Abstract
AbstractPosturography is a useful new tool to study the influence of vestibular diseases on balance. Aimto compare the results from the Balance Rehabilitation Unit (BRU) static posturography in elderly patients with Benign Paroxysmal Positional Vertigo (BPPV), before and after Epley's maneuver. Materials and Methodsa prospective study of 20 elderly patients with a diagnosis of BPPV. The patients underwent static posturography and the limit of stability (LE) and ellipse area were measured. We also applied the Dizziness Handicap Inventory (DHI) questionnaire to study treatment effectiveness. Results80% were females, with a mean age of 68.15 years. After the maneuver, the LE increased significantly (p=0.001). The elliptical area of somatosensory, visual and vestibular conflicts (2,7,8,9 situations) in BRU and the DHI scores decreased significantly (p<0.05) after treatment. Conclusionthe study suggests that elderly patients with BPPV may present static postural control impairment and that the maneuver is effective for the remission of symptoms, to increase in the stability and improvement in postural control in situations of visual, somatosensory and vestibular conflicts.
Highlights
Benign Paroxysmal Positional Vertigo (BPPV) is characterized by the presence of rotational dizziness episodes upon change in head position
BPPV is considered the most common of the positional vertigo disorders and it is the main cause of vertigo among adults and senior citizens.[1,2,3,4] its pathophysiology is associated to the shifting of utricular statocone debris in a disorganized fashion towards the semicircular canal (SCC)
This study aimed at comparing the results from the static posturography by means of the Balance Rehabilitation Unit (BRUTM), in elderly patients with benign paroxysmal positional vertigo before and after the Epley’s statocone repositioning maneuver
Summary
Benign Paroxysmal Positional Vertigo (BPPV) is characterized by the presence of rotational dizziness episodes upon change in head position BPPV is considered the most common of the positional vertigo disorders and it is the main cause of vertigo among adults and senior citizens.[1,2,3,4] its pathophysiology is associated to the shifting of utricular statocone debris in a disorganized fashion towards the semicircular canal (SCC). If these two debris remain floating on the endolymph, along the SCC involved, cause an abnormal shifting of the cupula upon head movements in the affected SCC plane, we call this process canalolithiasis. This process is called cupulolitíase.[2,3]
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