Physiotherapy and exercise in the treatment of positionla vertigo
Vanderwall, Ivy; Athauda, Athauda Arachchilage Ruvini Tharanga (2024)
2024
All rights reserved. This publication is copyrighted. You may download, display and print it for Your own personal use. Commercial use is prohibited.
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2024051512316
https://urn.fi/URN:NBN:fi:amk-2024051512316
Tiivistelmä
Positional vertigo is one of the most common peripheral vestibular disorders which occurs due to head movements that lead to the displacement of calcium carbonate crystals called otoconia. Due to the displacement of otoconia in the semi-circular canals, individuals who suffer from positional vertigo suffer from dizziness, nausea and nystagmus leading to an interruption in their activities of daily living. Different types of physiotherapy interventions such as particle repositioning manoeuvres and vestibular rehabilitation exercises are utilised in the treatment of positional vertigo.
The aim of this thesis was to describe the effects of physiotherapy and exercise in treatment of positional vertigo. Scholarly articles with various types of methodologies such as randomised controlled trials, clinical trials, descriptive case series and Cochrane reviews were used in describing the effects of these two treatments. An extensive search strategy was carried out across four different types of databases, PubMed, ScienceDirect, ProQuest and CINAHL, where five most relevant articles were selected in executing this bachelor’s thesis. Study findings from all the selected articles demonstrated positive results regarding the effectiveness of physiotherapy interventions in alleviating symptoms and reducing recurrence rates in patients with positional vertigo. In the study that used vestibular exercises, findings reported significant improvements in symptom resolution, nystagmus resolution, and balance post-treatment. The incorporation of vestibular exercises alongside repositioning manoeuvres was associated with enhanced treatment efficacy and reduced recurrence rates. Repositioning manoeuvres and exercise are two of the most common physiotherapy interventions that are used in the treatment of positional vertigo and the studies utilised in this bachelor's thesis proved their effectiveness in treating various types of positional vertigo in terms of the canal affected.
The aim of this thesis was to describe the effects of physiotherapy and exercise in treatment of positional vertigo. Scholarly articles with various types of methodologies such as randomised controlled trials, clinical trials, descriptive case series and Cochrane reviews were used in describing the effects of these two treatments. An extensive search strategy was carried out across four different types of databases, PubMed, ScienceDirect, ProQuest and CINAHL, where five most relevant articles were selected in executing this bachelor’s thesis. Study findings from all the selected articles demonstrated positive results regarding the effectiveness of physiotherapy interventions in alleviating symptoms and reducing recurrence rates in patients with positional vertigo. In the study that used vestibular exercises, findings reported significant improvements in symptom resolution, nystagmus resolution, and balance post-treatment. The incorporation of vestibular exercises alongside repositioning manoeuvres was associated with enhanced treatment efficacy and reduced recurrence rates. Repositioning manoeuvres and exercise are two of the most common physiotherapy interventions that are used in the treatment of positional vertigo and the studies utilised in this bachelor's thesis proved their effectiveness in treating various types of positional vertigo in terms of the canal affected.