Issue N# 4 - 2005
Treatment failures in benign paroxysmal positional vertigo. Role of vestibular rehabilitation.
Authors : F. Vaz Garcia (Lisbonne)
Ref. : Rev Laryngol Otol Rhinol. 2005;126,4:271-274.
Article published in french
Downloadable PDF document french
Objectives: The objective of this study is to evaluate the efficacy of therapeutic manoeuvres performed for BPPV patients. The study will also evaluate the efficacy of complementary exercises for vestibular rehabilitation (VR) in BPPV, presenting with persistent vertigo or disequilibrium after performing therapeutic manoeuvres. Patients and Methods: 175 patients from both sexes, were included in this analysis. All suffered from BPPV and were treated with therapeutic manoeuvres, preferably that described by Semont (SM). Results: One week after SM, 79% of patients were cured; 13% complained of disequilibrium or vertigo without BPPV; 3%, , presented with a persistent positional vertigo without nystagmus during the Hallpike manoeuvre and 5% of the patients still complained from BPPV which in some cases got worse. For patients still complaining of imbalance or non-positional vertigo, customized VR programs were applied (optokinetik stimulations, rotatory chair, proprioceptive training and/or platform). The final results, evaluated by posturography and by DHI, were good. Conclusions: VR exercises can achieve improvement or cure in 16% of these patients.
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