Navigating unsteady ground: vestibular rehabilitation in postural perceptual positional dizziness: A narrative review

Jorge Madrigal 1, 2, Jajaira Mendivil 2, Nathalia Gama 1 and Melissa Castillo-Bustamante 1, 2, 3, *

1 Centro de Vértigo y Mareo Mexico City, MEX.
2 Centro de Vértigo y Mareo Medellin, COL.
3 Universidad Pontificia Bolivariana, Medellin, COL.
 
Review Article
World Journal of Advanced Research and Reviews, 2023, 19(03), 271–276
Article DOI10.30574/wjarr.2023.19.3.1802
 
Publication history: 
Received on 26 July 2023; revised on 01 September 2023; accepted on 04 September 2023
 
Abstract: 
Persistent Postural-Perceptual Dizziness (PPPD) is a multifaceted and incapacitating disorder characterized by persistent dizziness and instability. Vestibular rehabilitation has arisen as a promising therapeutic strategy, aiming to mitigate symptoms and enhance patients' overall well-being. However, this therapy is not without its set of challenges and controversies. This narrative review delves into Vestibular Rehabilitation in Patients with Persistent Postural-Perceptual Dizziness (PPPD), revealing several pivotal themes. The challenges associated with diagnosing PPPD, its inherent heterogeneity, and the often-intertwined psychological aspects add complexity to treatment decisions. Despite these obstacles and ongoing debates, vestibular rehabilitation stands as a promising therapeutic path, underscoring the significance of continuous research and individualized care in the management of this intricate and debilitating condition.
 
Keywords: 
Vestibulocochlear nerve diseases; Vestibular disorders; Vestibular rehabilitation; Dizziness
 
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