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J Vestib Res. 2015;25(2):97-103; quiz 103-4. doi: 10.3233/VES-150551.

Retrospective review and telephone follow-up to evaluate a physical therapy protocol for treating persistent postural-perceptual dizziness: A pilot study.

Author information

1
Department of Physical Medicine and Rehabilitation, Mayo Clinic, Rochester, MN, USA.
2
Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
3
Department of Otorhinolaryngology, Mayo Clinic, Rochester, MN, USA.

Abstract

BACKGROUND:

Persistent postural-perceptual dizziness (PPPD) (formerly chronic subjective dizziness) may be treated using the habituation form of vestibular and balance rehabilitation therapy (VBRT), but therapeutic outcomes have not been formally investigated.

OBJECTIVE:

This pilot study gathered the first data on the efficacy of VBRT for individuals with well-characterized PPPD alone or PPPD plus neurotologic comorbidities (vestibular migraine or compensated vestibular deficits).

METHODS:

Twenty-six participants were surveyed by telephone an average of 27.5 months after receiving education about PPPD and instructions for home-based VBRT programs. Participants were queried about exercise compliance, perceived benefits of therapy, degree of visual or motion sensitivity remaining, disability level, and other interventions.

RESULTS:

Twenty-two of 26 participants found physical therapy consultation helpful. Fourteen found VBRT exercises beneficial, including 8 of 12 who had PPPD alone and 6 of 14 who had PPPD with co-morbidities. Of the 14 participants who found VBRT helpful, 7 obtained relief of sensitivity to head/body motion, 5 relief of sensitivity to visual stimuli, and 4 complete remission. Comparable numbers for the 12 participants who found VBRT not helpful were 1 (head/body motion), 3 (visual stimuli), and 0 (remission).

CONCLUSIONS:

This pilot study offers the first data supporting the habituation form of VBRT for treatment of PPPD.

KEYWORDS:

Persistent postural-perceptual dizziness; chronic subjective dizziness; habituation; vestibular rehabilitation

PMID:
26410674
DOI:
10.3233/VES-150551
[Indexed for MEDLINE]

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