Residual postural instability in benign paroxysmal positional vertigo

Abou-Elew, Maha H.; Shabana, Mohamed Ibrahim; Selim, Mona H.; El-Refaei, Amr; Fathi, Soroor; Fatth-Allah, Marwa O.

doi:10.3109/1651386x.2010.537121

Cited by 6 publications

(2 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Individuals with BPPV typically suffer from paroxysmal vertigo and nystagmus attacks during specific movements (5). In addition, light-headedness, nausea, and unsteadiness during physical movementssuch as standing or walking -are frequently reported symptoms (6)(7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Gait and Postural Control Characteristics among Individuals with Benign Paroxysmal Positional Vertigo: A Scoping Review

Nasruddin¹,

Justine²,

Manaf³

2022

MJMHS

View full text Add to dashboard Cite

Benign paroxysmal positional vertigo (BPPV) is a common peripheral vestibular disorder. Besides vertigo, unsteadiness is a common subjective complaint. This study aims to gain an overview of gait and postural control changes among individuals with BPPV compared to healthy individuals. Relevant case-control studies were searched from their inception until April 2020 using the Scopus, Web of Science and Science Direct databases. Two independent reviewers assessed the methodological quality using the Newcastle-Ottawa Scale (NOS) for case-control studies. A total of 15 studies which satisfied the eligibility criteria were included. The findings suggest evidence of gait and postural control alteration characterized by slower gait speed, reduced gait velocity, increased anterior-posterior centre of pressure, and increased sway velocity compared to controls. Individuals with BPPV showed evidence of gait and postural control alteration. Future exploration on this issue is vital to support gait and postural control alteration among individuals with BPPV.

show abstract

Section: Introductionmentioning

confidence: 99%

Gait and Postural Control Characteristics among Individuals with Benign Paroxysmal Positional Vertigo: A Scoping Review

Nasruddin¹,

Justine²,

Manaf³

2022

MJMHS

View full text Add to dashboard Cite

show abstract

“…As a result, many patients with BPPV tend to avoid certain activities, limit their movement and avoid specific circumstances due to fear of provoking dizziness and unanticipated unsteadiness attacks 19. It is not surprising that increased postural instability has been documented in patients who experience RD 20 21. Given the high prevalence of RD after successful repositioning and its negative impact on patient recovery, this impairment should be managed properly.…”

Section: Introductionmentioning

confidence: 99%

Effects of vestibular rehabilitation, with or without betahistine, on managing residual dizziness after successful repositioning manoeuvres in patients with benign paroxysmal positional vertigo: a protocol for a randomised controlled trial

Cao

et al. 2019

BMJ Open

View full text Add to dashboard Cite

IntroductionBenign paroxysmal positional vertigo (BPPV) is recognised as the leading cause of peripheral vertigo in adults. The canalith repositioning procedure (CRP) can be used for effective treatment of BPPV. However, some patients experience residual dizziness (RD) even after successful CRP, resulting in a significant negative impact on their daily function and quality of life. Exercise-based vestibular rehabilitation (VR) has been proven as an effective method for managing dizziness and has been applied in patients with various vestibular disorders. However, the efficacy of VR to specifically target RD post-BPPV is unknown. This study aims to investigate the efficacy of VR, compared with betahistine or VR plus betahistine treatment, in the treatment of patients experiencing RD after successful CRP.Methods and analysisA randomised single-blinded controlled trial will be carried out to determine the efficacy of VR compared with betahistine or VR plus betahistine treatment in mitigating RD and improving balance function. Patients with BPPV who experience RD after successful CRP will be recruited. Participants will be randomised into one of three groups to receive VR, betahistine or VR plus betahistine. There will be 61 participants in each group. The primary outcomes will be changes in the patient’s daily function as measured by the Vestibular Activities and Participation questionnaire and balance ability assessed by computerised dynamic posturography. The secondary outcomes will be dizziness-related handicap, otolith function and duration of RD symptoms. Outcome measures will be noted at baseline and at 2, 4 and 8 weeks post-randomisation. This study has the potential to reduce unnecessary anti-vertigo drug prescriptions and may lead to a general consensus regarding the use of VR as a first-line treatment for RD in patients with BPPV.Ethics and disseminationThis trial received ethical approval from the Institutional Review Board of Eye and ENT Hospital of Fudan University (reference number 2017046). The study results will be disseminated via peer-reviewed journals and conferences.Trial registration numberNCT03624283; Pre-results.

show abstract

Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults With Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis

Sim

Tan

2019

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

Residual postural instability in benign paroxysmal positional vertigo

Cited by 6 publications

References 23 publications

Gait and Postural Control Characteristics among Individuals with Benign Paroxysmal Positional Vertigo: A Scoping Review

Gait and Postural Control Characteristics among Individuals with Benign Paroxysmal Positional Vertigo: A Scoping Review

Effects of vestibular rehabilitation, with or without betahistine, on managing residual dizziness after successful repositioning manoeuvres in patients with benign paroxysmal positional vertigo: a protocol for a randomised controlled trial

Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults With Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis

Contact Info

Product

Resources

About