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The rationale and recommendations for inclusion of screening for benign paroxysmal positional vertigo in falls
Dean Metz1,2, Kate Bryce2,3
1Community Falls, South Tyneside and Sunderland NHS Foundation Trust, South Shields, UK.
Background:
There have been many studies linking falls and benign paroxysmal positional vertigo. This article collates those studies, and demonstrates how a community falls service fast-tracked patients with benign paroxysmal positional vertigo by implementing validated screening tools and recognised guidance.
Objective:
This study aimed to explore whether routine screening of referrals to a community falls service can identify those with benign paroxysmal positional vertigo, for fast-tracked management.
Methods:
Patients referred to a community falls service were screened for possible benign paroxysmal positional vertigo using the Dizziness Handicap Inventory, and triaged to a physiotherapy-led falls and benign paroxysmal positional vertigo assessment service.
Results:
Twenty-five per cent of patients were fast-tracked to a falls and benign paroxysmal positional vertigo assessment service for management. The community falls service waiting list reduced by 25 per cent.
Conclusion:
The data support incorporating assessment and treatment of benign paroxysmal positional vertigo into routine practice within all falls services.
