Archive for September, 2009

Nystagmus?

You will most likely hear the word “nystagmus” used when being evaluated by your physical therapist for vestibular disorders (i.e. BPPV). Nystagmus is the involuntary movement of the eye, which can be caused by the impairment of the vestibular system such as BPPV and Meniere’s  (it can also be caused by a slew of other disorders).

With BPPV, an inner ear disorder, the eye will move towards the affected ear. This will be noticeable to your physical therapist when they do your evaluation.

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Brandt-Daroff Exercises

Brandt-Daroff exercises are exercises often used to help treat (not cure) BPPV and vertigo. These should be taught to you by a licensed health professional to ensure you are doing them correctly – if you aren’t doing it correctly, it won’t help at all!

Below is a description of the exercise to give you an idea of what it entails.

1) Sit on your bed in an upright position.

2) Lie down on your side with your head at a 45 degree angle

3) Lie on your side until your vertigo/dizziness ends (30-60 seconds)

4) Sit back up straight in an upright position until your vertigo/dizziness ends (30-60 seconds)

5) Lie down on your opposite side with your head at a 45 degree angle

6) Lie on your side until your vertigo/dizziness ends (30-60 seconds)

7) Sit back up straight in an upright position until your vertigo/dizziness ends (30-60 seconds)

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Finding a Balance Disorder Specialist Near YOU!

We receive a LOT of inquiries from individuals who don’t live near the Chicagoland area who are looking for a vestibular rehabilitation specialist. We always point them to this link:

 

http://www.vestibular.org/find-medical-help/search-for-a-health-professional.php

 

Just enter your state and then check “Physical Therapist” and you should have your pick! There are 486 physical therapists who specialize in treating patients with balance disorders. Unfortunately we can’t provide any recommendation as we don’t know most of these therapists and their abilities, but it is definitely worth your time to check them out!!!

Clinical Trials for Vestibular Disorders

Below are clinical trials taking place around the world that relate to vestibular disorders, vertigo and balance disorders. Take a peek, there might be one that may be perfect for you!

Washington University School of Medicine (Missouri)

The goal is to provide individuals that have a balance deficit with a device that will give them signals that they can feel (vibrations) in order to help them maintain a correct sense of balance and perception of place in the environment.

http://clinicaltrials.gov/ct2/show/NCT00889824?recr=Open&cond=%22Vestibular+Diseases%22&rank=5

 

Chonbuk National University (Korea)

The goal is to compare the immediate efficacies of each treatment maneuvers in treatment of horizontal canal benign paroxysmal positional vertigo (HC-BPPV).

http://clinicaltrials.gov/ct2/show/NCT00810641?recr=Open&cond=%22Vestibular+Diseases%22&rank=4

 

National Institute of Health Clinical Center (Maryland)

The goal of this study will try to identify the genetic causes of hereditary hearing loss or balance disorders.

http://clinicaltrials.gov/ct2/show/NCT00023049?recr=Open&cond=%22Vestibular+Diseases%22&rank=3

 

University of California (San Francisco)

The purpose of this study is to determine whether topiramate effective in treating dizziness symptoms that are associated with migraine headaches.

http://clinicaltrials.gov/ct2/show/NCT00732108?recr=Open&cond=%22Vertigo%22&rank=2

 

Throughout the United States

The goal of this study is to assess the safety and efficacy of the BrainPort balance device in improving balance and gait as measured by clinically accepted standardized balance assessments in subjects with peripheral vestibular dysfunction.

http://clinicaltrials.gov/ct2/show/NCT00768378?recr=Open&cond=%22Vestibular+Diseases%22&rank=2

 

United Kingdom

The investigators primary aim is to test whether or not provision of the self-help booklet teaching VR exercises, with up to one hour of telephone support from a vestibular therapist, will be more effective than routine care in reducing symptoms in dizzy patients in primary care. The investigators will also explore the extent to which patients may benefit from the self-help booklet without support. The investigators will determine whether these models of delivery are less costly than routine care of dizzy patients, as they should reduce the number of patients seeking referral to secondary care for unnecessary assessments.

http://clinicaltrials.gov/ct2/show/NCT00732797?recr=Open&cond=%22Dizziness%22&rank=2

 

Norway

The aim of this study is to assess if early supported vestibular rehabilitation can reduce dizziness and improve daily life activities in patients with acute vestibular injury.

http://clinicaltrials.gov/ct2/show/NCT00702832?recr=Open&cond=%22Dizziness%22&rank=4