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- Ekvall-Hansson, Eva, et al.
(författare)
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Benign Paroxysmal Positional Vertigo among Elderly Patients in Primary Health Care.
- 2005
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Ingår i: Gerontology. - : S. Karger AG. - 1423-0003 .- 0304-324X. ; 51:6, s. 386-389
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Tidskriftsartikel (refereegranskat)abstract
- <i>Background:</i>Dizziness influences well-being in old age, and benign paroxysmal positional vertigo (BPPV) is a common cause. The condition is diagnosed using the Hallpike maneuver and treated by the particle-repositioning maneuver or habituation exercises. <i>Objective:</i>To identify patients with BPPV among a variety of diagnoses represented by the ICD-10 diagnosis R42 in people 65 aged years and older who visited primary health care because of vertigo and dizziness. <i>Methods:</i>Searches were performed in the computerized medical records of 6 different health care centers over the period of 1 year for the ICD-10 diagnosis R42 and the age group 65 years and older. Letters were sent to the patients identified with an invitation for assessment and physical examination by a physiotherapist. Thirty-eight patients responded to the letter and were included in the study. All patients were assessed by physical examination including the Hallpike maneuver. <i>Results:</i> The study group included 13 men and 25 women, 65–94 (median 83) years of age. After physical examination, 15 patients were found to have BPPV (confidence interval 24–55%). <i>Conclusion:</i>In this study, 2 of 5 of the patients with ICD-10 diagnosis R42 (dizziness and giddiness) had BPPV. BPPV is probably an underestimated cause of dizziness/vertigo among elderly patients in primary health care.
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- Ekvall-Hansson, Eva, et al.
(författare)
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Treatment for benign paroxysmal positional vertigo - a case study
- 2005
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Ingår i: Advances in Physiotherapy. - : Informa UK Limited. - 1651-1948 .- 1403-8196. ; 7:4, s. 183-186
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Tidskriftsartikel (refereegranskat)abstract
- Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo and can be successfully treated with particle-repositioning procedures or habituation exercises. However, some patients do not tolerate this treatment. The aim of the study was to investigate the possibility of treating patients with BPPV, where treatment at first seemed too demanding for the patients, using a descriptive study in a primary health care centre setting. Three patients, aged 79, 81 and 89, with BPPV, who could not tolerate common treatment, were studied. The main outcome measure was the Dix-Hallpike manoeuvre. The patients were successfully treated with versions of manoeuvre treatment and habituation exercises, including rolling from supine to side-lying, performing habituation exercises more slowly than recommended and use of sedation. The results show that, with a few adjustments, it is possible to successfully treat patients for whom the treatment at first seems too demanding. Since BPPV is possible to treat, every opportunity to minimize vertigo among the elderly is valuable, irrespective of factors such as fear, reduced mobility, concomitant or multiple diseases.
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- Hansson, Eva Ekvall, et al.
(författare)
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Falls among dizzy patients in primary healthcare: an intervention study with control group.
- 2008
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Ingår i: International Journal of Rehabilitation Research. - 1473-5660. ; 31:1, s. 51-57
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Tidskriftsartikel (refereegranskat)abstract
- The objective of this study is to investigate whether vestibular rehabilitation can improve balance, reduce self-perceived handicap because of dizziness and, if possible, reduce falls among dizzy patients in primary healthcare. The study also finds out which of the balance measures and measure of self-perceived handicap, if any, predicted the risk of falls. The design of this study is an intervention study with control group. Fifty-eight patients, 65 years and older, with multisensory dizziness were taken as participants. The intervention group trained vestibular rehabilitation twice a week for 9 weeks. All patients were assessed at baseline and after 3 months, with four different balance measures and the Dizziness Handicap Inventory. After 6, 9 and 12 months, a follow-up by telephone was performed and, at 12 months, the patients also filled out a Dizziness Handicap Inventory questionnaire. Statistically significant differences were found between the groups between baseline and 3 months in one static balance measure and in one dynamic measure (P=0.038 and 0.044). In total, 40 falls were reported, 31 were classified as intrinsic falls, 26 of them caused by vertigo and nine falls were classified as extrinsic. No difference was found between the two groups in proportions of patients who fell. Poor ability to stand in tandem stance doubled the risk for falls. Vestibular rehabilitation can improve balance in elderly patients with multisensory dizziness. Vertigo is a common cause of falls in this group of patients and vestibular rehabilitation is a feasible treatment.
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- Håkansson, Anders, et al.
(författare)
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Research methods courses as a mean of developing academic general practice
- 2005
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Ingår i: Scandinavian Journal of Primary Health Care. - 0281-3432. ; , s. 132-136
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Tidskriftsartikel (refereegranskat)abstract
- Since 1989, the authors have given courses in research methodology, and these courses are now given at six venues in southern Sweden, as well as in Denmark. The course corresponds to half a year's full-time study, with half the time devoted to lectures and studies of literature, while the rest is spent on an individual project under supervision. To enable part-time study, the course extends over 1(1/2) years. In 15 years roughly 1000 people, mainly physicians, have been given training in basic research methods. The course model has been appreciated by clinically active colleagues, who have been able to attend a course and simultaneously work with patients. Among the GPs in the region, one in five has taken this course, and one in five has then gone on to start formal PhD studies. The authors have thus succeeded in their goal of giving basic scientific schooling to many physicians and recruiting some for further research.
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