Research in Vestibular Science

Original Articles

Correlation between Residual Dizziness and Modified Clinical Test of Sensory Integration and Balance in Patients with Benign Paroxysmal Positional Vertigo: Jung-Yup Lee, In-Buhm Lee, Min-Beom Kim; Res Vestib Sci. 2021;20(3):93-100. Published online September 15, 2021; DOI: https://doi.org/10.21790/rvs.2021.20.3.93

5,430 View
89 Download
2 Crossref

Objectives
This study was performed to investigate the correlation between subjective residual dizziness and objective postural imbalance after successful canalith repositioning procedure (CRP) in benign paroxysmal positional vertigo (BPPV) by using questionnaires and modified Clinical Test of Sensory Integration and Balance (mCTSIB).
Methods
A total of 31 patients with BPPV were included prospectively in the study. All included patients were successfully treated after initial CRP and their symptoms and nystagmus disappeared. Two weeks after CRP, all patients were asked to fill out the questionnaire including both Dizziness Handicap Inventory (DHI) and visual analog scale (VAS). We also conducted mCTSIB 2 weeks after CRP. We divided patients into two groups according to VAS: RD (residual dizziness) group, VAS＞0; non-RD group, VAS=0. We compared age, number of CRP, rates associated with three semicircular canals, DHI score and mCTSIB results between two groups. In addition, we analyzed the correlation between DHI score and mCTSIB results.
Results
There were no significant differences in age, number of CRP, and rates associated with three semicircular canals between the two groups. RD group showed significantly higher DHI score and abnormal mCTSIB results than the non-RD group (p＜0.05). DHI score and the number of abnormal mCTSIB showed a statistically significant correlation.
Conclusions
We demonstrated the correlation between DHI score and mCTSIB after successful CRP for BPPV. It also represents that subjective residual dizziness is correlated with objective postural imbalance even after successful CRP. Therefore, mCTSIB would be a useful test to evaluate both residual dizziness and postural imbalance after CRP in BPPV.

Citations

Citations to this article as recorded by

Immediate Improvement in Subjective Visual Vertical and Disequilibrium Predicts Resolution of Benign Paroxysmal Positional Vertigo Following Single Canalith Repositioning Maneuver
Christine C. Little, Zachary G. Schwam, Marc Campo, James Gurley, Bryan Hujsak, Maura K. Cosetti, Jennifer Kelly
Otology & Neurotology Open.2022; 2(3): e014. CrossRef
Gait and Postural Control Characteristics among Individuals with Benign Paroxysmal Positional Vertigo: A Scoping Review
Haziqah Nasruddin, Maria Justine, Haidzir Manaf
Malaysian Journal of Medicine and Health Sciences.2022; 18(s15): 377. CrossRef

The Assumption of Diagnosis and Site of Lesion in Benign Paroxysmal Positional Vertigo Using a Questionnaire: Sungmin Park, Chang Deok Han, Kyu Sung Kim, Wookey Lee; Res Vestib Sci. 2013;12(3):106-109.

1,948 View
27 Download

Abstract PDF: Background and Objectives: Diagnosis of patients with dizziness requires detailed history taking. Using a questionnaire may be helpful for accurate and rapid diagnosis. However, no reliable questionnaire was developed yet. The purpose of this study is to know if authors’ questionnaire is reliable for diagnosing of benign paroxysmal positional vertigo (BPPV) and deciding affected canal. Materials and Methods: We evaluated 45 patients presenting with positional vertigo from January 2012 to September 2012. We developed a questionnaire by extracting specific questions on positional vertigo from the Dizziness Handicap Inventory and the activities-specific balance confidence scale. All the patients answered the questionnaire, followed by Dix-Hallpike test and head rolling test. Affected canal suspected by the questionnaire was analyzed and compared with affected canal confirmed by positioning test. Results: Among 45 patients, 24 (53%) was diagnosed with BPPV by positioning test. Patients with posterior canal BPPV (p-BPPV) answered positive of dizziness in pitch axis movement more frequently than roll and yaw, but it was not statistically significant (p>0.05). In the patients with lateral canal BPPV (l-BPPV), no significant difference was observed among three axes. Concordance rate of suspected canal by the questionnaire and positioning test was 36% in p-BPPV and 39% in l-BPPV. Conclusion: Diagnosis of BPPV and affected canal by the questionnaire based on movement axis is limited in this study. Development of more reliable questionnaire is necessary.

