The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo

Blatt, Philip J.; Georgakakis, G.A.; Herdman, Susan J.; Clendaniel, Richard A.; Tusa, Ronald J.

doi:10.1016/s0196-0709(00)80045-9

Cited by 91 publications

(82 citation statements)

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“…Despite that difference from previous reports with large databases, we found some striking similarities and some interesting differences. For example, we have confirmed the previous finding of impaired balance in BPPV patients as indicated by significantly decreased pretreatment scores on the Sensory Organization subtest of the Equitest posturography battery [9]. We have extended this finding by showing impairments on the Motor Control subtest, too.…”

Section: Discussionsupporting

confidence: 88%

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Benign Paroxysmal Positional Vertigo and Comorbid Conditions

Cohen

Kimball

Stewart

2004

ORL

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Purpose: To determine the prevalence of comorbid disease in patients with benign paroxysmal positional vertigo (BPPV) and the relationship of comorbid disease to symptoms of vertigo, disequilibrium, and anxiety. Procedures: Patients who had posterior semicircular canal BPPV and who had been referred for vestibular rehabilitation at a tertiary care center completed a health status questionnaire and the Vertigo Symptom Scale, answered questions about level of vertigo, and were tested on computerized dynamic posturography. Results: Subjects had high rates of diabetes, mild head trauma, and probable sinus disease. Balance was generally impaired, worse in diabetics and subjects with significant vestibular weakness. Subjects who smoked or had had mild head trauma had higher levels of anxiety. Conclusions: Comorbid conditions, particularly diabetes, mild head trauma, and sinus disease, are unusually prevalent in BPPV patients. Message: Patients with comorbid disease are at risk for having increased vertigo, anxiety, and disequilibrium compared to other patients.

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Section: Discussionsupporting

confidence: 88%

“…Subjects also completed the Vertigo Symptom Scale, a measure of anxiety related to symptoms of vertigo [8], and they were tested on the Equitest computerized dynamic posturography system. Previous work has shown that BPPV subjects have impaired scores on the Sensory Organization subtest [9].…”

Section: Methodsmentioning

confidence: 94%

Benign Paroxysmal Positional Vertigo and Comorbid Conditions

Cohen

Kimball

Stewart

2004

ORL

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“…Head movement causes the shifting of the calcium carbonate particles, causing endolymph acceleration, with consequent abnormal cupule deflexion 2 . Although BPPV patients primarily have short--duration vertigo fits, postural instability and loss of body balance may also happen in-between fits 3,4 , or after particle repositioning maneuvers 5 . In those cases of persistent vertigo, the disorder may become incapacitating and impair daily life activities; life-quality loss is greater during the fits; although it may also happen outside of the fits; physical aspects are the most altered, followed by the functional and emotional ones 6 .…”

Section: Introductionmentioning

confidence: 99%

Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna

Monteiro¹,

Ganança²,

Ganança³

et al. 2012

Braz. j. otorhinolaryngol.

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Post urography has been used in the evaluation of patients with vestibular disorders. Aim:To evaluate balance control with the Balance Rehabilitation Unit (BRU TM ) posturography in patients with Benign Paroxysmal Positional Vertigo. Study design: Prospective case-control. Materials and Methods:A cross-sectional controlled study was carried out in 45 patients with BPPV, and a homogeneous control group consisting of 45 healthy individuals. Patients were submitted to a balance function evaluation by means of the Balance Rehabilitation Unit (BRU TM ) posturography. Results:The mean values of the ellipse area and the sway velocity in a firm surface and saccadic stimulation (p = 0.060). Conclusion:The Balance Rehabilitation Unit (BRU TM ) posturography enables to identify postural control abnormalities in patients with BPPV. Braz J Otorhinolaryngol. 2012;78(3):98-104. ORIGINAL ARTICLE BJORL

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“…These maneuvers are designed to remove debris from the posterior semicircular canal, which is much more commonly involved than other canals. Such procedures are twice as effective as a sham maneuver in resolving nystagmus [11], and also improve postural stability [12]. Sometimes, loss of vestibular function due to aminoglycosides in patients with head tremor may give the clinical picture of pseudonystagmus with oscillopsia.…”

Section: Nystagmus Due To Imbalance In the Vestibular Systemmentioning

confidence: 99%

Nystagmus

Stahl

Leigh

2001

Curr Neurol Neurosci Rep

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Advances in understanding the organization of the ocular motor system, including its anatomy and pharmacology, have provided new insights into the pathogenesis of various forms of nystagmus. The discoveries of fibromuscular pulleys that govern the pulling directions of the extraocular muscles has provided a new conceptual framework to account for the different axes of rotation of vestibular and other types of movements that may contribute to nystagmus. Theoretical and experimental evidence has suggested that acquired pendular nystagmus, which is commonly due to multiple sclerosis, arises from the neural network that normally guarantees steady gaze by integrating premotor signals. Pharmacologic inactivation studies have implicated both gamma-aminobutyric acid (GABA) and glutamate as important transmitters in the neural integrator and suggested new drug therapies. New electro-optic devices may eventually prove to be effective treatment for the visual symptoms cause by acquired nystagmus. The demonstration of proprioceptive mechanisms in the distal extraocular muscles has provided a rationale for new operative treatments for congenital nystagmus.

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The effect of the canalith repositioning maneuver on resolving postural instability in patients with benign paroxysmal positional vertigo

Cited by 91 publications

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Benign Paroxysmal Positional Vertigo and Comorbid Conditions

Benign Paroxysmal Positional Vertigo and Comorbid Conditions

Posturografia do Balance Rehabilitation Unit (BRU TM) na vertigem posicional paroxística benigna

Nystagmus

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