Epley and beyond: an update on treating positional vertigo

Kaski, Diego; Bronstein, Adolfo M.

doi:10.1136/practneurol-2013-000690

Cited by 32 publications

(42 citation statements)

References 45 publications

(35 reference statements)

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“…Interested patients are asked to contact the trial manager by phone, email or by returning the study reply slip in a provided stamped addressed envelope. Once contact has been made, the trial manager will contact the patient by phone and confirm eligibility by asking: If they still experience dizziness made worse by head movements (if this is not the case dizziness is not likely to be caused by vestibular imbalance and is thus unlikely to respond to VR)? If they have any neck pain/injury which might prevent them from carrying out the exercises? If they had the Epley Manoeuvre43 performed in the previous month or if they have a future appointment scheduled for this? …”

Section: Methodsmentioning

confidence: 99%

Internet-based vestibular rehabilitation for adults aged 50 years and over: a protocol for a randomised controlled trial

et al. 2014

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IntroductionDizziness is highly prevalent in older adults and can lead to falls, fear of falling, loss of confidence, anxiety and depression. Vestibular rehabilitation (VR) exercises are effective in reducing dizziness due to vestibular dysfunction, but access to trained therapists is limited. Providing dizzy patients with booklets teaching them how to carry out VR exercises has been shown to be a cost-effective way of managing dizziness in primary care. Internet-based intervention delivery has many advantages over paper-based methods, including the provision of video instructions, automated tailoring and symptom-related feedback. This trial will examine whether an internet-based VR intervention is (1) effective in reducing dizziness and (2) a cost-effective primary care treatment option.Methods/analysisThis will be a single blind, randomised controlled trial carried out in UK primary care. A stand-alone internet-based VR intervention will be compared with routine care in 262 dizzy patients aged 50 years and over. Measures will be taken at baseline, 3 and 6 months. Our primary outcome measure will be the effectiveness of the intervention in reducing dizziness symptoms compared with routine care at 6 months. Cost-effectiveness will be examined along with the effect of the intervention on dizziness-related disability and symptoms of depression and anxiety. Psychological process variables including expectancy, self-efficacy and acceptance will be explored in relation to adherence and symptom reduction.Ethics/disseminationThis trial has undergone ethical scrutiny and been approved by an NHS Research Ethics Committee, Southampton A REC Reference: 13/SC/0119. The findings of this trial will be disseminated to the scientific community through presentations at national and international conferences, and by publishing in peer review journals. Findings will be disseminated to the public through targeted press releases. This trial will provide valuable information on the role of internet interventions in facilitating self-management in older adults.Trial registration numberISRCTN: 86912968.

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Section: Methodsmentioning

confidence: 99%

Internet-based vestibular rehabilitation for adults aged 50 years and over: a protocol for a randomised controlled trial

et al. 2014

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“…the wall and otoconia, thereby extending the time needed for otoconia to reach a point in the SCC where it exerts a fluid pressure sufficient enough to elicit nystagmus. It has been suggested, that BPPV refractory to treatment might be due to structural abnormalities in the SCC [7]. Larger otoconia fall more quickly and causes nystagmus with shorter latencies [5].…”

Section: Increased Otoconial Size Increases Viscous Interactions Betweenmentioning

confidence: 99%

Extremely Long Latency Benign Paroxysmal Positional Vertigo

Abrahamsen

Hougaard

2017

Res Vestib Sci

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“…Доброкачественное позиционное пароксизмальное головокружение (ДППГ) -одна из самых распространенных форм системного головокружения: его частота колеблется от 10 до 64 случаев на 100 000 населения [1][2][3][4][5][6]. ДППГ может развиваться в любом возрасте.…”

Section: лекцияunclassified

“…ДППГ может развиваться в любом возрасте. Идиопатические формы чаще встречаются у пациентов старше 40 лет, соотношение мужчины/женщины 1:2 [1,2].…”

Section: лекцияunclassified

Benign paroxysmal positional vertigo

Kutlubaev¹

2016

Z. nevrol. psikhiatr. im. S.S. Korsakova

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Benign paroxysmal positional vertigo (BPPV) is the most common cause of vestibular vertigo. It is caused by dislodged otoconia that enters the semicircular canals. Its main symptom is relapsing positional vertigo. The provocative tests, in particular the Dix-Hallpike maneuver, are used to confirm the diagnosis. In case of positive result of the test, one of the maneuvers is peformed depending on the affected semicircular canal, for instance the Epley maneuver. It is important to differentiate BPPV from the vertigo of central origin.

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Epley and beyond: an update on treating positional vertigo

Cited by 32 publications

References 45 publications

Internet-based vestibular rehabilitation for adults aged 50 years and over: a protocol for a randomised controlled trial

Internet-based vestibular rehabilitation for adults aged 50 years and over: a protocol for a randomised controlled trial

Extremely Long Latency Benign Paroxysmal Positional Vertigo

Benign paroxysmal positional vertigo

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