Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation
Abstract Persistent postural-perceptual dizziness disrupts daily life, causing chronic dizziness, unsteadiness, and imbalance. Often triggered by seemingly innocuous factors like movement or visual stimuli, the underlying cause of PPPD remains elusive. This intricate interplay between physical and p...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2025-01-01
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| Series: | The Egyptian Journal of Otolaryngology |
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| Online Access: | https://doi.org/10.1186/s43163-025-00761-2 |
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| author | Samer Sami Azeez Ebtessam H. Nada |
| author_facet | Samer Sami Azeez Ebtessam H. Nada |
| author_sort | Samer Sami Azeez |
| collection | DOAJ |
| description | Abstract Persistent postural-perceptual dizziness disrupts daily life, causing chronic dizziness, unsteadiness, and imbalance. Often triggered by seemingly innocuous factors like movement or visual stimuli, the underlying cause of PPPD remains elusive. This intricate interplay between physical and psychological factors presents a significant diagnostic and treatment challenge for clinicians. This review explores the recent literature focusing on complexities of PPPD management, highlighting the limitations of current approaches and advocating for a multidisciplinary perspective. PPPD diagnosis can be arduous due to the absence of a definitive test. Additionally, the lack of established treatment protocols necessitates a multifaceted approach that may include pharmacotherapy, vestibular rehabilitation therapy (VRT), and psychological interventions. Collaborative research across disciplines, including neurotology, otolaryngology, psychiatry, and psychology, is crucial for advancing our understanding of PPPD and developing more effective treatment strategies. PPPD presents a multifaceted challenge, requiring a patient-centered approach that integrates various treatment modalities. By fostering collaboration across disciplines and prioritizing patient support networks, we can illuminate a path towards improved diagnosis, management, and, ultimately, a better quality of life for those affected by PPPD. |
| format | Article |
| id | doaj-art-297446c624974348ac9973ab4732d66d |
| institution | Kabale University |
| issn | 2090-8539 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | The Egyptian Journal of Otolaryngology |
| spelling | doaj-art-297446c624974348ac9973ab4732d66d2025-02-02T12:06:16ZengSpringerOpenThe Egyptian Journal of Otolaryngology2090-85392025-01-014111610.1186/s43163-025-00761-2Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitationSamer Sami Azeez0Ebtessam H. Nada1Department of Audiology, School of Rehabilitation, Tehran University of Medical Sciences Tehran, Islamic Republic of IranIranOtorhinolaryngology Department, Audio-Vestibular Unit, Zagazig UniversityAbstract Persistent postural-perceptual dizziness disrupts daily life, causing chronic dizziness, unsteadiness, and imbalance. Often triggered by seemingly innocuous factors like movement or visual stimuli, the underlying cause of PPPD remains elusive. This intricate interplay between physical and psychological factors presents a significant diagnostic and treatment challenge for clinicians. This review explores the recent literature focusing on complexities of PPPD management, highlighting the limitations of current approaches and advocating for a multidisciplinary perspective. PPPD diagnosis can be arduous due to the absence of a definitive test. Additionally, the lack of established treatment protocols necessitates a multifaceted approach that may include pharmacotherapy, vestibular rehabilitation therapy (VRT), and psychological interventions. Collaborative research across disciplines, including neurotology, otolaryngology, psychiatry, and psychology, is crucial for advancing our understanding of PPPD and developing more effective treatment strategies. PPPD presents a multifaceted challenge, requiring a patient-centered approach that integrates various treatment modalities. By fostering collaboration across disciplines and prioritizing patient support networks, we can illuminate a path towards improved diagnosis, management, and, ultimately, a better quality of life for those affected by PPPD.https://doi.org/10.1186/s43163-025-00761-2Persistent postural-perceptual dizzinessVestibular rehabilitationChronic dizzinessPsychogenic vertigoVestibular rehabilitation exercisesCognitive behavioral training |
| spellingShingle | Samer Sami Azeez Ebtessam H. Nada Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation The Egyptian Journal of Otolaryngology Persistent postural-perceptual dizziness Vestibular rehabilitation Chronic dizziness Psychogenic vertigo Vestibular rehabilitation exercises Cognitive behavioral training |
| title | Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation |
| title_full | Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation |
| title_fullStr | Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation |
| title_full_unstemmed | Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation |
| title_short | Persistent postural-perceptual dizziness: a review of current knowledge on vestibular rehabilitation |
| title_sort | persistent postural perceptual dizziness a review of current knowledge on vestibular rehabilitation |
| topic | Persistent postural-perceptual dizziness Vestibular rehabilitation Chronic dizziness Psychogenic vertigo Vestibular rehabilitation exercises Cognitive behavioral training |
| url | https://doi.org/10.1186/s43163-025-00761-2 |
| work_keys_str_mv | AT samersamiazeez persistentposturalperceptualdizzinessareviewofcurrentknowledgeonvestibularrehabilitation AT ebtessamhnada persistentposturalperceptualdizzinessareviewofcurrentknowledgeonvestibularrehabilitation |