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Benign paroxysmal positional vertigo in swimmers.

Songül Aksoy1, Levent Sennaroğlu

  • 1Section of Audiology and Speech Pathology, Hacettepe University, Ankara, Turkey.

Kulak Burun Bogaz Ihtisas Dergisi : KBB = Journal of Ear, Nose, and Throat
|January 12, 2008
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Summary

Swimming may contribute to benign paroxysmal positional vertigo (BPPV), potentially due to rapid head movements dislodging otoconia. However, this study found no direct relationship between swimming frequency/duration and BPPV occurrence.

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Area of Science:

  • Otolaryngology
  • Vestibular Disorders
  • Sports Medicine

Background:

  • Benign paroxysmal positional vertigo (BPPV) is a common inner ear disorder.
  • The potential etiological factors for BPPV are diverse.
  • Swimming involves repetitive and sometimes rapid head movements.

Purpose of the Study:

  • To investigate the potential association between regular swimming and the development of BPPV.
  • To explore if swimming activities could be an etiological factor in BPPV.

Main Methods:

  • A prospective study comparing 30 regular swimmers with 20 non-swimming controls.
  • Utilized the Dix-Hallpike maneuver for BPPV diagnosis in all participants.
  • Assessed vertigo symptoms and ear complaints in both groups.

Main Results:

  • 13% of swimmers (4 out of 30) were diagnosed with BPPV, primarily affecting the posterior semicircular canal.
  • No swimmers reported vertigo during swimming activities.
  • None of the control subjects exhibited BPPV findings; all diagnosed swimmers improved after Epley maneuver therapy.

Conclusions:

  • Swimming, particularly rapid head movements, may be an etiological factor in BPPV by dislodging otoconia.
  • Despite the observed cases, no statistical relationship was found between swimming frequency/duration and BPPV incidence in this cohort.