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Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large populatioin of 75-year-olds
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Department of Physiotherapy and Occupational Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden; Örebro University Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden.
Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institute, Stockholm, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. Örebro University Centre for Health Care Sciences, Örebro University Hospital, Örebro, Sweden.ORCID iD: 0000-0003-2411-1795
Department of Physiotherapy and Occupational Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden; Department of Physiotherapy, Clinical of Neuroscience and Physiology, Sahlgrenska Academy at Gothenburg University, Gothenburg, Sweden.
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2012 (English)In: Aging Clinical and Experimental Research, ISSN 1594-0667, E-ISSN 1720-8319, Vol. 24, no 4, p. 317-323Article in journal (Refereed) Published
Abstract [en]

Background and aims: Studies have shown that 65% of people with dizziness may have a vestibular etiologic diagnosis, possibly benign paroxysmal positional vertigo (BPPV). The diagnosis of BPPV is based on medical history and findings after the Dix-Hallpike test. It is sometimes difficult to perform the Dix-Hallpike test in elderly persons, due to the limited range of motion when extending the neck. In this study, we used a side-lying test to stimulate the posterior semicircular canal, while the head and neck were fully supported on the examination table. The aims of this study were to investigate the prevalence of dizziness and/or impaired balance and BPPV in a population of 75-year-olds by means of a questionnaire and clinical tests, and to compare elderly persons with and without BPPV.

Methods: A representative population sample of 675 persons completed a questionnaire about dizziness and 571 persons underwent side-lying, static balance and dynamic walking tests.

Results: Subjective dizziness and/or impaired balance were found in 36% of subjects, especially when walking outdoors. A significant gender difference was found, with a higher prevalence in women (40%) compared with men (30%) (p<0.01). BPPV was found in 11% and was significantly more common in women (p<0.01). Elderly individuals with BPPV also displayed significantly impaired balance in static and dynamic balance tests compared with persons without BPPV (p<0.01). Persons with BPPV reported significantly more subjective problems with dizziness and balance compared with persons without BPPV (p<0.001).

Conclusions: Subjective and objective unsteadiness, dizziness and BPPV are common in the elderly.

Place, publisher, year, edition, pages
New York, USA: Springer, 2012. Vol. 24, no 4, p. 317-323
Keywords [en]
Benign paroxysmal positional vertigo, dizziness, dynamic balance, elderly, static balance
National Category
Medical and Health Sciences Gerontology, specialising in Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-26645ISI: 000326839700002PubMedID: 23238307Scopus ID: 2-s2.0-84871915813OAI: oai:DiVA.org:oru-26645DiVA, id: diva2:575817
Available from: 2012-12-11 Created: 2012-12-11 Last updated: 2018-01-12Bibliographically approved

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Kollén, LenaMöller, MargaretaMöller, Claes

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Aging Clinical and Experimental Research
Medical and Health SciencesGerontology, specialising in Medical and Health Sciences

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