Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds.
Identifieur interne : 000212 ( Main/Corpus ); précédent : 000211; suivant : 000213Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds.
Auteurs : Lena Kollén ; Kerstin Fr Ndin ; Margareta Möller ; Monika Fagevik Olsén ; Claes MöllerSource :
- Aging clinical and experimental research [ 1720-8319 ] ; 2012.
English descriptors
- KwdEn :
- Age Factors (MeSH), Aged (MeSH), Benign Paroxysmal Positional Vertigo (MeSH), Cross-Sectional Studies (MeSH), Dizziness (diagnosis), Dizziness (epidemiology), Dizziness (etiology), Dizziness (physiopathology), Female (MeSH), Humans (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Postural Balance (physiology), Posture (physiology), Semicircular Canals (physiopathology), Sex Factors (MeSH), Surveys and Questionnaires (MeSH), Sweden (epidemiology), Vertigo (complications), Vertigo (epidemiology), Walking (physiology).
- MESH :
- geographic , epidemiology : Sweden.
- complications : Vertigo.
- diagnosis : Dizziness.
- epidemiology : Dizziness, Vertigo.
- etiology : Dizziness.
- physiology : Postural Balance, Posture, Walking.
- physiopathology : Dizziness, Semicircular Canals.
- Age Factors, Aged, Benign Paroxysmal Positional Vertigo, Cross-Sectional Studies, Female, Humans, Longitudinal Studies, Male, Sex Factors, Surveys and Questionnaires.
Abstract
BACKGROUND AND AIMS
Studies have shown that 65% of people with dizziness may have a vestibular etiologic diagnosis, possibly benign paroxysmal positional vertigo (BPPV). The diagnosis of BPPV is based on medical history and findings after the Dix-Hallpike test. It is sometimes difficult to perform the Dix-Hallpike test in elderly persons, due to the limited range of motion when extending the neck. In this study, we used a side-lying test to stimulate the posterior semicircular canal, while the head and neck were fully supported on the examination table. The aims of this study were to investigate the prevalence of dizziness and/or impaired balance and BPPV in a population of 75-year-olds by means of a questionnaire and clinical tests, and to compare elderly persons with and without BPPV.
METHODS
A representative population sample of 675 persons completed a questionnaire about dizziness and 571 persons underwent side-lying, static balance and dynamic walking tests.
RESULTS
Subjective dizziness and/or impaired balance were found in 36% of subjects, especially when walking outdoors. A significant gender difference was found, with a higher prevalence in women (40%) compared with men (30%) (p<0.01). BPPV was found in 11% and was significantly more common in women (p<0.01). Elderly individuals with BPPV also displayed significantly impaired balance in static and dynamic balance tests compared with persons without BPPV (p<0.01). Persons with BPPV reported significantly more sub- jective problems with dizziness and balance compared with persons without BPPV (p<0.001).
CONCLUSIONS
Subjective and objective unsteadiness, dizziness and BP- PV are common in the elderly.
DOI: 10.1007/BF03325263
PubMed: 23238307
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds.</title><author><name sortKey="Kollen, Lena" sort="Kollen, Lena" uniqKey="Kollen L" first="Lena" last="Kollén">Lena Kollén</name><affiliation><nlm:affiliation>Department of Physiotherapy and Occupational Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden. lena.kollen@vgregion.se</nlm:affiliation></affiliation></author><author><name sortKey="Fr Ndin, Kerstin" sort="Fr Ndin, Kerstin" uniqKey="Fr Ndin K" first="Kerstin" last="Fr Ndin">Kerstin Fr Ndin</name></author><author><name sortKey="Moller, Margareta" sort="Moller, Margareta" uniqKey="Moller M" first="Margareta" last="Möller">Margareta Möller</name></author><author><name sortKey="Fagevik Olsen, Monika" sort="Fagevik Olsen, Monika" uniqKey="Fagevik Olsen M" first="Monika" last="Fagevik Olsén">Monika Fagevik Olsén</name></author><author><name sortKey="Moller, Claes" sort="Moller, Claes" uniqKey="Moller C" first="Claes" last="Möller">Claes Möller</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2012">2012</date><idno type="RBID">pubmed:23238307</idno><idno type="pmid">23238307</idno><idno type="doi">10.1007/BF03325263</idno><idno type="wicri:Area/Main/Corpus">000212</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000212</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds.</title><author><name sortKey="Kollen, Lena" sort="Kollen, Lena" uniqKey="Kollen L" first="Lena" last="Kollén">Lena Kollén</name><affiliation><nlm:affiliation>Department of Physiotherapy and Occupational Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden. lena.kollen@vgregion.se</nlm:affiliation></affiliation></author><author><name sortKey="Fr Ndin, Kerstin" sort="Fr Ndin, Kerstin" uniqKey="Fr Ndin K" first="Kerstin" last="Fr Ndin">Kerstin Fr Ndin</name></author><author><name sortKey="Moller, Margareta" sort="Moller, Margareta" uniqKey="Moller M" first="Margareta" last="Möller">Margareta Möller</name></author><author><name sortKey="Fagevik Olsen, Monika" sort="Fagevik Olsen, Monika" uniqKey="Fagevik Olsen M" first="Monika" last="Fagevik Olsén">Monika Fagevik Olsén</name></author><author><name sortKey="Moller, Claes" sort="Moller, Claes" uniqKey="Moller C" first="Claes" last="Möller">Claes Möller</name></author></analytic><series><title level="j">Aging clinical and experimental research</title><idno type="eISSN">1720-8319</idno><imprint><date when="2012" type="published">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Benign Paroxysmal Positional Vertigo (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Dizziness (diagnosis)</term><term>Dizziness (epidemiology)</term><term>Dizziness (etiology)</term><term>Dizziness (physiopathology)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Postural Balance (physiology)</term><term>Posture (physiology)</term><term>Semicircular Canals (physiopathology)</term><term>Sex Factors (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Sweden (epidemiology)</term><term>Vertigo (complications)</term><term>Vertigo (epidemiology)</term><term>Walking (physiology)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Sweden</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dizziness</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dizziness</term><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Postural Balance</term><term>Posture</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dizziness</term><term>Semicircular