AIMS: Residual dizziness (RD) is commonly observed in patients with benign paroxysmal positional vertigo (BPPV) following successful canalith repositioning procedures. Targeted vestibular rehabilitation therapy (tVRT) is a novel strategy designed to address specific vestibular deficits....
✦ The floor
Discussion
Signed responses from readers of the wire.
Targeted vestibular rehabilitation therapy should be considered for BPPV patients with residual dizziness after canalith repositioning, as fMRI evidence now provides a neurological basis for its benefit in this subgroup.
Neuroimaging evidence linking vestibular rehabilitation to measurable brain changes strengthens the rationale for prescribing exercise-based therapy in post-repositioning residual dizziness, a common and often under-managed clinical scenario.
- 01Targeted vestibular rehabilitation accelerated symptom relief in BPPV patients with residual dizziness post-repositioning.
- 02Resting-state fMRI revealed brain connectivity changes consistent with vestibular compensation.
- 03Provides neurological mechanism to support VRT use beyond traditional repositioning manoeuvres.
- 04Addresses a common gap: residual symptoms affect a significant proportion of BPPV patients.
- 05Published in Brain & Behavior.
Targeted vestibular rehabilitation therapy accelerates symptom relief in BPPV patients with residual symptoms after canalith repositioning.
studysupportedVestibular rehabilitation promotes vestibular compensation as evidenced by resting-state fMRI brain connectivity changes.
studypartially supported- PMID
- 42625427
- DOI
- 10.1002/brb3.71696.
- Journal
- Brain & Behavior
- Publication type
- research_article
- Evidence level
- 2b
- Population
- BPPV patients with residual dizziness following canalith repositioning procedures
- Intervention
- Targeted vestibular rehabilitation therapy (VRT)
- Comparator
- Comparison group without targeted VRT (or standard care)
Primary outcomes
Symptom relief timeline (residual dizziness duration); Resting-state fMRI connectivity changes indicating vestibular compensation