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

Published online by Cambridge University Press:  29 June 2007

M. E. Norré ,
G. Forrez  and
A. Beckers
M. E. Norré
Affiliation:
Leuven, Belgium
G. Forrez
Affiliation:
Leuven, Belgium
A. Beckers
Affiliation:
Leuven, Belgium
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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.

Information

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 101 , Issue 5 , May 1987 , pp. 443 - 447
Copyright
Copyright © JLO (1984) Limited 1987

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References

Brandt, T and Daroff, R. B. (1980) Physical therapy for benign paroxysmal positional vertigo. Archives of Otolaryngology, 104: 484–485.Google Scholar
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: 341–354.Google Scholar
Flohr, H. and Precht, W. (1981) Lesion induced neu-ronal plasticity in sensoromotor systems. lib. Recovery from vestibular lesions. Springer Verlag, Berlin, pp. 153–265.Google Scholar
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.Google Scholar
Norré, M. E. (1978) The unilateral vestibular hypo-function. Acta Otorhinolaryngologica belgica, 32: 421–668.Google Scholar
Norré, M. E. (1984) Treatment of unilateral vestibular hypofunction. In “Otoneurology”, Edit. Oosterveld, W. J.. J. Wiley and Sons, London pp. 23–40.Google Scholar
Norré, M. E. and De Weerdt, W. (1980) Treatment of vertigo based on habituation. Journal of Laryngology and Otology, 94: 689–696; 971–977.Google Scholar
Norré, M. E. and Forrez, G. (1985) Vestibulospinal findings in Otoneurology. O.R.L., 48: 37–44.Google Scholar
Schuknecht, H. F. (1969) Cupulolithiasis. Archives of Otolaryngology, 90: 765–778.CrossRefGoogle ScholarPubMed