Skip to main content Accessibility help
×
×
Home

Benign paroxysmal positional vertigo Clinical observations by vestibular habituation training and by posturography

  • M. E. Norré (a1), G. Forrez (a1) and A. Beckers (a1)

Abstract

Vestibular Habituation Training (VHT) is the treatment of choice for paroxysmal positional vertigo (ppv). The origin of the disturbance is peripheral and the data observed in the cases treated confirm that it is not located in horizontal canal function. However, canal dysfunction can be present together with ppv. Usually a separate course is observed for the phenomena attributed to horizontal dysfunction and those to the ppv lesion.

The specificity of the Dix-Hallpike manoeuvres linked to the typical ppv is also confirmed by the data obtained by testing for VHT (VHT-test-battery).

Ppv can have a repercussion upon the vestibulospinal reflex. That the same ppv disturbance can coincide with normal as well as with abnormal posturographic data, pleads for the intervention of central adaptive mechanisms. The effect of VHT is due to stimulation of these central adaptive mechanisms and not to any impact upon the peripheral lesion.

Copyright

References

Hide All
Brandt, T and Daroff, R. B. (1980) Physical therapy for benign paroxysmal positional vertigo. Archives of Otolaryngology, 104: 484485.
Dix, M. R. and Hallpike, C. S. (1952) The pathology, symptomatology and diagnosis of certain disorders of the vestibular system. Proceedings of the Royal Society of Medicine, 45: 341354.
Flohr, H. and Precht, W. (1981) Lesion induced neu-ronal plasticity in sensoromotor systems. lib. Recovery from vestibular lesions. Springer Verlag, Berlin, pp. 153265.
McCabe, B. F. and Ryu, J. H. (1979) Vestibular physiology in understanding the dizzy patient. American Academy of Otolaryngology. Custom Printing Inc., Rochester, Minnesota, p. 81.
Norré, M. E. (1978) The unilateral vestibular hypo-function. Acta Otorhinolaryngologica belgica, 32: 421668.
Norré, M. E. (1984) Treatment of unilateral vestibular hypofunction. In “Otoneurology”, Edit. Oosterveld, W. J.. J. Wiley and Sons, London pp. 2340.
Norré, M. E. and De Weerdt, W. (1980) Treatment of vertigo based on habituation. Journal of Laryngology and Otology, 94: 689696; 971977.
Norré, M. E. and Forrez, G. (1985) Vestibulospinal findings in Otoneurology. O.R.L., 48: 3744.
Schuknecht, H. F. (1969) Cupulolithiasis. Archives of Otolaryngology, 90: 765778.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed