dizziness Handicap Inventory, DHI), mobility (Functional Gait Assessment, FGA), and postural sway (using an accelerometer in five conditions) before and after the CRM. The number of maneuvers required for symptom resolution was recorded. RESULTS At baseline, no differences in DHI or FGA scores were seen between groups, however, people with BPPV+DM had higher sway velocity in the medio-lateral direction in tandem stance (p<0.01). After treatment, both groups improved in DHI and FGA scores (p<0.01), with no differences between groups. Decrease in sway velocity in the mediolateral direction (p=0.003) were seen in tandem stance in persons with BPPV+DM. There were no differences between the groups in the number of CRMs provided. CONCLUSIONS This pilot study showed no differences in symptom severity, mobility deficits or efficacy of CRM treatments in people with posterior canal BPPV canalithiasis with and without DM. Future studies examining the impact of the severity and duration of diabetes, as well as the influence of diabetic peripheral neuropathy on functional performance are essential.

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Section: Discussionsupporting

confidence: 91%

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

D’Silva

Whitney

Santos

et al. 2017

Journal of Diabetes and its Complications

View full text Add to dashboard Cite

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“…Introduced for the first time by Jacobson and Newman in 1990, the questionnaire is a self-assessment inventory formed by 25 items divided into three sub domains of impact on daily life (functional, emotional and physical), with a total score ranging from 0 to 100 on the basis of symptoms frequency. 56 In patients affected by BPPV, the score generally showed a substantial decrement just after successful maneuvers, but never reaching the level of healthy controls. 57 In particular, the emotional domain showed the lower decrease, this would be related to a great anxiety level due to the intrinsic unpredictability of the BPPV itself.…”

Section: Resultsmentioning

confidence: 94%

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

et al. 2017

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The benign paroxysmal positional vertigo (BPPV) is a vestibular disorder cause of vertigo. The BPPV may be corrected mechanically by repositioning maneuvers but even after successful maneuvers, some patients report residual dizziness for a certain period afterward. Early recognition and treatment might decrease the incidence of residual dizziness in patients with BPPV, especially in those patients with psychiatric comorbidities and in the elderly, lowering the risk of falling. Many pathogenetic hypotheses for residual dizziness are under debate.The purpose of this review was to identify, evaluate and review recent researches about possible causal factors involved in residual dizziness and the implications on clinical practice. A literature search was performed using different databases such as Pubmed and Scopus. The following search terms were used: residual dizziness, otolithic membrane and BPPV. The search found a total of 1192 titles, which were reduced to 963 after a procedure of de-duplication of the found titles. The research was then restricted to an interval of time comprised between 2000 and 2016 for a total of 800 titles. Among these titles, only those including the terms benign paroxysmal positional vertigo were considered eligible for this review. Only publications in English language were taken into consideration and we excluded those with not available abstract. Finally, 90 abstracts were obtained and critically evaluated by two different Authors, and additional studies were identified by hand searching from the references of artiche of interest. Only 53 were included in this work.

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“…Risk factors, including aging, a long symptom duration, and anxiety were previously proposed, but study results are conflicting (10, 18, 27–31). Optimal management of RD remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Single treatment may suffice to treat most cases; nevertheless, some patients may require multiple treatments. After successful repositioning, some patients still report residual symptoms (10). Patients may describe a discomfort sensation as non-spinning dizziness or unsteadiness.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders

et al. 2018

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With the exception of migraines, benign paroxysmal positional vertigo (BPPV) in patients with preexisting central neurologic disorders (CND) is rarely discussed in the literature. Demographic features of this patient group and the efficacy of repositioning therapy are still unknown. We hypothesized that a CND may alter the function of the central vestibular pathway, thus changing the pattern of BPPV and outcomes of repositioning. In this study, we enrolled 93 consecutive idiopathic BPPV patients and categorized them into two groups according to the presence or absence of a CND. In our series, 31.2% of BPPV cases had a CND. The most common associated CNDs were cerebrovascular disease and migraines. The two groups showed similar age distributions, canal involvement, success rates of repositioning, and cycles of treatment used to achieve complete resolution. The major differences were the proportion of females (89.7%) and a right-side predominance (75.9%) in the CND group. There was a trend of more residual dizziness (RD) after successful repositioning in the CND group, but the difference was not significant. The reason for the female and right-side predominance in the CND group is unclear. We concluded that the efficacy of repositioning therapy was excellent (with a success rate of 80.6% with one cycle and 93.5% within two cycles of treatment) for BPPV with or without a preexisting CND. Clinicians are encouraged to diagnose and treat BPPV in patients with a preexisting CND as early as possible to improve patients' quality of life, avoid complications, and reduce medical costs.

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Analysis of Residual Symptoms after Treatment in Benign Paroxysmal Positional Vertigo Using Questionnaire

Abstract: Even after successful CRPs, Dizziness Handicap Inventory scores indicated that residual subjective symptoms may remain. Thus, additional follow-up and management are important for these patients.

Cited by 24 publications

References 21 publications

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

The impact of diabetes on mobility, balance, and recovery after repositioning maneuvers in individuals with benign paroxysmal positional vertigo

Residual Dizziness after Successful Repositioning Maneuver for Idiopathic Benign Paroxysmal Positional Vertigo: A Review

Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders

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