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Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study

Year 2015, Volume: 25 Issue: 5, 279 - 283, 10.10.2015

Abstract

Objectives: This study aims to investigate the prevalence of benign paroxysmal positional vertigo BPPV among motocross racers after cross-country up and downhill activities. Patients and Methods: This case-control study included 40 motocross racers 39 males, 1 female; mean age 26 years; range 21 to 43 years and 40 healthy controls 30 males, 10 females; mean age 28 years; range 22 to 43 years who had no hearing or balance problems. The Dix-Hallpike maneuver was applied to confirm the diagnosis of BPPV. Patients with BPPV were administered the Epley maneuver every week for one month and followed-up for treatment response assessment. Results: Motocross and control groups were similar in terms of demographic and laboratory parameters. While BPPV was detected in four motocross racers 10% according to Dix-Hallpike maneuver outcome and clinical findings, there was no BPPV in the control group. Of the motocross racers with BPPV, three had unilateral, one had bilateral disease. Of these patients, Epley maneuver was applied two times in two patients and three times in the other two patients. There was no vertigo or nystagmus in any of the patients with BPPV in one month. Conclusion: Intensive motocross activity is a cause of post-traumatic BPPV developing without head trauma. Large-scale, randomized controlled studies are needed to establish the post-traumatic etiology of BPPV in motocross racers.

References

  • von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710-5.
  • Helminski JO, Zee DS, Janssen I, Hain TC. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther 2010;90:663-78.
  • Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M. Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507-11.
  • Fife D, FitzGerald JE. Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice. Int J Audiol 2005;44:50-7.
  • Schuknecht HF. Cupulolithiasis. Arch Otolaryngol 1969;90:765-78.
  • Hall SF, Ruby RR, McClure JA. The mechanics of benign paroxysmal vertigo. J Otolaryngol 1979;8:151-8.
  • Parnes LS, McClure JA. Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 1992;102:988-92.
  • Fife TD, Giza C. Posttraumatic vertigo and dizziness. Semin Neurol 2013;33:238-43.
  • Ishiyama A, Jacobson KM, Baloh RW. Migraine and benign positional vertigo. Ann Otol Rhinol Laryngol 2000;109:377-80.
  • von Brevern M, Neuhauser H. Epidemiological evidence for a link between vertigo and migraine. J Vestib Res 2011;21:299-304.
  • Kollén L, Frändin K, Möller M, Fagevik Olsén M, Möller C. Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds. Aging Clin Exp Res 2012;24:317-23.
  • Gorski TF, Gorski YC, McLeod G, Suh D, Cordero R, Essien F, et al. Patterns of injury and outcomes associated with motocross accidents. Am Surg 2003;69:895-8.
  • Grange JT, Bodnar JA, Corbett SW. Motocross medicine. Curr Sports Med Rep 2009;8:125-30.
  • Larson AN, McIntosh AL. The epidemiology of injury in ATV and motocross sports. Med Sport Sci 2012;58:158-72.
  • Gobbi A, Tuy B, Panuncialman I. The incidence of motocross injuries: a 12-year investigation. Knee Surg Sports Traumatol Arthrosc 2004;12:574-80.
  • Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341-54.
  • Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399-404.
  • Neatherlin JS, Egan J. Benign paroxysmal positional vertigo. J Neurosci Nurs 1994;26:330-5.
  • Rajguru SM, Ifediba MA, Rabbitt RD. Three- dimensional biomechanical model of benign paroxysmal positional vertigo. Ann Biomed Eng 2004;32:831-46.
  • Welgampola MS, Bradshaw A, Halmagyi GM. Practical neurology--4: Dizziness on head movement. Med J Aust 2011;195:518-22.
  • Silva AL, Marinho MR, Gouveia FM, Silva JG, Ferreira Ade S, Cal R. Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines. Braz J Otorhinolaryngol 2011;77:191-200.
  • Prokopakis E, Vlastos IM, Tsagournisakis M, Christodoulou P, Kawauchi H, Velegrakis G. Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 2013;18:83-8.
  • Prim-Espada MP, De Diego-Sastre JI, Pérez-Fernández E. Meta-analysis on the efficacy of Epley’s manoeuvre in benign paroxysmal positional vertigo. Neurologia 201025:295-9. [Abstract]
  • Maslovara S, Soldo SB, Puksec M, Balaban B, Penavic IP. Benign paroxysmal positional vertigo (BPPV): influence of pharmacotherapy and rehabilitation therapy on patients’ recovery rate and life quality. NeuroRehabilitation 2012;31:435-41.

