Clinical outcomes for various benign paroxysmal positional vertigo (BPPV) diagnoses in adolescents and young adults with recent concussions

IF 2.2 3区医学 Q1 REHABILITATION

Physical Therapy in Sport Pub Date : 2023-12-07 DOI:10.1016/j.ptsp.2023.12.004

Thomas G. Bowman , Rachel Thibault , Benjamin M. Radack , Anissa Davis , Penelope Elam

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引用次数: 0

Abstract

Objective

Determine how positive BPPV findings in adolescents and young adults following concussion impacted the total number of treatments required and time until discharge.

Setting

Outpatient physical therapy clinic.

Participants

167 individuals who were diagnosed with concussion or brain injury.

Design

Retrospective chart review.

Main measures

Total number of treatments and days until discharge were compared for various BPPV diagnoses (anterior canal, posterior canal, horizontal canal, and combination) and for individuals with and without BPPV.

Results

Fifty-one out of 167 cases (30.54%) were diagnosed with BPPV. The total number of treatments provided was statistically different across BPPV diagnoses (P = .004). However, days until discharge were not statistically different between BPPV diagnoses (P = .28). There was no significant difference between time to discharge between those with BPPV (median = 21 days, range = 7–126) and those without (median = 28 days, range = 7–84 days; P = .23, r = 0.09).

Conclusion

To optimize outcomes, including symptom resolution and return to sport and/or work, early identification of BPPV and subsequent intervention should be prioritized for individuals who have concussion symptoms that suggest vestibular dysfunction.

查看原文本刊更多论文

近期受过脑震荡的青少年和年轻成年人各种良性阵发性位置性眩晕 (BPPV) 诊断的临床结果

目的确定青少年脑震荡后BPPV阳性结果对治疗总次数和出院前时间的影响。设计回顾性病历审查。主要测量方法比较各种BPPV诊断（前管、后管、水平管和组合）以及有无BPPV患者的治疗总次数和出院前的天数。结果167例中有51例（30.54%）被诊断为BPPV。不同 BPPV 诊断所提供的治疗总数存在统计学差异（P = .004）。但是，不同 BPPV 诊断之间的出院天数没有统计学差异（P = .28）。为优化治疗效果，包括症状缓解和重返运动和/或工作岗位，应优先考虑对有前庭功能障碍的脑震荡症状的患者进行 BPPV 的早期识别和后续干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Physical Therapy in Sport 医学-康复医学

CiteScore

4.50

自引率

8.30%

发文量

125

审稿时长

39 days

期刊介绍： Physical Therapy in Sport is an international peer-reviewed journal that provides a forum for the publication of research and clinical practice material relevant to the healthcare professions involved in sports and exercise medicine, and rehabilitation. The journal publishes material that is indispensable for day-to-day practice and continuing professional development. Physical Therapy in Sport covers topics dealing with the diagnosis, treatment, and prevention of injuries, as well as more general areas of sports and exercise medicine and related sports science. The journal publishes original research, case studies, reviews, masterclasses, papers on clinical approaches, and book reviews, as well as occasional reports from conferences. Papers are double-blind peer-reviewed by our international advisory board and other international experts, and submissions from a broad range of disciplines are actively encouraged.