Effectiveness of Otolith Repositioning Maneuvers and Vestibular Rehabilitation Exercises in Elderly People With Benign Paroxysmal Positional Vertigo: A Systematic Review
Brazilian Journal of Otorhinolaryngology
Ribeiro, K. F., Oliveira, B. S., et al. (2018).
Brazilian Journal of Otorhinolaryngology, 84(1), 109-118.
This systematic review investigates the effectiveness of Otolith Repositioning Maneuvers (ORM) and vestibular rehabilitation (VR) exercises on the symptoms of benign paroxysmal positional vertigo (BPPV) in older adults.
Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial (Brazil)
January 2000-August 2016
Randomized controlled trials
6
One study investigated the effect of movement restriction after otolith repositioning maneuver in older individuals with benign paroxysmal positional vertigo and reported that movement restrictions do not influence outcomes.
Four studies applying a modified Epley maneuver for older adults with benign paroxysmal positional vertigo (BPPV) reported improvements in BPPV symptoms including vertigo, dizziness, and nystagmus. One study found that the use of an otolith repositioning maneuver is more effective than no treatment. The number of maneuvers per session varied from one to three across the four studies, and no standard number of maneuvers was reported.
One study investigating vestibular rehabilitation (VR) exercises in older adults with benign paroxysmal positional vertigo (BPPV) reported significant functional improvements after participants completed the Cawthorne and Cooksey exercise protocol. No improvements were specifically reported for BPPV symptoms. This study also investigated the use of VR with Otolith Repositioning Maneuver (ORM) compared to ORM alone. No statistically significant difference was found between the groups.
