Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

Martellucci, Salvatore; Stolfa, Andrea; Castellucci, Andrea; Pagliuca, Giulio; Clemenzi, Veronica; Terenzi, Valentina; Malara, Pasquale; Attanasio, Giuseppe; Gazia, Francesco; Gallo, Andrea

doi:10.3390/ijerph19010490

Open AccessArticle

Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

by

Salvatore Martellucci

¹,

Andrea Stolfa

^1,2,*

,

Andrea Castellucci

³

,

Giulio Pagliuca

¹,

Veronica Clemenzi

^1,2

,

Valentina Terenzi

^1,4,

Pasquale Malara

⁵,

Giuseppe Attanasio

⁶,

Francesco Gazia

⁷

and

Andrea Gallo

^1,3

¹

ENT Unit, Ospedale “Santa Maria Goretti”, Azienda USL Latina, 04100 Latina, Italy

²

ENT Clinic, Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy

³

ENT Unit, Department of Surgery, Arcispedale Santa Maria Nuova, AUSL—IRCCS, 43123 Reggio Emilia, Italy

⁴

Department of Odontostomatological e Maxillofacial Sciences, Sapienza University of Rome, 00185 Rome, Italy

⁵

Audiology & Vestibology Service, Centromedico Bellinzona, 6500 Bellinzona, Switzerland

⁶

Head and Neck Department, Umberto I Policlinic of Rome, 00185 Rome, Italy

⁷

Unit of Otorhinolaryngology, Department of Adult and Development Age Human Pathology “Gaetano Barresi”, University of Messina, 98124 Messina, Italy

^*

Author to whom correspondence should be addressed.

Int. J. Environ. Res. Public Health 2022, 19(1), 490; https://doi.org/10.3390/ijerph19010490

Submission received: 4 December 2021 / Revised: 20 December 2021 / Accepted: 30 December 2021 / Published: 3 January 2022

(This article belongs to the Special Issue 2nd Edition: The Impact of ENT Diseases in Social Life)

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Abstract

Objective: Residual dizziness is a disorder of unknown pathophysiology, which may occur after repositioning procedures for benign paroxysmal positional vertigo. This study evaluates the relationship between regular daily physical activity and the development of residual dizziness after treatment for benign paroxysmal positional vertigo. Study Design: Prospective observational cohort study. Setting: Academic university hospital. Methods: Seventy-one patients admitted with benign paroxysmal positional vertigo involving the posterior semicircular canal were managed with Epley’s procedure. Three days after successful treatment, the patients underwent a telephone interview to investigate vertigo relapse. If the patients no longer complained of vertigo, they were asked about symptoms consistent with residual dizziness. Subsequently, they were asked about the recovery of physical activities they regularly performed prior to the onset of vertigo. Results: Sixty-nine patients (age: 57.79 ± 15.05) were enrolled: five (7.24%) reported vertigo relapse whereas twenty-one of sixty-four non-relapsed patients (32.81%) reported residual dizziness. A significant difference in the incidence of residual dizziness was observed considering the patients’ age (p = 0.0003). Of the non-relapsed patients, 46 (71.88%) recovered their regular dynamic daily activities after treatment and 9 (19.57%) reported residual dizziness, while 12 of the 18 patients (66.67%) who did not resume daily activity reported residual symptoms (p = 0.0003). A logistic regression analysis showed a significant association between daily activity resumption and lack of residual dizziness (OR: 14.01, 95% CI limits 3.14–62.47; p = 0.001). Conclusions: Regardless of age, the resumption of regular daily physical activities is associated with a lack of residual dizziness.

Keywords: residual dizziness; benign paroxysmal positional vertigo (BPPV); vertigo; canalithiasis; canalith repositioning procedure (CRP)

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MDPI and ACS Style

Martellucci, S.; Stolfa, A.; Castellucci, A.; Pagliuca, G.; Clemenzi, V.; Terenzi, V.; Malara, P.; Attanasio, G.; Gazia, F.; Gallo, A. Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures. Int. J. Environ. Res. Public Health 2022, 19, 490. https://doi.org/10.3390/ijerph19010490

AMA Style

Martellucci S, Stolfa A, Castellucci A, Pagliuca G, Clemenzi V, Terenzi V, Malara P, Attanasio G, Gazia F, Gallo A. Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures. International Journal of Environmental Research and Public Health. 2022; 19(1):490. https://doi.org/10.3390/ijerph19010490

Chicago/Turabian Style

Martellucci, Salvatore, Andrea Stolfa, Andrea Castellucci, Giulio Pagliuca, Veronica Clemenzi, Valentina Terenzi, Pasquale Malara, Giuseppe Attanasio, Francesco Gazia, and Andrea Gallo. 2022. "Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures" International Journal of Environmental Research and Public Health 19, no. 1: 490. https://doi.org/10.3390/ijerph19010490

APA Style

Martellucci, S., Stolfa, A., Castellucci, A., Pagliuca, G., Clemenzi, V., Terenzi, V., Malara, P., Attanasio, G., Gazia, F., & Gallo, A. (2022). Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures. International Journal of Environmental Research and Public Health, 19(1), 490. https://doi.org/10.3390/ijerph19010490

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Recovery of Regular Daily Physical Activities Prevents Residual Dizziness after Canalith Repositioning Procedures

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