Canals</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Age Factors</term><term>Aged</term><term>Benign Paroxysmal Positional Vertigo</term><term>Cross-Sectional Studies</term><term>Female</term><term>Humans</term><term>Longitudinal Studies</term><term>Male</term><term>Sex Factors</term><term>Surveys and Questionnaires</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND AND AIMS</b></p><p>Studies have shown that 65% of people with dizziness may have a vestibular etiologic diagnosis, possibly benign paroxysmal positional vertigo (BPPV). The diagnosis of BPPV is based on medical history and findings after the Dix-Hallpike test. It is sometimes difficult to perform the Dix-Hallpike test in elderly persons, due to the limited range of motion when extending the neck. In this study, we used a side-lying test to stimulate the posterior semicircular canal, while the head and neck were fully supported on the examination table. The aims of this study were to investigate the prevalence of dizziness and/or impaired balance and BPPV in a population of 75-year-olds by means of a questionnaire and clinical tests, and to compare elderly persons with and without BPPV.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>A representative population sample of 675 persons completed a questionnaire about dizziness and 571 persons underwent side-lying, static balance and dynamic walking tests.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Subjective dizziness and/or impaired balance were found in 36% of subjects, especially when walking outdoors. A significant gender difference was found, with a higher prevalence in women (40%) compared with men (30%) (p<0.01). BPPV was found in 11% and was significantly more common in women (p<0.01). Elderly individuals with BPPV also displayed significantly impaired balance in static and dynamic balance tests compared with persons without BPPV (p<0.01). Persons with BPPV reported significantly more sub- jective problems with dizziness and balance compared with persons without BPPV (p<0.001).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Subjective and objective unsteadiness, dizziness and BP- PV are common in the elderly.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23238307</PMID><DateCompleted><Year>2013</Year><Month>08</Month><Day>20</Day></DateCompleted><DateRevised><Year>2019</Year><Month>11</Month><Day>12</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1720-8319</ISSN><JournalIssue CitedMedium="Internet"><Volume>24</Volume><Issue>4</Issue><PubDate><Year>2012</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Aging clinical and experimental research</Title><ISOAbbreviation>Aging Clin Exp Res</ISOAbbreviation></Journal><ArticleTitle>Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds.</ArticleTitle><Pagination><MedlinePgn>317-23</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND AND AIMS" NlmCategory="OBJECTIVE">Studies have shown that 65% of people with dizziness may have a vestibular etiologic diagnosis, possibly benign paroxysmal positional vertigo (BPPV). The diagnosis of BPPV is based on medical history and findings after the Dix-Hallpike test. It is sometimes difficult to perform the Dix-Hallpike test in elderly persons, due to the limited range of motion when extending the neck. In this study, we used a side-lying test to stimulate the posterior semicircular canal, while the head and neck were fully supported on the examination table. The aims of this study were to investigate the prevalence of dizziness and/or impaired balance and BPPV in a population of 75-year-olds by means of a questionnaire and clinical tests, and to compare elderly persons with and without BPPV.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">A representative population sample of 675 persons completed a questionnaire about dizziness and 571 persons underwent side-lying, static balance and dynamic walking tests.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Subjective dizziness and/or impaired balance were found in 36% of subjects, especially when walking outdoors. A significant gender difference was found, with a higher prevalence in women (40%) compared with men (30%) (p<0.01). BPPV was found in 11% and was significantly more common in women (p<0.01). Elderly individuals with BPPV also displayed significantly impaired balance in static and dynamic balance tests compared with persons without BPPV (p<0.01). Persons with BPPV reported significantly more sub- jective problems with dizziness and balance compared with persons without BPPV (p<0.001).</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Subjective and objective unsteadiness, dizziness and BP- PV are common in the elderly.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kollén</LastName><ForeName>Lena</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Department of Physiotherapy and Occupational Therapy, Sahlgrenska University Hospital, Gothenburg, Sweden. lena.kollen@vgregion.se</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Frändin</LastName><ForeName>Kerstin</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Möller</LastName><ForeName>Margareta</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Fagevik Olsén</LastName><ForeName>Monika</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Möller</LastName><ForeName>Claes</ForeName><Initials>C</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Aging Clin Exp Res</MedlineTA><NlmUniqueID>101132995</NlmUniqueID><ISSNLinking>1594-0667</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004244" MajorTopicYN="N">Dizziness</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName><QualifierName UI="Q000209" MajorTopicYN="N">etiology</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012737" MajorTopicYN="N">Sex Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013548" MajorTopicYN="N" Type="Geographic">Sweden</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016138" MajorTopicYN="N">Walking</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2012</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2012</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2013</Year><Month>8</Month><Day>21</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">23238307</ArticleId><ArticleId IdType="pii">8786</ArticleId><ArticleId IdType="doi">10.1007/BF03325263</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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