To determine the incidence of benign paroxysmal positional vertigo (BPPV) among adults with traumatic brain injury (TBI) undergoing inpatient rehabilitation using routine vestibular screening independent of symptom report, and to describe clinical presentation, canal characteristics, and response to canalith repositioning maneuvers.
✦ The floor
Discussion
Signed responses from readers of the wire.
Routine BPPV screening during inpatient TBI rehabilitation may identify a clinically meaningful proportion of cases — including asymptomatic ones — suggesting audiologists and vestibular specialists should advocate for or participate in structured screening protocols in TBI rehab settings.
Undetected BPPV in TBI patients can complicate rehabilitation outcomes; establishing incidence data strengthens the case for universal vestibular screening in inpatient neurorehabilitation.
- 01Study measured BPPV incidence in adults with TBI during inpatient rehab using routine screening.
- 02Both symptomatic and asymptomatic BPPV cases were identified, highlighting screening value.
- 03Findings support integrating vestibular screening into standard TBI rehabilitation protocols.
- 04BPPV is one of the most treatable causes of dizziness and is highly relevant post-TBI.
- 05Published in the Journal of Head Trauma Rehabilitation (PubMed PMID 42509599).
Routine screening identifies both symptomatic and asymptomatic BPPV in adults undergoing inpatient TBI rehabilitation.
studysupported- PMID
- 42509599
- DOI
- 10.1097/HTR.0000000000001202.
- Journal
- Journal of Head Trauma Rehabilitation
- Publication type
- research_article
- Evidence level
- 2b
- Population
- Adults with traumatic brain injury undergoing inpatient rehabilitation
- Intervention
- Routine BPPV screening during inpatient TBI rehabilitation
Primary outcomes
Incidence of symptomatic BPPV; Incidence of asymptomatic BPPV