Motokros yarışçıları arasında benign paroksismal pozisyonel vertigo prevalansı: Olgu kontrollü çalışma

Year 2015, Volume: 25 Issue: 5, 279 - 283, 10.10.2015

Abstract

Amaç: Bu çalışmada motokros yarışçıları arasında kros yarışında tepeye çıkış ve tepeden iniş aktiviteleri sonrası benign paroksismal pozisyonel vertigo BPPV prevalansı araştırıldı.Hastalar ve Yöntemler: Bu olgu kontrollü çalışmaya 40 motokros yarışçısı 39 erkek, 1 kadın; ort. yaş 26 yıl; dağılım 21-43 yıl ve işitme veya denge sorunu olmayan 40 sağlıklı kontrol 30 erkek, 10 kadın; ort. yaş 28 yıl; dağılım 22-43 yıl alındı. Benign paroksismal pozisyonel vertigo tanısının doğrulanması için Dix-Hallpike manevrası uygulandı. Benign paroksismal pozisyonel vertigolu hastalara bir ay boyunca her hafta Epley manevrası uygulandı ve hastalar tedavi yanıtının değerlendirilmesi için takip edildi.Bulgular: Motokros ve kontrol grupları demografik ve laboratuvar parametreleri açısından benzerdi. Dix-Hallpike manevrası sonuçlarına ve klinik bulgulara göre dört %10 motokros yarışçısında BPPV saptanırken kontrol grubunda BPPV yoktu. Benign paroksismal pozisyonel vertigolu motokros yarışçılarından üçünde tek taraflı, birinde çift taraflı hastalık vardı. Bu hastalardan ikisine iki defa, diğer ikisine üç defa Epley manevrası uygulandı. Bir ay içinde BPPV’li hiçbir hastada vertigo veya nistagmus yoktu.Sonuç: Yoğun motokros aktivitesi kafa travması olmadan oluşan post-travmatik BPPV’nin bir nedenidir. Motokros yarışçılarında BPPV’nin post-travmatik etyolojisinin tespiti için geniş ölçekli, randomize kontrollü çalışmalara ihtiyaç vardır

