Semin Hear 2018; 39(01): 052-066
DOI: 10.1055/s-0037-1613705
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Teaching Patient-Centered Counseling Skills for Assessment, Diagnosis, and Management of Benign Paroxysmal Positional Vertigo

Anna Marie Jilla
1   Hearing Evaluation, Rehabilitation, and Outcomes (HERO) Laboratory, Department of Communication Sciences and Disorders, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
,
Richard A. Roberts
2   Department of Hearing and Speech Sciences Vanderbilt University Medical Center, Nashville, Tennessee
,
Carole E. Johnson
1   Hearing Evaluation, Rehabilitation, and Outcomes (HERO) Laboratory, Department of Communication Sciences and Disorders, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma
› Author Affiliations
Further Information

Publication History

Publication Date:
07 February 2018 (online)

Abstract

Audiologists are an integral part of the management of those with dizziness and vestibular disorders. However, little research has been performed on counseling approaches for patients who present with dizziness as a primary concern. Accordingly, it is important that audiology students are provided with didactic and experiential learning opportunities for the assessment, diagnosis, and management of this population. Benign paroxysmal positional vertigo is the most common vestibular disorder among adults. Doctor of Audiology students, at a minimum, should be provided with learning opportunities for counseling patients with this particular disorder. Implementation of patient-centered counseling is applied across various parts of the patient encounter from initial intake to treatment and patient education. The purpose of this article is to present the available evidence and to apply widely accepted theories and techniques to counseling those with benign paroxysmal positional vertigo. Didactic resources and experiential learning activities are provided for use in coursework or as a supplement to clinical education.

