Benign Paroxysmal Positional Vertigo (BPPV) is the most common form of vertigo. It is triggered by the head and neck being in certain positions, and presents with dizziness, spinning, loss of balance, and nausea. This type of vertigo is usually in older ages as well. The underlying pathology of this condition is that crystals form in the inner ear, which in turn cause the vertigo to occur in the aggravating positions. My patient is a sixty-year-old male who presents with vertigo that lasts 20-30 seconds when he rotates his neck to the left, extends, sits from side-lying, and standing up from a seated position. His kinesthetic awareness and static and dynamic balance are impaired. The overall goals of physical therapy treatment are to decrease his vertigo, increase static and dynamic balance, and return to work. For interventions, I have chosen three areas that I believe will benefit this patient and work to achieve short and long-term goals. I am going to be performing a maneuver, neuro re-education, and Brandt Daroff exercises with this patient over the course of our therapy. All of these will be progressed to challenge him and achieve maximum function for his occupation and daily life. Before beginning our Physical Therapy regimen, safety is of the essence. I want to educate him on all components of safety while at home, driving, and…
COMPARISON OF PHARMACOLOGIC AND REHABILITATION TREATMENT IN PATIENTS WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO BASED ON RECOVERY RATE AND QUALITY OF LIFE SUBMITTED BY: SECTION D GROUP 8A Vergel de Dios, Charysse Victoria, Roxanne Villalobos, Leo Guillermo Villalon, Juan Gabriel Villamonte, Shane Villano, Jose Lorenzo Villanueva, Aristea Villanueva, Francis I. Introduction A. Background of Study Benign Paroxysmal Positional Vertigo (BPPV) is defined as a disorder of the inner ear’s…
“I do not know what started my BPPV, my doctor asked me if I got head trauma, although I don’t know if I had a severe head injury. All I know for sure is that the crystals were dislodged from my ear canal.” Many people diagnosed with a vestibular disorder do not know the cause to their condition, and specialists say that it could have been produced by a minor injury and at times without knowing the reason for the illness, can really take a toll on them. It happened to Ms. Baltazar as she would…
throat including current or recent exposure of respiratory infections should be collected. In order to find out if the vertigo is from a systemic cause, ask key questions like: What other health problems do you have? Are you anxious or nervous? What makes the dizziness worse or what makes the dizziness and ringing in your ear go away? Cardiovascular problems such as hypertension can cause patients to suffer from vertigo that is systemic in origin. Dizziness on standing can be from decreased…
Vertigo is a very common complaint in clinical practice and its management is one of the challenges faced by medical practitioners. Effective treatment depends on accurate diagnosis of the causes of the complaints. Betahistine is a histamine modulator and its efficacy and safety has been demonstrated in numerous clinical trials. The effectiveness of betahistine has been demonstrated to be dose-dependent and time-dependent. This review is an update on the use of betahistine in the management of…
Central nervous system disease that cause vertigo include disease of the brainstem. vascular nervous system causes malformations, tumor of the brainstem and cerebellum ,multiple sclerosis, , vertebrobasilar migraine. Vertigo of central origin often becomes disabling. The associated nystagmus is often non fatigable, the orientation of this type of vertigo is vertical rather than horizontal, without latency, and unsuppressed by visual fixation. ENG is useful in documenting these characteristics.…
The Quick Guide to VNG Interpretation was a concise summary of the VNG test battery in the context of anatomy and physiology of the balance system. The four anatomical sites that contribute to the human sense of balance include the visual system, balance system, proprioceptors, and the brain. The visual system contains oculomotor neurons and eye muscles while the balance system contains semicircular canals, otolith organs, vestibular nerves and nuclei. The proprioceptors include the spinal cord,…
Katie Herman #1 on-line learning activity For this activity I read the AJOT article entitled Vestibular Impairment, Vestibular Rehabilitation, and Occupational Performance (2017). I enjoyed learning the role of occupational therapists and occupational therapist assistants when it comes to helping clients with vestibular impairments (VI). After reading the article, I can understand why occupational therapy practitioners would be helpful in this kind of rehabilitation. People with VI have severe…
pulling herself up with my help. On another day, one cloudy and dreary morning, I woke to the sound of my mom calling out my name. I rushed to her room and found her crying from the pain of her head. She kept mumbling her friends name, Ines, while giving me the phone. I dialed Ines’ phone number and she immediately picked up. “Ma wants you to pray for her please” distress shown in my voice. Ines, a devoted Christian, was always helping us through prayers and it seems to calm my mom down much…
by doctors and neuroscientists (Dr Luke Chen and Dr Neil Shuey) from The Royal Victoria Ear and Eye Hospital there are many factors that cause loss of balance due to age with the main one being cell degeneration in the Vestibular System. The Vestibular System is a complex system of fluid-filled tubes located in the inner ear (see diagram) with specialized sensory neurons that provides sensory information to brain stem and cerebellum such as motion, spatial awareness and information about balance…