Vestibular Rehabilitation in Benign Paroxysmal Positional Vertigo: Reality or Fiction?
International Journal of Immunopathology and Pharmacology
Bressi, F., Vella, P., et al. (2017).
International Journal of Immunopathology and Pharmacology, 30(2), 113-122.
This systematic review investigates the efficacy of vestibular rehabilitation (VR) to improve symptoms associated with benign paroxysmal positional vertigo (BPPV) in individuals with vesitbular disorders.
No funding received
Not stated
Published, peer-reviewed studies (not further specified)
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"[Vestibular rehabilitation] VR is a simple, low-cost and effective treatment method for improving balance control and quality of life in patients with [benign paroxysmal positional vertigo] BPPV, promoting visual stabilization with head movements, improving vestibular–visual interaction during head movement and expanding static and dynamic posture stability" (p. 121). Individuals with BPPV who received VR, including Brandt-Daroff and Cawthorne-Cooksey exercises, showed significant improvement in dynamic balance and self-reliance than patients treated with canalith repositioning procedures (CRP) only. This review found that CRPs are more effective in the short term. The combination of VR and CRP are effective for long-term functional recovery. No specific VR exercise was identified as being more effective.