Co-diagnosis Frequency of Peripheral Vestibular Disorders and Physical Therapy

Dizziness is among the most common reasons that people consult a physician. The two most common causes of dizziness related to peripheral vestibular dysfunction are benign paroxysmal positional vertigo (BPPV) and vestibular hypofunction (VH). Physical therapy (PT) is an effective component of the medical management for both conditions. The occurrence rate of concurrent BPPV and VH in the same patient has not been described in the literature. Identifying patients with co-diagnosis of BPPV and VH will allow the PT to construct a proper treatment sequence. We conducted a retrospective chart review of 500 consecutive medical records of Veteran's Administration male patients with dizziness referred for videonystagmography (VNG). Co-diagnosis of BPPV and VH, ipsilateral versus contralateral presentation, frequency of referral to PT, and age were recorded. Single diagnosis (38%) was more common than co-diagnosis (6.6%), and ipsilateral presentation of co-diagnosis (48.5%) more frequent than contralateral presentation (33.3%). Additionally, 80.7% of patients who tested positive for a peripheral vestibular disorder were not referred to PT. Age may be related to the occurrence of co-diagnosis of BPPV and VH.

Name thesis:degree_name

Doctor of Science (DSc)

Level thesis:degree_level

Dissertation

Discipline thesis:degree_discipline

Physical Therapy

Year

2012

Author dc:creator

• San Lucas, Summer M.

Contributors dc:contributor

• Johnson, Eric G.
• Clendaniel, Richard A.
• Firek, Anthony
• Tsao, H. Berry
• Zimmerman, Grentih

• Physical Therapy
• Physical Therapy; Veterans; Dizziness, Vertigo
• Dizziness
• Vestibular Dysfunction
• Benigh Paroxysmal Positional Vertigo (BPPV)
• Vestibular Hypofunction (VH)
• Videonystagmography

Statement dc:rights

• This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.

Language dc:language

English

Repository record dc:identifier

https://scholarsrepository.llu.edu/etd/97

OAI identifier oai:identifier

oai:scholarsrepository.llu.edu:etd-1096