Physiotherapeutic evaluation for VPPB in adults

Abstract

Objective: Determine the evaluation of Benign Paroxysmal Positional Vertigo (BPPV) in adults within the physiotherapeutic field. Material and methods. A descriptive investigation, of positivist paradigm with quantitative approach with a bibliographic review based on databases such as PubMed, MeHS, EBSCO, and Medline, published in English and Spanish during the period 2008-2018, was carried out, using as strategy the combination in the following descriptors: Adult AND BPPV OR “Vertigo, Benign Paroxysmal Positional” OR “Benign Recurrent Vertigo” OR “Benign paroxysmal Positional Vertigo” OR “Familial Vestibulopathy” OR “Recurrent Vertigo, Benign”. In total, 17 of the 66 scientific articles investigated, related to the objectives of the search classified according to the levels of evidence of Sackett, were included, as follows: 7 level I articles (41%), 3 level II articles (18%), 2 level III articles (12%), and 5 level V articles (29%). Results: It is of utmost importance to state the steps to follow when it is presumed of BPPV to obtain an accurate diagnosis. The BPPV is diagnosed by means of specific maneuvers to determine which semicircular channel is affected. Also, there are tests that the physical therapists may carry out to evidence its presence, but also, to determine the postural and functional implications this carries. Conclusion: Execute an initial evaluation sequence in a patient with symptoms that suggest BPPV means a difference and the keystone for a successful treatment improving both the neurophysiological aspect, as well as its daily functional performance.