ABSTRACT: IMPROVEMENT IN VERTIGO, FATIGUE, HIGH BLOOD PRESSURE AND SLEEP QUALITY FOLLOWING A PROGRAM OF VESTIBULAR REHABILITATION AND SPINAL MANIPULATIVE THERAPY

Abstract

Event Abstract Back to Event ABSTRACT: IMPROVEMENT IN VERTIGO, FATIGUE, AND SLEEP QUALITY FOLLOWING A PROGRAM OF VESTIBULAR REHABILITATION AND SPINAL MANIPULATIVE THERAPY David Schiller1* 1 Dr. David Schiller, United States Background: A 29 year old female presented to the clinic with symptoms of vertigo, fatigue and sleep disturbance that escalated after a pregnancy three years prior. Additionally, she has noticed tremors in both hands and cramping in both feet. She also claimed “bad pain” in both hands and wrists. There was a previous diagnosis of Benign Paroxysmal Positional Vertigo (BPPV) in 2005. The patient claims that “something internally is off.” She was prescribed Meclizine to take as needed. Methods: Neurological examination revealed positive Romberg’s test, finger to nose testing revealed intention tremor on the left, downbeat nystagmus was observed with opthalmoscopic examination and optokinetic nystagmus stimulation was abnormal to the left. Saccodometry revealed a heteroscedastic distribution of 100 saccades in terms of latency, velocity and accuracy. Computerized Dynamic Posturography (CDP) revealed abnormal stability patterns including more stability with eyes closed than open. A program of vestibular rehabilitation (VR) and spinal manipulative therapy (SMT) was initiated to address the neurological findings. VR included gaze-holding exercises, passive and active vestibular canal stimulation and multi-planar upper extremity movements. Results: Patient reported resolution of the vertigo and the fatigue improved. Romberg’s test normalized. Intention tremor and downbeat nystagmus resolved. Optokinetic nystagmus normalized. Saccadic latency, velocity, and amplitude improved and the distributions of 100 saccades became more homoscedastic. CDP showed improvement in stability and balance scores. Treatment produced an increase in hours of continuous sleep. Tremors in hands and cramps in feet resolved. Conclusion: this author recommends further investigation into multimodal treatment protocols that include VR and SMT to address vertigo, sleep disturbance and fatigue Keywords: Vertigo, BPPV, benign paroxysmal positional vertigo, insomnia, Hypertension, high blood pressure, Meclizine, Fatigue, Neurorehabilitation, Vestibular Rehabilitation, saccodometry, Saccadic eye movements, Romberg test, spinal manipulation Conference: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration, Orlando, Florida, United States, 10 Dec - 14 Dec, 2015. Presentation Type: Poster Presentation Topic: Case Reports for Poster Presentation Citation: Schiller D (2015). ABSTRACT: IMPROVEMENT IN VERTIGO, FATIGUE, AND SLEEP QUALITY FOLLOWING A PROGRAM OF VESTIBULAR REHABILITATION AND SPINAL MANIPULATIVE THERAPY. Front. Neurol. Conference Abstract: International Symposium on Clinical Neuroscience: TBI and Neurodegeneration. doi: 10.3389/conf.fneur.2015.58.00007 Copyright: The abstracts in this collection have not been subject to any Frontiers peer review or checks, and are not endorsed by Frontiers. They are made available through the Frontiers publishing platform as a service to conference organizers and presenters. The copyright in the individual abstracts is owned by the author of each abstract or his/her employer unless otherwise stated. Each abstract, as well as the collection of abstracts, are published under a Creative Commons CC-BY 4.0 (attribution) licence (https://creativecommons.org/licenses/by/4.0/) and may thus be reproduced, translated, adapted and be the subject of derivative works provided the authors and Frontiers are attributed. For Frontiers’ terms and conditions please see https://www.frontiersin.org/legal/terms-and-conditions. Received: 01 Nov 2015; Published Online: 02 Nov 2015. * Correspondence: Dr. David Schiller, Dr. David Schiller, Avon, Connecticut, 06001, United States, drschiller@comcast.net Login Required This action requires you to be registered with Frontiers and logged in. To register or login click here. Abstract Info Abstract The Authors in Frontiers David Schiller Google David Schiller Google Scholar David Schiller PubMed David Schiller Related Article in Frontiers Google Scholar PubMed Abstract Close Back to top Javascript is disabled. Please enable Javascript in your browser settings in order to see all the content on this page.