Event Title

Outpatient Physical Rehabilitation with Benign Paroxysmal Positional Vertigo in a Patient Diagnosed with Meniere's Disease: A Retrospective Case Report

Author/ Authors/ Presenter/ Presenters/ Panelists:

Dawid Lysiak, Governors State UniversityFollow

Start Date

4-12-2019 4:00 PM

End Date

4-12-2019 6:00 PM

Abstract

Background and Purpose: The purpose of this retrospective case report is to investigate, in detail, the positive course of treatment that increased her aggravating symptoms with activities for example bending forward (tying her shoes), looking overhead (changing a lightbulb), or laying supine in bed. indicating a vestibular dysfunction. With the incorporation of treatment methods such as the Epley maneuver, VOR training, as well as focusing on reducing deficits noted in the Modified Clinical Test of Sensory Interaction in Balance (mCTSIB ) and Dynamic Gait Index (DGI ), the patient reported an improved quality of life (QOL) which allowed her to regain her prior level of function (PLOF).

Case Description: The patient was a 66-year-old Caucasian female patient diagnosed with Meniere’s Disease by her Ear Nose & Throat (ENT) doctor approximately 1 month prior to starting therapy. The patient presented to an outpatient physical therapy (PT) clinic to be evaluated and treated.

Outcomes: The patient attended 5 treatment sessions over the course of a 5-week period for the duration of the Student Physical Therapist’s clinical experience. The patient demonstrated improvements with the Modified Clinical Test of Sensory Interaction in Balance (mCTSIB), Dynamic Gait Index (DGI), and the Activities-specific Balance Confidence Scale (ABC), Additionally she demonstrated increased tolerance to standing on compliant surface, and reported no symptoms with unsteadiness.

Discussion: The combined use of the Epley maneuver and VOR re-integration has shown positive outcomes for Benign Paroxysmal Positional Vertigo (BPPV) along with Meniere’s Disease (MD) symptoms and impairments for this specific case allowing the patient to return to her prior level of function (PLOF) and restore her quality of life (QOL).

Faculty / Staff Sponsor

Dr. Roberta OShea

This document is currently not available here.

Share

COinS
 
Apr 12th, 4:00 PM Apr 12th, 6:00 PM

Outpatient Physical Rehabilitation with Benign Paroxysmal Positional Vertigo in a Patient Diagnosed with Meniere's Disease: A Retrospective Case Report

Background and Purpose: The purpose of this retrospective case report is to investigate, in detail, the positive course of treatment that increased her aggravating symptoms with activities for example bending forward (tying her shoes), looking overhead (changing a lightbulb), or laying supine in bed. indicating a vestibular dysfunction. With the incorporation of treatment methods such as the Epley maneuver, VOR training, as well as focusing on reducing deficits noted in the Modified Clinical Test of Sensory Interaction in Balance (mCTSIB ) and Dynamic Gait Index (DGI ), the patient reported an improved quality of life (QOL) which allowed her to regain her prior level of function (PLOF).

Case Description: The patient was a 66-year-old Caucasian female patient diagnosed with Meniere’s Disease by her Ear Nose & Throat (ENT) doctor approximately 1 month prior to starting therapy. The patient presented to an outpatient physical therapy (PT) clinic to be evaluated and treated.

Outcomes: The patient attended 5 treatment sessions over the course of a 5-week period for the duration of the Student Physical Therapist’s clinical experience. The patient demonstrated improvements with the Modified Clinical Test of Sensory Interaction in Balance (mCTSIB), Dynamic Gait Index (DGI), and the Activities-specific Balance Confidence Scale (ABC), Additionally she demonstrated increased tolerance to standing on compliant surface, and reported no symptoms with unsteadiness.

Discussion: The combined use of the Epley maneuver and VOR re-integration has shown positive outcomes for Benign Paroxysmal Positional Vertigo (BPPV) along with Meniere’s Disease (MD) symptoms and impairments for this specific case allowing the patient to return to her prior level of function (PLOF) and restore her quality of life (QOL).