12/19/2023 0 Comments Benign positional vertigoSubjects with mental conditions that render them unable to understand the nature,.Subject has been previously enrolled in this study.Any cardiac complaints during physical examination or subject has experienced a positive loss of consciousness.Subjects with a known history of Meniere's Disease. Subjects who have negative finding of vertigo and nystagmus when the Dix- Hallpike maneuver is performed by the Physical Therapist or research staff even if the subject had a positive finding of vertigo and nystagmus when the Dix-Hallpike maneuver was performed by the physician or resident.Any positive findings during the neurological exam during physical examination.Subjects with severe cervical spine disease or known cerebral vascular disease.Subject has taken any antihistamines or anticholinergics within the past 12 hours.Informed consent can be obtained for participation in this study.A Dix-Hallpike maneuver will be considered positive when the patient experiences nystagmus but resolves or fatigues in less than 60 seconds Subject has positive findings of vertigo and nystagmus when the Dix-Hallpike maneuver is performed during physical examination.Subject has presented to the Emergency Department Monday through Friday during the hours of 8 AM to 4:30 PM or possibly extended into the evening and weekend hours if research or physical therapy staff is available, and is diagnosed with BPPV.Subject is a male or female >18 years of age.those who receive vestibular rehabilitation. Compare patient satisfaction between those patients who receive standard care vs.To demonstrate the long-term improvement of symptomatology utilizing vestibular rehabilitation versus conventional therapy.To evaluate disposition time for those patients receiving vestibular rehabilitation in the ED compared to those patients who receive conventional therapy.To evaluate the improvement of vertigo in patients diagnosed with BPPV in the ED.The objectives to be determined in this study are as follows: conventional therapy in ED patients who present with vertigo. The purpose of this study is to compare the efficacy of vestibular rehabilitation vs. Several reviews of the management of vertigo have shown that no medication in current use has well established curative or prophylactic value or is suitable for long-term treatment. This method of treatment has had questionable success. It is presently common for ED physicians to treat these patients mainly with benzodiazepines, antihistamines, and anticholinergic medications, especially if the history and physical is consistent with BPPV. Common practice by ED physicians is to rule out serious medical causes for their symptoms. It was first described by Barany in 1921, and later described in more detail by Dix and Hallpike in 1952. Condition or diseaseĭrug: Meclizine Other: Epley Maneuver Drug: Lorazepam Drug: Diphenhydramine Drug: Ondansetronīenign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder, accounting for 20% of all vertigo cases. The hypothesis of this study is that vestibular rehabilitation will allow for resolution of symptoms without the use of conventional medication therapy in the acute management of BPPV in the emergency department patient. All patients enrolled into this study are emergency department patients who have been diagnosed with BPPV via a positive Dix-Hallpike Maneuver. Patients will be randomized to receive the more common conventional medication therapy versus the canalith repositioning technique. It is the purpose of this study to evaluate and examine two methods of treatment. The importance of early diagnosis and treatment can lead to a much improved quality of life for patients afflicted by this ailment. Why Should I Register and Submit Results?īenign Paroxysmal Positional Vertigo (BPPV) is a common complaint of emergency department patients.
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