The effects of the vestibular rehabilitation on the benign paroxysmal positional vertigo recurrence rate in patients with otolith dysfunction

Hoseinabadi, R. and Pourbakht, A. and Yazdani, N. and Kouhi, A. and Kamali, M. and Abdollahi, F. Z. and Jafarzadeh, S. (2018) The effects of the vestibular rehabilitation on the benign paroxysmal positional vertigo recurrence rate in patients with otolith dysfunction. Journal of Audiology and Otology, 22 (4). pp. 204-208.

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Abstract

Background and Objectives: Although repositioning maneuvers have shown remarkable success rate in treatments of benign paroxysmal positional vertigo (BPPV), the high recurrence rate of BPPV has been an important issue. The aims of present study were to examine the effects of otolith dysfunction on BPPV recurrence rate and to describe the effect of vestibular rehabilitation exercises on BPPV recurrence in BPPV patients with concomitant otolith dysfunction. Subjects and Methods: Forty-five BPPV patients included in this study (three groups). Patients in group 1 had no otolith dysfunction and patients in groups 2 and 3 had concomitant otolith dysfunction. Otolith dysfunction was determined with ocular/cervical vestibular evoked myogenic potential (oVEMP and cVEMP) abnormalities. Epley's maneuver was performed for the patients in all groups but patients in group 3 also received a 2-month vestibular rehabilitation program (habituation and otolith exercises). Results: This study showed that BPPV recurrent rate was significantly higher in patients with otolith dysfunction in comparison to the group 1 (p < 0.05). Vestibular rehabilitation resulted in BPPV recurrence rate reduction. Utricular dysfunction showed significant correlation with BPPV recurrence rate. Conclusions: Otolith dysfunction can increase BPPV recurrence rate. Utricular dysfunction in comparison to saccular dysfunction leads to more BPPV recurrence rate. Vestibular rehabilitation program including habituation and otolith exercises may reduce the chance of BPPV recurrence. © 2018 The Korean Audiological Society and Korean Otological Society.

Item Type: Article
Additional Information: Cited By :1 Export Date: 16 February 2020 Correspondence Address: Yazdani, N.; Otorhinolaryngology Research Centre, Amir-Alam Hospital, Saadi Avenue, Enghelab Street, Iran; email: Nasrinyazdani96@gmail.com
Uncontrolled Keywords: Benign paroxysmal positional vertigo Otolith dysfunction Vestibular rehabilitation
Subjects: WV Otolaryngology
Divisions: Mashhad University of Medical Sciences
Depositing User: lib2 lib2 lib2
Date Deposited: 12 May 2020 08:28
Last Modified: 12 May 2020 08:28
URI: http://eprints.mums.ac.ir/id/eprint/17326

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