Article

Benign paroxysmal positional vertigo (BPPV) is common among older adults and
frequently misdiagnosed or unidentified. Undiagnosed BPPV has been associated
with depression, falls and ADL limitations. This case study describes the
diagnostic process and management of BPPV for a 65-year-old patient with a
primary complaint of chronic low back pain (LBP) in an outpatient orthopedic
physical therapy setting. Following routine screening performed on initial
evaluation, the patient was educated about examination findings that indicated
the potential for BPPV and given the option to proceed with further assessment or
defer until LBP was under control. The patient attended 16 visits over the course
of care and the complaint of vertigo, described as a true spinning sensation, was
assessed further on the visit 5. Continued assessment confirmed BPPV and the
canalith repositioning procedure was administered. Following positive response to
this intervention, the maneuver was re-administered on visit 6. Complete
resolution of symptoms was reported on visit 7 and for the remainder of physical
therapy services over the following month. Physical therapists may play a vital
role in reducing healthcare expenses associated with cost to arrive at the
diagnosis of BPPV, as well as improving the quality of life and safety of the
older adult population affected by BPPV.

Langue : ANGLAIS