 
  • References

  • 1 Meibos A, Muñoz K, Schultz J. , et al. Counselling users of hearing technology: a comprehensive literature review. Int J Audiol 2017; 1-7
  • 2 Searchfield GD, Kaur M, Martin WH. Hearing aids as an adjunct to counseling: tinnitus patients who choose amplification do better than those that don't. Int J Audiol 2010; 49 (08) 574-579
  • 3 Cima RF, Maes IH, Joore MA. , et al. Specialised treatment based on cognitive behaviour therapy versus usual care for tinnitus: a randomised controlled trial. Lancet 2012; 379 (9830): 1951-1959
  • 4 American Speech-Language-Hearing Association. Guidelines for audiologists providing informational and adjustment counseling to families of infants and young children with hearing loss birth to 5 years of age. Available at: http://www.asha.org/policy/GL2008-00289/ . 2008. Accessed August 30, 2017
  • 5 Moyer VA. ; U.S. Preventive Services Task Force. Prevention of falls in community-dwelling older adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med 2012; 157 (03) 197-204
  • 6 Clark JG, English K. Counseling-Infused Audiologic Care. London, UK: Pearson; 2014: 1-26 , 84–103
  • 7 Barrera I, Corso R, Macpherson D. Skilled Dialogue: Strategies for Responding to Cultural Diversity in Early Childhood. Baltimore, MD: Paul H. Brooks; 2003
  • 8 World Health Organization. International Classification of Functioning, Disability, and Health. Geneva, Switzerland: World Health Organization; 2004
  • 9 Bhattacharyya N, Gubbels SP, Schwartz SR. , et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngol Head Neck Surg 2017; 156 (3 Suppl): S1-S47
  • 10 Strupp M, Dieterich M, Brandt T. The treatment and natural course of peripheral and central vertigo. Dtsch Arztebl Int 2013; 110: 505-515
  • 11 Oghalai JS, Manolidis S, Barth JL, Stewart MG, Jenkins HA. Unrecognized benign paroxysmal positional vertigo in elderly patients. Otolaryngol Head Neck Surg 2000; 122 (05) 630-634
  • 12 Roberts RA, Abrams H, Sembach MK, Lister JJ, Gans RE, Chisolm TH. Utility measures of health-related quality of life in patients treated for benign paroxysmal positional vertigo. Ear Hear 2009; 30 (03) 369-376
  • 13 Roland L, Sinks B, Goebel J. The vertigo case history. In: Jacobson GP, Shepard NT. , eds. Balance Function Assessment and Management. 2nd ed. San Diego, CA: Plural; 2016: 163-208
  • 14 Rogers CR. Carl Rogers on the development of the person-centered approach. Person-Centered Review 1986; 1 (03) 257-259
  • 15 Ellis A. Reason and Emotion in Psychotherapy. Oxford, UK: Lyle Stuart; 1962
  • 16 Ellis A. Rational psychotherapy and individual psychology. J Individual Psychol 1956; 13 (01) 38
  • 17 Kahraman SS, Arli C, Copoglu US, Kokacya MH, Colak S. The evaluation of anxiety and panic agarophobia scores in patients with benign paroxysmal positional vertigo on initial presentation and at the follow-up visit. Acta Otolaryngol 2017; 137 (05) 485-489
  • 18 Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg 1990; 116 (04) 424-427
  • 19 Powell LE, Myers AM. The Activities-specific Balance Confidence (ABC) Scale. J Gerontol A Biol Sci Med Sci 1995; 50A (01) M28-M34
  • 20 Cohen HS, Kimball KT. Development of the vestibular disorders activities of daily living scale. Arch Otolaryngol Head Neck Surg 2000; 126 (07) 881-887
  • 21 Yardley L, Putman J. Quantitative analysis of factors contributing to handicap and distress in vertiginous patients: a questionnaire study. Clin Otolaryngol Allied Sci 1992; 17 (03) 231-236
  • 22 Alghwiri AA, Whitney SL, Baker CE. , et al. The development and validation of the vestibular activities and participation measure. Arch Phys Med Rehabil 2012; 93 (10) 1822-1831
  • 23 Jacobson GP, Newman CW, Piker EG. Assessing dizziness-related quality of life. In: Jacobson GP, Shepard NT. , eds. Balance Function Assessment and Management. 2nd ed. San Diego, CA: Plural; 2016: 163-207
  • 24 Pollak L, Klein C, Rafael S, Vera K, Rabey JM. Anxiety in the first attack of vertigo. Otolaryngol Head Neck Surg 2003; 128 (06) 829-834
  • 25 Beck AT, Epstein N, Brown G, Steer RA. An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psychol 1988; 56 (06) 893-897
  • 26 Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand 1983; 67 (06) 361-370
  • 27 Holmes S, Padgham ND. A review of the burden of vertigo. J Clin Nurs 2011; 20 (19–20): 2690-2701