Efficacy of Oral Prostaglandin I2 in Patients with Chronic Nonspecific Vertigo: Ji Won Kim, Hyun Woo Lim, Yun Suk An, Seung Hyo Choi, Hong Ju Park, Jong Woo Chung; Res Vestib Sci. 2011;10(4):115-120.

2,074 View
18 Download

Abstract PDF: Background and Objectives: The aim of this study is to evaluate the efficacy of prostaglandin I2 (PGI2) in the patients with chronic nonspecific vertigo using questionnaires of dizziness handicap inventory (DHI) and vertigo symptom scale (VSS). Materials and Methods: Forty two patients with chronic nonspecific vertigo from May to December 2010 were enrolled in this study. We administered Berast (synthetic PGI2, beraprost sodium) 2 tablets (0.04 mg) twice a day to patients. Before and after 2, 4 weeks the end of administration patients underwent DHI and VSS for evaluation of state of the vertigo. Results: Twenty four of 42 patients completed this clinical trial. Mean DHI scale score decreased significantly from 23.00 (±21.75) to 17.75 (±19.78) (p=0.004). All DHI subscales, physical, functional, and emotional factors, decreased after treatment of prostaglandin I2. VSS scale also showed significant decrease from 3.63 (±2.55) to 2.50 (±2.95) (p=0.044). Conclusion: Prostaglandin I2 may be one of the treatments to improve symptoms in the patient s with chronic nonspecific vertigo.

Assessment of Anxiety using Beck's Anxiety Inventory in Patients with Vestibular Neuritis: Jin Yong Kim, Seong Ki Ahn, Oh Jin Kwon, Soo Yeon Cho, Dong Gu Hur, Sea Yuong Jeon, Dae Woo Kim; Res Vestib Sci. 2010;9(2):70-75.

2,169 View
17 Download

Abstract PDF: Background and Objectives The intimate relationship of vertigo and anxiety has been previously recognized. Anxiety may have an important influence on recovery of symptoms in vestibular neuritis (VN). The aim of study was to evaluate subjective anxiety of the pre-VN, at the time of onset of VN, and just after vestibular rehabilitation therapy (VRT) using Beck Anxiety Inventory (BAI) questionnaire, respectively. Materials and Methods Twenty-eight patients with VN were asked to complete the BAI and dizziness handicap inventory (DHI). Each of the BAI and DHI was scored. We also evaluated the relationship between the DHI and BAI scores. Results The VN patients at the time of attack had significantly more anxiety with vertigo and related symptoms (p<0.05). In most patients, anxiety level decreased following VRT. Conclusion These findings indicate that almost every VN patients can recovery from anxiety as vertigo regressed. However, the emotional support as well as physical and/or functional rehabilitation may be required to provide a more rapid and complete return to normal daily lives for these patients.

Assessment of Subjective Symptoms Using Dizziness Handicap Inventory in Patients with Vestibular Neuritis: Jin Yong Kim, Dong Gu Hur, Sea Yuong Jeon, Jin Pyeong Kim; Res Vestib Sci. 2009;8(1):27-31.

2,357 View
53 Download

Abstract PDF: Background and Objectives Vestibular neuritis (VN) is one of critical life events that can affect physical, emotional, and function aspects of quality of life. Most patients recover well from VN within 6 months following the onset of the disease. However, they can still interfere with their daily lives in some patient with VN. Dizziness Handicap Inventory (DHI) was developed to assess the self-perceived handicapping effects imposed by vestibular system diseases. The aim of study was to evaluate subjective symptoms among the pre-VN, at the time of onset of VN, and post-VN using DHI questionnaire, respectively. Materials and Methods Twenty patients with VN were asked to complete the DHI by mailed survey. Each of the DHI was scored. We also evaluated the relationship between the DHI scores and degree of the canal paresis on the caloric test. Results Almost every patients had substantially improved its subjective symptoms in 6 months after VN. There was no correlation between the canal paresis in the lesion ear and DHI scores at the time of VN. Conclusion The results of this study suggest that most patients recovery well from VN without any handicap, but the emotional support in combination with physical and/or functional rehabilitation should be required to provide early resumption of normal activity. Key Words: Vertigo; Vestibular Neuronitis; Questionnaires

First
Prev
Page of 1
Next
Last

Search