Postural Control in Older Patients with Benign Paroxysmal Positional Vertigo

Abstract

The canalith-repositioning procedure promotes remission of symptoms, an increase in LOS, and improvement in postural control under conditions of somatosensory and visual conflict and visual-vestibular interaction.

Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver

“…Studies have linked ORM to a considerable increase in LOS, which consequently reduce such risks. 47 48 In this study, there was a significant improvement in two aspects of LOS, movement velocity and in the maximum excursion after one treatment session. It was impossible to infer whether the LOS values were lower or higher than normal, because there were no studies with LOS data obtained from the Balance Master in elderly BPPV patients compared with healthy individuals from the same age group.…”

Repositioning nystagmus: prognostic usefulness?

“…As Kasse and colleagues recently suggested, canalith repositioning procedures promote remission of symptoms, an increase in limit of stability, and improvement in postural control under conditions of somatosensory and visual conflict and visualvestibular interaction [20]. Nevertheless some patients might present modifications in this particular evaluation either because of a previous vestibular disease or as an effect of the recent positional vertigo event.…”

Changes in postural control in patients with Parkinson's disease: a posturographic study

“…All patients were evaluated by a single neurologist and physiotherapist with experience in PD using multiple assessment instruments: Unified Parkinson's Disease Rating Scale (UPDRS) motor scores (Part III) [18], modified HY staging [18], modified Schwab and England Capacity for Daily Living Scale (S&E ADL) [18], Dynamic Gait Index (DGI scores ≤19 indicate major risk of falls, scores >19 indicate minor risk of falls) [19,20] and computerised posturography [15,16]. The equivalent daily dose of L-dopa was calculated using a published formula for conversion [21].…”

“…Moreover, a limited number of studies have addressed LOS in patients with PD [12][13][14]. The posturography module of the Balance Rehabilitation Unit (BRU) [15,16] is an integrated virtual reality system equipped with virtual reality goggles, a static force platform and software that measures postural control in 10 different sensory conditions. The aim of this study was to quantify the LOS and to analyse the influence of visual, somatosensory and visual-vestibular inputs on the postural control of patients with PD and healthy subjects.…”

“…It uses information on the position of the subject's COP during tasks performed on the balance platform (450 x 450 mm). The BRU software sends a stimulus to a head-mounted display (HMD; eMagin Z800 3D Vision, New York, NY, USA) eliciting oculomotor reflexes (saccades, optokinetic and vestibulo-ocular)[15].…”