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BPPV (Benign Paroxysmal Positional Vertigo)- 28%
Imbalance/unsteadiness - 27% -86%
Vestibular hypofunction - Up to 51%
Post-Traumatic Vestibular Migraine- 41%
Persistent Postural Perceptual Dizziness (PPPD)- 33%
Head injury is one of the most common causes of vestibular disorders. The vestibular disorders are diagnosed with specific tests and treated with customised treatment techniques and, conditions such as BPPV could even be cured with correct positional manoeuvres. However, in the majority of the cases, the vestibular disorders go undiagnosed and left untreated.
The most common but flawed approach is to treat dizziness and vertigo with medication or wait and watch without any intervention. In patients with a head injury, it is not uncommon for dizziness and other vestibular symptoms to be diagnosed as post-traumatic stress symptoms and managed with psychotropic medications and counselling without adequate interventions for the underlying vestibular issues.
Evidence suggests that the lack of input from vestibular specialists contributes to inadequate management in patients with vestibular disorders. As a result, the patients continue to suffer from life-altering vestibular symptoms.
We offer a comprehensive initial assessment and provide detailed report of the problems identified along with diagnosis and treatment recommendations. We also deliver customised vestibular rehabilitation and balance retraining. Considering the travel associated symptom aggravation for the head injury patients, we can offer home visits for both the initial assessment and treatments at their residence when necessary.
If you are unsure whether your client would require a vestibular physiotherapy assessment, please get your client to take theScreening Quiz.
Hoffer ME and others. Characterizing and treating dizziness after mild head trauma. Otol Neurotol 25:135-138, 2004
Griffiths MV (1979) The incidence of auditory and vestibular concussion following minor head injury. Journal of Laryngology and Otology 93(3): 253-265.
Popkirov S, Staab JP, Stone J. Persistent postural-perceptual dizziness (PPPD): a common, characteristic and treatable cause of chronic dizzinessPractical Neurology 2018;18:5-13