BALANCE AND GAIT PERFORMANCE AFTER PARTICLE REPOSITIONING MANEUVER IN BENIGN PAROXYSMAL POSITIONAL VERTIGO PATIENTS WITH MIGRAINE AND MOTION SICKNESS

Authors : Birgül BALCI, Gülden AKDAL

Pages : 33-39

Doi:10.21653/tfrd.418051

View : 10 | Download : 7

Publication Date : 2019-04-16

Article Type : Research Paper

Abstract :Purpose: The purpose of this study was to examine subjective complaints, recurrence of benign paroxysmal positional vertigo insert ignore into journalissuearticles values(BPPV);, balance and gait with a particle repositioning maneuver insert ignore into journalissuearticles values(PRM);, and to investigate the effects of Brandt Daroff insert ignore into journalissuearticles values(BD); exercises and comorbid factors as migraine on recovery in BPPV patients. Methods: Fifty-seven patients were treated with a PRM for posterior canal BPPV. The perception of vertigo was estimated with Visual Analogue Scale insert ignore into journalissuearticles values(VAS);, gait with Dynamic Gait Index insert ignore into journalissuearticles values(DGI);, balance with the modified Clinical Test of Sensory Integration and Balance insert ignore into journalissuearticles values(mCTSIB);. If the Dix-Hallpike test was still positive one week after the PRM, the maneuver was repeated. When remission was confirmed, patients were called back after one month to repeat all tests. If the patient suffered only from residual dizziness after one week, BD exercises were recommended for one month. Results: The VAS scores for all patients improved significantly one month after a PRM insert ignore into journalissuearticles values(p<0.001);. The abnormal balance on foam stance before a PRM improved significantly insert ignore into journalissuearticles values(p<0.05);. The DGI scores improved without a statistical difference insert ignore into journalissuearticles values(p>0.05);. It was found that patients with migraine had complaints of more severe imbalance. Conclusion: Subjective complaints, balance and gait abilities improved in all patients after PRM. BPPV patients with migraine have a greater risk of recurrence and lower improvement in balance and gait ability after PRM. BD exercises did not prevent recurrence and residual dizziness.
Keywords : Benign Paroxysmal Positional Vertigo, Particle Repositioning Maneuver, Balance, Gait, Recurrence