  • 28 Money KE, Lackner JR, Cheung RSK. The autonomic nervous system and motion sickness. In: Yates BJ, Miller AD. , eds. Vestibular Autonomic Regulation. Boca Raton, FL: CRC; 1996: 147-173
  • 29 Treisman M. Motion sickness: an evolutionary hypothesis. Science 1977; 197 (4302): 493-495
  • 30 De la Meilleure G, Dehaene I, Depondt M, Damman W, Crevits L, Vanhooren G. Benign paroxysmal positional vertigo of the horizontal canal. J Neurol Neurosurg Psychiatry 1996; 60 (01) 68-71
  • 31 Honrubia V, Baloh RW, Harris MR, Jacobson KM. Paroxysmal positional vertigo syndrome. Am J Otol 1999; 20 (04) 465-470
  • 32 Moon SY, Kim JS, Kim BK. , et al. Clinical characteristics of benign paroxysmal positional vertigo in Korea: a multicenter study. J Korean Med Sci 2006; 21 (03) 539-543
  • 33 Ruckenstein MJ. Therapeutic efficacy of the Epley canalith repositioning maneuver. Laryngoscope 2001; 111 (06) 940-945
  • 34 Cakir BO, Ercan I, Cakir ZA, Civelek S, Sayin I, Turgut S. What is the true incidence of horizontal semicircular canal benign paroxysmal positional vertigo?. Otolaryngol Head Neck Surg 2006; 134 (03) 451-454
  • 35 Fife TD. Recognition and management of horizontal canal benign positional vertigo. Am J Otol 1998; 19 (03) 345-351
  • 36 Macias JD, Lambert KM, Massingale S, Ellensohn A, Fritz JA. Variables affecting treatment in benign paroxysmal positional vertigo. Laryngoscope 2000; 110 (11) 1921-1924
  • 37 Herdman S, Tusa R, Clendanial R. Eye movement signs in vertical canal benign paroxysmal positional vertigo. In: Fuchs A, Brandt T, Buttner U, Zee D. , eds. Contemporary Ocular Motor and Vestibular Research: A Tribute to David A. Robinson. Stuttgart, Germany: Georg Theime-Verlag; 1993: 385-387
  • 38 Jackson LE, Morgan B, Fletcher Jr JC, Krueger WW. Anterior canal benign paroxysmal positional vertigo: an underappreciated entity. Otol Neurotol 2007; 28 (02) 218-222
  • 39 Bruintjes TD, Companjen J, van der Zaag-Loonen HJ, van Benthem PP. A randomised sham-controlled trial to assess the long-term effect of the Epley manoeuvre for treatment of posterior canal benign paroxysmal positional vertigo. Clin Otolaryngol 2014; 39 (01) 39-44
  • 40 Liang SB, Li L, He HY. The efficacy of Epley procedure for treatment of benign paroxysmal positional vertigo of the posterior semicircular canal. J Youjiang Med University for Nationalities 2010; 2: 7
  • 41 Xie K, Du SW, Gao JJ, Shou GL, Jian HY, Li YZ. Clinical efficacy of Epley procedure for treatment of benign paroxysmal positional vertigo of posterior semicircular canal. Chin J Gen Pract 2012; 2: 20
  • 42 Kim JS, Oh SY, Lee SH. , et al. Randomized clinical trial for geotropic horizontal canal benign paroxysmal positional vertigo. Neurology 2012; 79 (07) 700-707
  • 43 Yacovino DA, Hain TC, Gualtieri F. New therapeutic maneuver for anterior canal benign paroxysmal positional vertigo. J Neurol 2009; 256 (11) 1851-1855
  • 44 Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2014; (12) CD003162
  • 45 Gordon CR, Levite R, Joffe V, Gadoth N. Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form?. Arch Neurol 2004; 61 (10) 1590-1593
  • 46 Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ 2003; 169 (07) 681-693
  • 47 von Brevern M, Radtke A, Lezius F. , et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007; 78 (07) 710-715
  • 48 Brandt T, Dieterich M. Vestibular falls. J Vestib Res 1993; 3 (01) 3-14
  • 49 Imbaud Genieys S. [Vertigo, dizziness and falls in the elderly]. Ann Otolaryngol Chir Cervicofac 2007; 124 (04) 189-196
  • 50 Pollak L, Davies RA, Luxon LL. Effectiveness of the particle repositioning maneuver in benign paroxysmal positional vertigo with and without additional vestibular pathology. Otol Neurotol 2002; 23 (01) 79-83
  • 51 Roberts RA, Gans RE, Kastner AH, Listert JJ. Prevalence of vestibulopathy in benign paroxysmal positional vertigo patients with and without prior otologic history. Int J Audiol 2005; 44 (04) 191-196
  • 52 Roberts RA, Gans RE, DeBoodt JL, Lister JJ. Treatment of benign paroxysmal positional vertigo: necessity of postmaneuver patient restrictions. J Am Acad Audiol 2005; 16 (06) 357-366
  • 53 Hain TC, Uddin M. Pharmacological treatment of vertigo. CNS Drugs 2003; 17 (02) 85-100
  • 54 Cesarani A, Alpini D, Monti B, Raponi G. ; ENT Department, University of Milan, Milan, Italy. The treatment of acute vertigo. Neurol Sci 2004; 25 (Suppl. 01) S26-S30