头部损伤后良性阵发性位置性眩晕(BPPV)的处理:急诊科病例研究

IF 0.4 Q4 REHABILITATION
Louise Martin, M. Lyons
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引用次数: 0

摘要

背景:头部外伤可引起继发性良性阵发性位置性眩晕(BPPV)。BPPV是一种常见的外周性疾病,可导致严重的发病率、社会心理影响和医疗费用增加[10]。病例描述:一个病人摔倒后与相关的头部创伤提出了严重的眩晕,恶心,活动能力下降急诊科。患者由受过前庭训练的物理治疗师进行评估和治疗。患者接受了一次Epley复位手法治疗,症状完全缓解,并于当天出院。结论:急诊科经过前庭训练的物理治疗师可以成功识别和治疗BPPV。在急诊科早期接受前庭训练的物理治疗导致BPPV的诊断和循证治疗,从而避免了住院并改善了该患者的预后。患者在复位后症状完全缓解,出院回家。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management of benign paroxysmal positional vertigo (BPPV) post head injury: Case Study from the emergency department
BACKGROUND: Head trauma can cause secondary benign paroxysmal positional vertigo (BPPV). BPPV is a common peripheral condition which can lead to significant morbidity, psychosocial impact and increased medical costs [1]. CASE DESCRIPTION: A patient post fall with an associated head trauma presented to the emergency department with severe vertigo, nausea, and decreased mobility. The patient was assessed and treated by a vestibular trained physiotherapist. The patient was treated with one Epley repositioning manoeuvre and had complete resolution of symptoms and was discharged home the same day. CONCLUSION: BPPV can be successfully identified and treated by vestibular trained physiotherapists in the emergency department. Early access to vestibular trained physiotherapy in the emergency department resulted in diagnosis and evidence-based treatment of BPPV which prevented hospital admission and improved this patient’s outcome. The patient had complete resolution of symptoms post the repositioning manoeuvre and was discharged to home.
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来源期刊
Physiotherapy Practice and Research
Physiotherapy Practice and Research Health Professions-Occupational Therapy
CiteScore
0.50
自引率
0.00%
发文量
28
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