Dizziness is among the most common reasons that people consult a physician. The two most common causes of dizziness related to peripheral vestibular dysfunction are benign paroxysmal positional vertigo (BPPV) and vestibular hypofunction (VH). Physical therapy (PT) is an effective component of the medical management for both conditions. The occurrence rate of concurrent BPPV and VH in the same patient has not been described in the literature. Identifying patients with co-diagnosis of BPPV and VH will allow the PT to construct a proper treatment sequence. We conducted a retrospective chart review of 500 consecutive medical records of Veteran's Administration male patients with dizziness referred for videonystagmography (VNG). Co-diagnosis of BPPV and VH, ipsilateral versus contralateral presentation, frequency of referral to PT, and age were recorded. Single diagnosis (38%) was more common than co-diagnosis (6.6%), and ipsilateral presentation of co-diagnosis (48.5%) more frequent than contralateral presentation (33.3%). Additionally, 80.7% of patients who tested positive for a peripheral vestibular disorder were not referred to PT. Age may be related to the occurrence of co-diagnosis of BPPV and VH.
School of Allied Health Professions
Johnson, Eric G.
Clendaniel, Richard A.
Tsao, H. Berry
Doctor of Science (DSc)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Physical Therapy; Veterans; Dizziness, Vertigo
Subject - Local
Dizziness; Vestibular Dysfunction; Benigh Paroxysmal Positional Vertigo (BPPV); Vestibular Hypofunction (VH); Videonystagmography
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
San Lucas, Summer M., "Co-diagnosis Frequency of Peripheral Vestibular Disorders and Physical Therapy" (2012). Loma Linda University Electronic Theses, Dissertations & Projects. 97.
Loma Linda University Electronic Theses & Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives