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  Patronage of the Polish Society of Audiology and Phoniatrics

vol 8. no 3. September 2009  

 Original articles
Vestibular rehabilitation therapy of peripheral vertigo
Ewa Zamysłowska-Szmytke, Adrian Marynowski, Mariola Śliwińska-Kowalska

Introduction. Vestibular rehabilitation therapy should be
considered as a primary treatment the patients with any stable
vestibular dysfunction for which symptoms have not been
completely resolved.
Aim. The aim of the study was the evaluation of customized
vestibular rehabilitation programmes designed for vertigo
Material and methods. Two groups were evaluated, the first
one comprised of 17 subjects diagnosed with Benign Paroxysmal
Positional Vertigo (BPPV) and second one of 23 unilateral
vestibular dysfunction subjects. In the I group the patients were
treated using canalith repositioning procedure known as Epley’s
manouvre. Individuals in the II group who had an uncompensated
peripheral vestibular lesion, were treated using exercised
to Cawthorne-Cooksey set of exercises. The results were
evaluated on the base of self-assessment questionnaire scaling
the symptoms triggered by exercises from zero (no symptoms)
to 10 (no possibility to do).
Results. The study confirmed the high effectiveness of Epley’s
manouvre in 88% of BPPV patients. In almost 50% of patients
with unilateral vestibular dysfunction the intensity of vertigo
was significantly lower after the Cawthorne-Cooksey exercises
rehabilitation. The effectiveness of rehabilitation increased with
the time of the rehabilitation and was not age-dependent.
Conclusions. The customized exercise programme is basic
therapeutic modality reducing vestibular symptoms and
improving the quality of life in vertigo patients.

keywords: ćwiczenia rehabilitacyjne, jednostronne uszkodzenie narządu przedsionkowego, manewr repozycyjny Epley’a, ćwiczenia Cawthorne-Cooksey’a, vestibular rehabilitation, Benign Paroxysmal Positional Vertigo (BPPV), Epley’s manouvre, Cawthorne-C

pages: from 136 to 141

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