Publications by authors named "Janet Odry Helminski"

Background And Purpose: Downbeat nystagmus (DBN) during the Dix-Hallpike test (DHT) suggests excitation of the anterior canal (AC) or inhibition of the posterior canal (PC) underlying benign paroxysmal positional vertigo (BPPV). This case series describes 2 individuals presenting with DBN in positional testing suggestive of a PC BPPV variant termed apogeotropic PC-BPPV and due to inhibition of the PC.

Case Descriptions: Case 1 illustrates a DBN during positional testing (PC inhibition) that changes to an upbeating nystagmus (PC excitation) representing the otoconial material changing location and direction of movement within the PC.

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Objective: Determine reliability of horizontal and vertical video head impulse test (vHIT) and effect of maturation on angular vestibular ocular reflex (AVOR) gain estimations and peak head velocities of individual canals in typically developing children and adolescents.

Design: Reliability study.

Setting: University research laboratory

Subjects: : Two normal adults mean age 51.

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Article Synopsis
  • Benign paroxysmal positional vertigo (BPPV) is a common cause of vertigo, and this systematic review aims to assess the effectiveness of the particle repositioning maneuver in resolving benign paroxysmal positional nystagmus (BPPN) after treatment in patients with posterior canal BPPV.
  • The review analyzed data from various studies, revealing that the canalith repositioning procedure (CRP) had significantly higher odds of resolving BPPN compared to sham treatments, with findings supported by additional quasi-randomized trials.
  • Limitations of the review included variations in the methodological quality of the studies included, which may affect the reliability of the findings.
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Objective: The purpose of this study was to analyze if a daily routine of self-canalith repositioning procedure (CRP) will increase the time to recurrence and reduce the rate of recurrence of benign paroxysmal positional vertigo (BPPV).

Study Design: Prospective study, nonrandomized control group.

Setting: Outpatient clinic.

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Objective: To determine if a daily routine of Brandt-Daroff exercises increases the time to recurrence and reduces the rate of recurrence of benign paroxysmal positional vertigo (BPPV).

Design: Random sample of convenience and retrospective case review.

Setting: Tertiary referral center and outpatient clinic.

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