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1
Vestibular Consequences of Noise Exposure in Humans
In: ETSU Faculty Works (2018)
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2
The Video Head Impulse Test: Background and Clinical Application
In: ETSU Faculty Works (2017)
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3
Contemporary Issues in Vestibular Assessment
In: ETSU Faculty Works (2017)
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4
A Benign Paroxysmal Positional Vertigo Triage Clinic
In: ETSU Faculty Works (2017)
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5
Vestibular Consequences of Mild Traumatic Brain Injury and Blast Exposure: A Review
In: ETSU Faculty Works (2017)
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6
Reliability and Validity of Bertec Computerized Dynamic Posturography
In: ETSU Faculty Works (2017)
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7
Characteristics and Treatment Outcomes of Benign Paroxysmal Positional Vertigo in a Cohort of Veterans
In: ETSU Faculty Works (2017)
Abstract: Background: The Mountain Home Veterans Affairs (VA) Medical Center has been diagnosing and treating veterans with benign paroxysmal positional vertigo (BPPV) for almost 2 decades. The clinic protocol includes a 2-week follow-up visit to determine the treatment outcome of the canalith repositioning treatment (CRT). To date, the characteristics of BPPV and treatment efficacy have not been reported in a cohort of veterans with BPPV. Purpose: To determine the prevalence and characteristics of veterans diagnosed with BPPV in a Veterans Affairs Medical Center Audiology Clinic and to examine treatment outcomes. Research Design: Retrospective chart review. Study Sample: A total of 102 veterans who tested positive for BPPV in the Vestibular Clinic at the Mountain Home VA Medical Center from March 2010 to August 2011. Results: In 102 veterans who were diagnosed with BPPV, the posterior semicircular canal was most often involved (75%), motion-provoked vertigo was the most common symptom (84%), and the majority (43%) were diagnosed with BPPV in their sixth decade. The prevalence of BPPV in the Audiology Vestibular Clinic was 15.6%. Forty-one percent of veterans reported a symptom onset within 12 months of treatment for BPPV; however, 36% reported their symptoms began > 36 months prior to treatment. CRT was effective (negative Dix–Hallpike/roll test) in most veterans (86%) following 1 treatment appointment (M = 1.6), but more than half reported incomplete symptom resolution (residual dizziness) at the follow-up appointment. Eighteen percent of veterans experienced a recurrence (M = 1.8 years; SD = 1.7 years). Conclusions: The characteristics and treatment outcomes of BPPV in our veteran cohort was similar to what has been reported in the general population. Future work should focus on improving the timeliness of evaluation and treatment of BPPV and examining the time course and management of residual dizziness.
Keyword: and Ocular Physiology; Audiology and Speech-Language Pathology; benign paroxysmal positional vertigo; BPPV; CPT; Medical Pathology; Musculoskeletal; Neural; Speech and Hearing Science; Speech Pathology and Audiology; treatment outcomes; veterans
URL: https://dc.etsu.edu/etsu-works/1780
https://doi.org/10.1044/2017_AJA-16-0118
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8
Novel Video Head Impulse Findings in an Asymptomatic Individual with Unilateral Vestibular Loss
In: ETSU Faculty Works (2016)
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9
Reliability of Regression Gain Versus Instantaneous Gain During Video Head Impulse Testing
In: ETSU Faculty Works (2016)
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10
Intra- and Inter-Examiner Reliability of the Binocular Video Head Impulse Test
In: ETSU Faculty Works (2016)
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11
Contemporary Issues in Vestibular Assessment
In: ETSU Faculty Works (2016)
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12
Intra- and Inter-Examiner Reliability of the Video Head Impulse Test
In: ETSU Faculty Works (2015)
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13
Otolith Dysfunction and Postural Stability
In: ETSU Faculty Works (2015)
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14
Clinical Assessment of Otolith Organ Function
In: ETSU Faculty Works (2015)
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15
Inter-ocular Gain Differences of The Horizontal Vestibulo-ocular Reflex During the Video Head Impulse Test
In: ETSU Faculty Works (2015)
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16
Vestibular Consequences of Mild Traumatic Brain Injury
In: ETSU Faculty Works (2015)
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17
The Clinical Utility of Slow Harmonic Acceleration as Compared to Caloric Irrigations
In: ETSU Faculty Works (2014)
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18
Vascular and White-Matter Alterations in Blast and Trauma-Induced Balance and Gait Problems Revealed by Susceptibility-Weighted and Diffusion-Tensor Imaging
In: ETSU Faculty Works (2014)
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19
Normative Data and Reliability of Slow Harmonic Acceleration and Velocity Step Rotary Chair Protocols
In: ETSU Faculty Works (2014)
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20
Normative Data and Test-Retest Reliability of the Micromedical Video Head Impulse Test
In: ETSU Faculty Works (2014)
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