Benign Paroxysmal Positional Vertigo and Vestibular Impairment Among Older Adults with Dizziness

Overview

Journal Laryngoscope Investig Otolaryngol

Publisher Wiley

Specialty Otorhinolaryngology

Date 2021 Jul 1

PMID 34195370

Citations 9

Authors

Ellen Lindell

Therese Karlsson

Lena Kollen

Mia Johansson

Caterina Finizia

Affiliations

Soon will be listed here.

Abstract

Objective: This article aimed to investigate older adults visiting a geriatric institution for a bone density measurement who reported dizziness on a daily or weekly basis (but who are not seeking care for dizziness), according to BPPV, vestibular function, walking abilities, and frequency of falls.

Methods: Patients coming for a bone density measurement answered questions regarding occurrence of dizziness. Patients having dizziness on a daily or weekly basis were considered eligible for the study and invited for investigation at the Ear, Nose, and Throat clinic at Södra Älvsborg Hospital, Sweden. The patients answered questions about history of dizziness, medications, and comorbidities. They were also investigated for BPPV, vestibular deficits using the video head impulse test (vHIT), walking speed, Timed Up and Go test (TUG), and for perception of verticality and horizontality and Romberg test.

Results: A total of 55 patients with dizziness were included. Fifteen (27%) were diagnosed with BPPV. Forty (73%) patients reported falling during the previous year, including 11 with BPPV. Dizziness when turning in bed was more common among patients with BPPV and increased the risk of BPPV 8-fold.

Conclusion: BPPV is common among older adults with dizziness, including among those not seeking medical care. It is important to identify older adults with BPPV and treat the condition since BPPV may contribute to falls. Asking about dizziness when turning in bed can help to distinguish patients with increased risk for BPPV and older adults with dizziness should be investigated for BPPV even when typical history is lacking. : 4.

Citing Articles

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Several components of postural control are affected by benign paroxysmal positional vertigo but improve after particle-repositioning maneuvers: A systematic review and meta-analysis.

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Living with dizziness impacts health-related quality of life among older adults.

Lindell E, Odhagen E, Tuomi L Laryngoscope Investig Otolaryngol. 2024; 9(1):e1194.

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Exploring Goals and Functional Changes in Reablement for People with Fractures and People with Dizziness and Balance Problems.

Licina S, Kjeken I, Forland O, Langeland E, Tuntland H J Multidiscip Healthc. 2023; 16:2323-2337.

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The social problem of presbystasis and the role of vestibular rehabilitation in elderly patients: a review.

Teggi R, Familiari M, Battista R, Gatti O, Cangiano I, Bussi M Acta Otorhinolaryngol Ital. 2023; 43(4):227-234.

PMID: 37224169 PMC: 10366565. DOI: 10.14639/0392-100X-N1908.

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