Effect of Vestibular Exercises Associated With Repositioning Maneuvers in Patients With Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial

Rodrigues, Daniele Bobrowski; Ledesma, Alleluia Lima Losno; Oliveira, Carlos Augusto Cardim de; Bahmad, Fayez

doi:10.1097/mao.0000000000002324

Cited by 13 publications

(7 citation statements)

References 17 publications

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“…Rodrigues et al demonstrated that vestibular exercises in association with CRP could increase the benefit of treatments for patients with BPPV, resulting a reduction in residual symptoms and a decreasing recurrence rate [ 34 ]. Therefore, considering RD as the effect of either macular imbalance or delayed central compensation, RDDA would ideally act similarly to vestibular rehabilitation, readjusting the affected utricular function, although without the proper structure and goals.…”

Section: Discussionmentioning

confidence: 99%

“…Assuming that the daily activities that are usually performed consist of systematic repetitions of space-oriented movements, it could be hypothesized that the resumption of RDDA could act centrally, rebalancing the peripheral asymmetry that occurs while otoconia are free to move within the semicircular canal. However, considering the hypothesis of permanent utricular dysfunction, the role of RDDA in preventing RD appears justified, since it might enhance neuroplasticity phenomena, making the vestibular system more receptive to natural compensatory mechanisms [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

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Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

Martellucci

Stolfa

Castellucci

et al. 2022

IJERPH

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Objective: Residual dizziness is a disorder of unknown pathophysiology, which may occur after repositioning procedures for benign paroxysmal positional vertigo. This study evaluates the relationship between regular daily physical activity and the development of residual dizziness after treatment for benign paroxysmal positional vertigo. Study Design: Prospective observational cohort study. Setting: Academic university hospital. Methods: Seventy-one patients admitted with benign paroxysmal positional vertigo involving the posterior semicircular canal were managed with Epley’s procedure. Three days after successful treatment, the patients underwent a telephone interview to investigate vertigo relapse. If the patients no longer complained of vertigo, they were asked about symptoms consistent with residual dizziness. Subsequently, they were asked about the recovery of physical activities they regularly performed prior to the onset of vertigo. Results: Sixty-nine patients (age: 57.79 ± 15.05) were enrolled: five (7.24%) reported vertigo relapse whereas twenty-one of sixty-four non-relapsed patients (32.81%) reported residual dizziness. A significant difference in the incidence of residual dizziness was observed considering the patients’ age (p = 0.0003). Of the non-relapsed patients, 46 (71.88%) recovered their regular dynamic daily activities after treatment and 9 (19.57%) reported residual dizziness, while 12 of the 18 patients (66.67%) who did not resume daily activity reported residual symptoms (p = 0.0003). A logistic regression analysis showed a significant association between daily activity resumption and lack of residual dizziness (OR: 14.01, 95% CI limits 3.14–62.47; p = 0.001). Conclusions: Regardless of age, the resumption of regular daily physical activities is associated with a lack of residual dizziness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

Martellucci

Stolfa

Castellucci

et al. 2022

IJERPH

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“…Therefore, it is of great clinical significance that we identify BPPV patients who are prone to RD and recurrence, as well as to intervene with treatment. In addition to CRPs, vestibular rehabilitation exercises have been shown to be effective at controlling RD symptoms and preventing BPPV recurrence 55 , 56 . In addition, for BPPV patients with CSVDs, whether active treatment of CSVDs is helpful to the prognosis of BPPV, requires further research to prove it.…”

Section: Discussionmentioning

confidence: 99%

The influence of cerebral small vessel diseases on the efficacy of repositioning therapy and prognosis of benign paroxysmal positional vertigo

Shi¹,

Jiang²,

Feng³

et al. 2022

Int. J. Med. Sci.

