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Treatment of Benign Paroxysmal Positional Vertigo

S Herdman, PhD, PT, is Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, 600 N Wolfe St, Baltimore, MD 21205 (USA).

Peripheral vestibular disorders result in vertigo, disequilibrium, and frequently nausea and vomiting. The purpose of this article is to describe the physical therapy management of one of the more common peripheral vestibular disorders—benign paroxysmal positional vertigo (BPPV). Several different approaches have been used in the treatment of BPPV. These approaches are compared, and the criteria used in choosing the appropriate approach are presented. Case studies are used to illustrate the different treatment approaches.

Key Words: Ear • Nystagmus • Otorhinolaryngologic diseases • Vertigo • Vestibular system

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