Location

LSU Health Sciences Center - New Orleans

Event Website

https://alliedhealth.lsuhsc.edu/admin/sahpresearchday.aspx

Document Type

Event

Start Date

8-4-2024 3:00 PM

End Date

8-4-2024 5:00 PM

Description

Introduction

Benign Paroxysmal Positional Vertigo (BPPV) is the most common vestibular disorder, characterized by brief attacks of rotary vertigo triggered by changes in head position relative to gravity. The most prevalent type of BPPV is associated with the posterior semicircular canal within the vestibular system. Posterior semicircular canal BPPV can be diagnosed and treated by physical therapists who have increased knowledge and skill concerning the vestibular system.

Purpose

The purpose of this case report is to describe physical therapy examination and management using vestibular rehabilitation of a 73-year old female with posterior canal BPPV after concussion and previously failed vestibular rehabilitation.

Case Description

This patient discussed in this case report was a 73-year old female who had been experiencing vertigo with nausea for the past five months after a fall and diagnosis of unspecified BPPV. The patient received twelve weeks of failed vestibular physical therapy and was referred to a new clinic for a second round of treatment.

Outcomes

An oculomotor exam, Dix-Hallpike, Functional Gait Assessment, Dynamic Visual Acuity, and Modified Clinical Test of Sensory Interaction, Dizziness Handicap Inventory, and Activities-Specific Balance Confidence Scale were tested upon the patient's evaluation. After completion of one Epley Maneuver, dynamic balance exercises, and gaze stabilization exercises, the patient improved in all objective and subjective measurements.

Discussion

The patient’s improvement in symptoms of vertigo and nausea, self-perceived dizziness and balance confidence. dynamic balance, and VOR function show the potential benefits of vestibular rehabilitation for a patient suffering from posterior semicircular canal BPPV.

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Apr 8th, 3:00 PM Apr 8th, 5:00 PM

Benign Paroxysmal Positional Vertigo (BPPV) Following Concussion in a 73-Year-Old Female: A Case Report

LSU Health Sciences Center - New Orleans

Introduction

Benign Paroxysmal Positional Vertigo (BPPV) is the most common vestibular disorder, characterized by brief attacks of rotary vertigo triggered by changes in head position relative to gravity. The most prevalent type of BPPV is associated with the posterior semicircular canal within the vestibular system. Posterior semicircular canal BPPV can be diagnosed and treated by physical therapists who have increased knowledge and skill concerning the vestibular system.

Purpose

The purpose of this case report is to describe physical therapy examination and management using vestibular rehabilitation of a 73-year old female with posterior canal BPPV after concussion and previously failed vestibular rehabilitation.

Case Description

This patient discussed in this case report was a 73-year old female who had been experiencing vertigo with nausea for the past five months after a fall and diagnosis of unspecified BPPV. The patient received twelve weeks of failed vestibular physical therapy and was referred to a new clinic for a second round of treatment.

Outcomes

An oculomotor exam, Dix-Hallpike, Functional Gait Assessment, Dynamic Visual Acuity, and Modified Clinical Test of Sensory Interaction, Dizziness Handicap Inventory, and Activities-Specific Balance Confidence Scale were tested upon the patient's evaluation. After completion of one Epley Maneuver, dynamic balance exercises, and gaze stabilization exercises, the patient improved in all objective and subjective measurements.

Discussion

The patient’s improvement in symptoms of vertigo and nausea, self-perceived dizziness and balance confidence. dynamic balance, and VOR function show the potential benefits of vestibular rehabilitation for a patient suffering from posterior semicircular canal BPPV.

https://digitalscholar.lsuhsc.edu/ahrd/2024/2024/27