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- Treatment in Benign Paroxysmal Positional Vertigo: Factors that Affect Successful Treatment Outcome
- Dae Bo Shim
- Res Vestib Sci. 2023;22(1):1-6. Published online March 13, 2023
- DOI: https://doi.org/10.21790/rvs.2023.22.1.1
- 1,332 View
- 66 Download
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Abstract
PDF - Benign paroxysmal positional vertigo (BPPV) is the most common etiology of benign vestibulopathy. Various treatments for BPPV have been developed, and appropriate treatments for each subtype of BPPV have been provided and used in accordance with clinical practice guidelines published by the American Academy of Otorhinolaryngology-Head and Neck Surgery in 2008 and 2017. Although many therapeutic maneuvers have been reported to show high success rates in the treatment of BPPV patients, some cases are not effective even by appropriate therapeutic maneuvers. This article reviews various factors affecting the successful treatment of BPPV patients.
Original Articles
- Impact of Vestibular Function on Health-Related Quality of Life: A Cross-Sectional Study Based on Korea National Health and Nutrition Examination Survey
- Hyun Jung Kim, Soo Bin Lee, Michelle J. Suh
- Res Vestib Sci. 2021;20(1):17-23. Published online March 11, 2021
- DOI: https://doi.org/10.21790/rvs.2021.20.1.17
- 4,589 View
- 87 Download
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Abstract
PDF
Supplementary Material - Objectives
This study was performed to investigate whether vestibular dysfunction affects health-related quality of life in Korean adults.
Methods
This retrospective cross-sectional study was performed with data from the 2010 to 2011 Korea National Health and Nutrition Survey for adults aged 40 years or more. The modified Romberg test and health-related quality of life evaluation using the EuroQoL 5-dimensional (EQ-5D) questionnaires were performed. Data were analyzed using a complex-sample chi-square test of independence and multivariate linear regression analysis. The main outcome measures were vestibular dysfunction and the calculated health-related quality of life questionnaire score.
Results
The overall prevalence of vestibular dysfunction was 3.4% (95% confidence interval, 2.5%–4.3%). In adults aged more than 40 years, multivariate linear regression analyses showed a significant reverse correlation between vestibular function and health-related quality of life since the EQ-5D index showed a lower score than normal (B coefficient=‒0.09, R2=0.299, p=0.003) for a decrease in balance function, and the scores for mobility, self-care, general activities, and pain/discomfort were worse, except for anxiety/depression. On the other hand, subjective dizziness was significantly associated with the EQ-5D index and all its subcategories.
Conclusions
Since adults with vestibular dysfunction have poor health-related quality of life, active monitoring and rehabilitation are necessary.
- Prevalence and Risk Factors of Subjective Dizziness in Korean
- Eun Kyu Park, Ji Won Cho, Hyo Geun Choi
- Res Vestib Sci. 2015;14(2):46-49.
- 1,983 View
- 59 Download
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Abstract
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- Background
and Objectives: To evaluate the prevalence and risk factors of subjective dizziness complaints in general population. Materials and Methods: A cross-sectional study was performed using data from The Korea National Health and Nutrition Examination Surveys. We evaluated data from 12,653 subjects who were interviewed between 2010 and 2012. Results: The prevalence of subjective dizziness was 21.7%. Female gender (adjusted odds ratio, AOR=1.959; 95% confidence interval [CI], 1.680?2.284; p＜0.001), lower alcohol consumption (reference ≤1 time a month; 1?4 times a month [AOR]=0.844, 95% CI=0.752? 0.948; ≥2 times a week, AOR=0.812, 95% CI=0.705?0.935, p=0.002), higher stress (AOR=1.784, 95% CI=1.613?1.973, p＜0.001), lower income (reference=lowest; middle low, AOR=0.815, 95% CI=0.720?0.923; middle high, AOR=0.696, 95% CI=0.606?0.799; highest, AOR=0.682, 95% CI=0.594?0.784, p＜0.001) increased odds ratio of subjective dizziness, while body mass index and smoking was not associated with subjective dizziness. Conclusion: This large population-based study provides reliable information about the prevalence and risk factors of subjective dizziness of Korean population.
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