References

  • von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710-5.
  • Helminski JO, Zee DS, Janssen I, Hain TC. Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo: a systematic review. Phys Ther 2010;90:663-78.
  • Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M. Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507-11.
  • Fife D, FitzGerald JE. Do patients with benign paroxysmal positional vertigo receive prompt treatment? Analysis of waiting times and human and financial costs associated with current practice. Int J Audiol 2005;44:50-7.
  • Schuknecht HF. Cupulolithiasis. Arch Otolaryngol 1969;90:765-78.
  • Hall SF, Ruby RR, McClure JA. The mechanics of benign paroxysmal vertigo. J Otolaryngol 1979;8:151-8.
  • Parnes LS, McClure JA. Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 1992;102:988-92.
  • Fife TD, Giza C. Posttraumatic vertigo and dizziness. Semin Neurol 2013;33:238-43.
  • Ishiyama A, Jacobson KM, Baloh RW. Migraine and benign positional vertigo. Ann Otol Rhinol Laryngol 2000;109:377-80.
  • von Brevern M, Neuhauser H. Epidemiological evidence for a link between vertigo and migraine. J Vestib Res 2011;21:299-304.
  • Kollén L, Frändin K, Möller M, Fagevik Olsén M, Möller C. Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds. Aging Clin Exp Res 2012;24:317-23.
  • Gorski TF, Gorski YC, McLeod G, Suh D, Cordero R, Essien F, et al. Patterns of injury and outcomes associated with motocross accidents. Am Surg 2003;69:895-8.
  • Grange JT, Bodnar JA, Corbett SW. Motocross medicine. Curr Sports Med Rep 2009;8:125-30.
  • Larson AN, McIntosh AL. The epidemiology of injury in ATV and motocross sports. Med Sport Sci 2012;58:158-72.
  • Gobbi A, Tuy B, Panuncialman I. The incidence of motocross injuries: a 12-year investigation. Knee Surg Sports Traumatol Arthrosc 2004;12:574-80.
  • Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341-54.
  • Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399-404.
  • Neatherlin JS, Egan J. Benign paroxysmal positional vertigo. J Neurosci Nurs 1994;26:330-5.
  • Rajguru SM, Ifediba MA, Rabbitt RD. Three- dimensional biomechanical model of benign paroxysmal positional vertigo. Ann Biomed Eng 2004;32:831-46.
  • Welgampola MS, Bradshaw A, Halmagyi GM. Practical neurology--4: Dizziness on head movement. Med J Aust 2011;195:518-22.
  • Silva AL, Marinho MR, Gouveia FM, Silva JG, Ferreira Ade S, Cal R. Benign Paroxysmal Positional Vertigo: comparison of two recent international guidelines. Braz J Otorhinolaryngol 2011;77:191-200.
  • Prokopakis E, Vlastos IM, Tsagournisakis M, Christodoulou P, Kawauchi H, Velegrakis G. Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 2013;18:83-8.
  • Prim-Espada MP, De Diego-Sastre JI, Pérez-Fernández E. Meta-analysis on the efficacy of Epley’s manoeuvre in benign paroxysmal positional vertigo. Neurologia 201025:295-9. [Abstract]
  • Maslovara S, Soldo SB, Puksec M, Balaban B, Penavic IP. Benign paroxysmal positional vertigo (BPPV): influence of pharmacotherapy and rehabilitation therapy on patients’ recovery rate and life quality. NeuroRehabilitation 2012;31:435-41.
There are 24 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Deniz Hancı This is me

Hüseyin Altun This is me

Publication Date October 10, 2015
Published in Issue Year 2015 Volume: 25 Issue: 5

Cite

APA Hancı, D., & Altun, H. (2015). Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. The Turkish Journal of Ear Nose and Throat, 25(5), 279-283.
AMA Hancı D, Altun H. Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. Tr-ENT. October 2015;25(5):279-283.
Chicago Hancı, Deniz, and Hüseyin Altun. “Prevalence of Benign Paroxysmal Positional Vertigo Among Motocross Racers: A Case-Control Study”. The Turkish Journal of Ear Nose and Throat 25, no. 5 (October 2015): 279-83.
EndNote Hancı D, Altun H (October 1, 2015) Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. The Turkish Journal of Ear Nose and Throat 25 5 279–283.
IEEE D. Hancı and H. Altun, “Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study”, Tr-ENT, vol. 25, no. 5, pp. 279–283, 2015.
ISNAD Hancı, Deniz - Altun, Hüseyin. “Prevalence of Benign Paroxysmal Positional Vertigo Among Motocross Racers: A Case-Control Study”. The Turkish Journal of Ear Nose and Throat 25/5 (October 2015), 279-283.
JAMA Hancı D, Altun H. Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. Tr-ENT. 2015;25:279–283.
MLA Hancı, Deniz and Hüseyin Altun. “Prevalence of Benign Paroxysmal Positional Vertigo Among Motocross Racers: A Case-Control Study”. The Turkish Journal of Ear Nose and Throat, vol. 25, no. 5, 2015, pp. 279-83.
Vancouver Hancı D, Altun H. Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. Tr-ENT. 2015;25(5):279-83.