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Related Experiment Video

Updated: Jul 8, 2026

Assessment of Static Graviceptive Perception in the Roll-Plane using the Subjective Visual Vertical Paradigm

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Published on: April 28, 2020

Benign paroxysmal positional vertigo in mountain bikers.

Dominique Vibert¹, Robin C Redfield, Rudolf Häusler

¹Department of Otorhinolaryngology-Head and Neck Surgery, Inselspital, University of Berne, Berne, Switzerland.

The Annals of Otology, Rhinology, and Laryngology

|January 26, 2008

Summary

Intensive mountain biking can cause benign paroxysmal positional vertigo (BPPV) due to head impacts. This condition, affecting the inner ear

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Area of Science:

Neurology
Sports Medicine
Otolaryngology

Background:

Benign paroxysmal positional vertigo (BPPV) is a common inner ear disorder.
Previous causes of BPPV primarily involved head trauma or idiopathic factors.

Observation:

Four male patients experienced BPPV symptoms hours after intensive mountain biking without head trauma.
Positional maneuvers indicated involvement of the posterior and horizontal semicircular canals (SCCs).

Findings:

BPPV was attributed to otoconia displacement in the SCCs, likely caused by repetitive head accelerations during biking.
Symptoms resolved spontaneously or with vestibular rehabilitation in all patients.

Implications:

Mountain biking, particularly off-road, is identified as a potential cause of BPPV.
This suggests a new category of non-traumatic BPPV related to specific physical activities.
Awareness among athletes and clinicians of this association is important for diagnosis and management.