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Evaluation of treatment in benign paroxysmal positional vertigo (BPPV)
Örebro University, School of Health and Medical Sciences.
Örebro University, Department of Clinical Medicine.ORCID iD: 0000-0001-6557-6359
2006 (English)In: Advances in Physiotherapy, ISSN 1403-8196, E-ISSN 1651-1948, Vol. 8, no 3, 106-115 p.Article in journal (Refereed) Published
Abstract [en]

Benign paroxysmal positional vertigo (BPPV) is one of the most common causes of vertigo. The prognosis is good, usually with spontaneous remission within three months, but symptoms may last. Patients were consecutively evaluated before and 1, 6 and 12 months after treatment, to evaluate the long-term effects of the Semont manoeuvre and Brandt & Daroff exercises. The subjects were 17 patients (13 women and four men, mean age 52 years) who had suffered from BPPV for more than three months. The Semont manoeuvre was performed. Patients with vertigo after two Semont manoeuvres were instructed to perform Brandt & Daroff exercises. Follow-up was done by the Dix–Hallpike test, measurement of static/dynamic balance and a health questionnaire; for the vertigo, a visual analogue scale (VAS) was used. Three of 17 patients still suffered from vertigo after 12 months but the nystagmus during the Dix–Hallpike test was significantly decreased. At the end of the study, nine of 17 patients still experienced unsteadiness during standing and walking. It is of importance to perform not only manoeuvres and Brandt & Daroff exercises but also to instruct the patient in vestibular rehabilitation including static/dynamic balance exercises in order to reduce unsteadiness.

Place, publisher, year, edition, pages
Oslo: Scandinavian University Press , 2006. Vol. 8, no 3, 106-115 p.
National Category
Medical and Health Sciences
Research subject
Medicine
Identifiers
URN: urn:nbn:se:oru:diva-10360DOI: 10.1080/14038190600836866OAI: oai:DiVA.org:oru-10360DiVA: diva2:310231
Available from: 2010-04-13 Created: 2010-04-13 Last updated: 2016-12-16Bibliographically approved
In thesis
1. Dizziness, balance and rehabilitation in vestibular disorders
Open this publication in new window or tab >>Dizziness, balance and rehabilitation in vestibular disorders
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Dizziness and balance problems are common symptoms at all ages. The aims were; to evaluate rehabilitation, static, dynamic balance and recovery in acute unilateral vestibular loss (AUVL), to evaluate the treatment of benign paroxysmal positional vertigo (BPPV) with assessment of static and dynamic balance and to evaluate the prevalence of dizziness and BPPV in a population of 75-year-olds.

Study 1: Twenty-seven patients (51years) with AUVL were included and the recovery was followed regarding vestibular function, dizziness, and sick-leave. The recovery was rapid, with disappearance of spontaneous nystagmus and rapid return to work.

Study II: Forty two patents (51 years) with AUVL were included and compared with a reference group. Static and dynamic balance were assessed after six months. Significant instability was found both in static and dynamic balance compared to a reference group.

Study III: Seventeen patients (52 years) with severe BPPV (> 3 months) were treated with Semonts´s manouver and/or Brandt-Daroff exercises. The recovery was evaluated by Dix-Hallpike test, subjective dizziness, unsteadiness and balance tests, after 1, 6 and 12 months. Semont´s maneouver resolved dizziness but the long term follow up showed impaired balance.

Study IV: A large cohort (675) of elderly was assessed regarding dizziness and BPPV. Side lying test and balance tests were applied. A high prevalence of dizziness (36%) and BPPV (11%) was found.

Conclusions: Patients with AUVL and BPPV have despite good symptomatic relief, still impaired static and dynamic balance at long term follow up. BPPV in elderly is common and should be examined since it can be treated.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2011. 78 p.
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 33
Keyword
benign paroxysmal positional vertigo, static balance, dynamic balance, unilateral vestibular loss, dizziness, walking, vestibular rehabilitation
National Category
Nursing
Research subject
Nursing Science
Identifiers
urn:nbn:se:oru:diva-15012 (URN)978-91-7668-797-0 (ISBN)
Public defence
2011-06-10, Arvid Carlssons föreläsningssal, Sahlgrenska akademin,Göteborgs universitet, Göteborg, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2011-03-17 Created: 2011-03-17 Last updated: 2011-10-11Bibliographically approved

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Kollén, LenaMöller, Claes
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