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Background: Although vascular risk factors have been found to be closely related to the development of benign paroxysmal positional vertigo (BPPV), the relationship between BPPV and cerebral small vessels diseases (CSVDs) has rarely been discussed in literature. This study set out to investigate the efficacy of repositioning therapy and prognosis among BPPV patients with CSVDs. Methods: We enrolled 553 BPPV patients who had undergone brain MRI, and categorized them into two groups based on the presence or absence of CSVDs. After controlling for other confounders using a propensity score matching (PSM) approach, we compared the incidence of recurrence and residual dizziness (RD). Then, we analyzed the recurrence rate and RD incidence in 176 BPPV patients with CSVDs, and assessed potential risk factors. Results: White matter hyperintensity (WMH, 72.2%) and lacunar infarction (LI, 65.9%) were the two CSVDs that were present in the highest proportion among the BPPV patients. The incidence of RD in patients with CSVDs was significantly higher compared to subjects without CSVDs. Patients with RD (n=100, 56.8%) were older, had more severe WMH, and had a higher incidence of brain atrophy; age and higher Fazekas score were independent risk factors. Among the recurrent patients (n=61, 34.7%), the ages were older, the Fazekas score of WMH was higher, and number of LIs was increased; age was the sole independent risk factor. Conclusion: BPPV patients with a combination of CSVD comorbidities, especially elderly patients with WMHs, are more likely to develop RD, which needs to be paid more attention.

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“…VRT includes vestibular adaptation and postural control exercises, such as training and improving static and dynamic balance. This allows the patient to perform well in functional activities and to continually improve balance, in addition to relieving symptoms and producing good QoL ( Rodrigues et al ,2019) .…”

Section: Vestibular Rehabilitation Therapy (Vrt)mentioning

confidence: 99%

“…(2017) VRT was performed 6 sessions/6 weeks. Another study said that VRT was carried out in 5 sessions/2 repetitions of the same exercise (Rodrigues et al , 2019) . VRT is carried out every 6 weeks / once a week for 1 hour 30 minutes (Pilch et al ., 2020) .…”

Section: Vestibular Rehabilitation Therapy (Vrt)mentioning

confidence: 99%

Effectiveness of Vertigo Rehabilitation Exercise, Dizziness and Balance Disorders (Vdb) in Elderly : Narrative Review

Suparmin¹,

Indriani²

2022

mesencephalon

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Vertigo, Dizziness and Balance Disorders (VDB)cause disturbances in the perception of motion or feelings of instability that can affect the ability to see and an unstable gait that causes balance disorders so that immobility can be disturbed, limitations in daily activities, decreased function and can increase the risk of falling. There has been no review of articles that discuss the effectiveness of rehabilitation exercises in patients with Vertigo, Dizziness and Balance Disorders (VDB) in the elderly. To determine the effectiveness of exercise in patients with Vertigo, Dizziness and Balance Disorders (VDB) in the elderly.Narrative review with PICO framework , Identify articles using databases (Google Scholar, Pubmed, and ScienDirect). Selection of articles using PRISMA Flowchart . A total of 434 articles were identified . Articles are limited to 10 years. There were 12 articles that met the inclusion criteria and with the highest prevalence in Brazil 292 population . which states that Vestibular Rehabilitation Therapy (VRT) exercises and Vestibular Rehabilitation with exercise Cawthorne & Cookseycan improve balance .In the practice of Rehabilitation Vestibular Therapy (VRT) and Vestibular Rehabilitation with exercise Cawthorne & Cookseycan reduce symptoms in conditions of balance disorders and produce good results so that it can improve postural stability, self-confidence, can reduce symptoms of dizziness. Functional independence of daily activities can be done at home every day with supervision and doing exercises according to complaints or perceived functional limitationsKeywords: Balance disorders, Cawthorne & Cooksey, Dizziness, Vestibular Rehabilitation Therapy (VRT) and Vertigo

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Effect of Vestibular Exercises Associated With Repositioning Maneuvers in Patients With Benign Paroxysmal Positional Vertigo: A Randomized Controlled Clinical Trial

Cited by 13 publications

References 17 publications

Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

The influence of cerebral small vessel diseases on the efficacy of repositioning therapy and prognosis of benign paroxysmal positional vertigo

Effectiveness of Vertigo Rehabilitation Exercise, Dizziness and Balance Disorders (Vdb) in Elderly : Narrative Review

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