Exploratory fall risk and preventive intervention in acute vestibular neuritis

J Int Med Res. 2021 Sep;49(9):3000605211044207. doi: 10.1177/03000605211044207.

Abstract

Objective: To analyze recovery from dizziness in patients with acute vestibular neuritis (AVN) after applying the "Dizziness & Fall Risk Assessment and Intervention (DFRAI)".

Methods: This prospective study involved patients with AVN who underwent a survey of dizziness and fall risk. The patients received medical treatment and customized vestibular rehabilitation, and vestibular function was evaluated at the initial attack and 3 months later.

Results: Forty-one patients underwent subjective questionnaire assessments, which showed significant improvement in visual analog scale-dizziness handicap inventory-fear of falling (VAS-DHI-FOF) results from the initial vertigo attack to 3 months later. In the sensory organization test (SOT), the initial composite score was 63 ± 13.1, which improved to 77.5 ± 4.9 3 months later. In caloric testing, the canal paresis (CP) score was 42.9 ± 35.2, which improved to 29.9 ± 23.5 3 months later.

Conclusions: Subjective improvement in dizziness and objective recovery of vestibular function were confirmed. DFRAI is a comprehensive solution for dizziness, and appropriate application of the DFRAI is expected to have a positive effect on recovery from dizziness and fall prevention in patients with AVN.

Keywords: Dizziness; acute vestibular neuritis; fall; preventive intervention; rehabilitation; vertigo; vestibular function test.

MeSH terms

  • Accidental Falls / prevention & control
  • Dizziness
  • Fear
  • Humans
  • Postural Balance
  • Prospective Studies
  • Vestibular Neuronitis* / diagnosis