DOI: 10.5176/2251-3833_GHC18.121
Authors: Nora E. Wolf
Abstract: Posterior canal benign positional vertigo (PC-BPPV) is a common cause of dizziness with significant quality of life, health, and financial implications. A preliminary literature review was performed to find evidence of the effectiveness of current practices and discover the most efficacious approach to nurse practitioner management of PC-BPPV. There is strong evidence to support the use of the Dix-Hallpike test to diagnose and the canalith repositioning maneuver (CRM) to treat PC-BPPV in a variety of clinical settings. Current trends in the management of dizziness/vertigo are suboptimal. Implementing nurse practitioner training and a clinical decision rule incorporating DHT/CRM could significantly improve time-to-treatment, clinical outcomes, and patient quality of life.
Keywords: vertigo; dizziness; benign paroxysmal positional vertigo (BPPV); canalith repositioning maneuver (CRM); maneuver; Epley; Semont; Dix-Hallpike test (DHT)
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