{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T16:44:10Z","timestamp":1791996250468,"version":"4.4.0"},"reference-count":52,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Benign paroxysmal positional vertigo (BPPV) is common in older adults with a falls history. The feasibility of routine physiotherapy management in subacute inpatients is not known.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>Examine the feasibility of implementing routine BPPV physiotherapy management in older subacute inpatients and ascertain the proportion BPPV positive.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Subacute inpatients aged \u226550\u00a0years sustaining a fall within six months were assessed for BPPV. Feasibility was defined as &amp;gt;75% of eligible patients able to be assessed for BPPV. Implementation was also evaluated through surveys completed by study physiotherapists. Demographic, falls, medical history, frailty, functional mobility information and modified dizziness handicap inventory (DHI) versions were also collected.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Overall, 67% of 447 eligible patients underwent BPPV assessment; 301 completed \u2265 one BPPV assessment, 146 could not be assessed, most commonly due to physical limitation, cognition precluding assessment, declining assessment or discharged prior. Physiotherapists perceived BPPV management to be acceptable (88%), appropriate (90%) and feasible (76%) however constrained by patient-factors, time required and environmental barriers. BPPV was found in 6% of those assessed, with 35% reporting current dizziness or unsteadiness. Modified DHI scores were significantly higher in those BPPV positive (5-item P\u2009\u2264\u2009.001; 8-item P\u2009=\u2009.001).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>BPPV management was not feasible in this population predominantly due to physical limitations and cognitive impairment. Physiotherapists perceive BPPV management as important but difficult amongst these patient-factors and competing clinical priorities. Subjective symptoms may not indicate BPPV risk, however, the 5-item DHI may identify need for individual assessment.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afaf039","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T10:57:55Z","timestamp":1742295475000},"source":"Crossref","is-referenced-by-count":4,"title":["Routine benign paroxysmal positional vertigo (BPPV) physiotherapy management: a feasibility study"],"prefix":"10.1093","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8057-8712","authenticated-orcid":false,"given":"Erin Dale","family":"Bicknell","sequence":"first","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Ferguson","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alisha","family":"da Silva","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiffany","family":"Theoharidis","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khyati","family":"Gohil","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Langford","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Clarke","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"McGann","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Subacute Ambulatory Care Services , Royal Park Campus, Parkville, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Bower","sequence":"additional","affiliation":[{"name":"The Royal Melbourne Hospital\u2014Physiotherapy Department , Parkville, Victoria ,","place":["Australia"]},{"name":"The University of Melbourne Faculty of Medicine Dentistry and Health Sciences , Melbourne, Victoria ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"key":"2025032904405292700_ref1","first-page":"681","article-title":"Diagnosis and management of benign paroxysmal positional vertigo (BPPV)","volume":"169","author":"Parnes","year":"2003","journal-title":"CMAJ"},{"key":"2025032904405292700_ref2","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1590\/S1808-86942011000200009","article-title":"Benign paroxysmal positional vertigo: comparison of two recent international guidelines","volume":"77","author":"Silva","year":"2011","journal-title":"Braz J Otorhinolaryngol"},{"key":"2025032904405292700_ref3","doi-asserted-by":"publisher","first-page":"42","DOI":"10.33181\/13058","article-title":"Improving diagnosis and treatment of benign paroxysmal positional vertigo","volume":"13","author":"McIntire","year":"2021","journal-title":"Osteopathic Family Physician"},{"key":"2025032904405292700_ref4","doi-asserted-by":"publisher","first-page":"199","DOI":"10.4274\/tao.2022.2022-8-6","article-title":"Investigation of the relationship between BPPV with anxiety, sleep quality and falls","volume":"60","author":"Cengiz","year":"2022","journal-title":"Turk Arch Otorhinolaryngol"},{"key":"2025032904405292700_ref5","doi-asserted-by":"publisher","first-page":"1637","DOI":"10.1007\/s00405-020-06357-1","article-title":"Benign paroxysmal positional vertigo, dizziness, and health-related quality of life among older adults in a population-based setting","volume":"278","author":"Lindell","year":"2021","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"2025032904405292700_ref6","doi-asserted-by":"publisher","first-page":"408","DOI":"10.1159\/000351204","article-title":"Benign paroxysmal positional vertigo in the elderly","volume":"59","author":"Batuecas-Caletrio","year":"2013","journal-title":"Gerontology"},{"key":"2025032904405292700_ref7","volume-title":"The Mechanisms and Loci of Human Vestibular Perception","author":"Seemungal","year":"2006"},{"key":"2025032904405292700_ref8","doi-asserted-by":"publisher","first-page":"602","DOI":"10.1177\/0003489417718847","article-title":"Benign paroxysmal positional vertigo: management and its impact on falls","volume":"126","author":"Jumani","year":"2017","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2025032904405292700_ref9","doi-asserted-by":"publisher","first-page":"128","DOI":"10.1093\/brain\/awaa386","article-title":"Vestibular agnosia in traumatic brain injury and its link to imbalance","volume":"144","author":"Calzolari","year":"2021","journal-title":"Brain"},{"key":"2025032904405292700_ref10","doi-asserted-by":"publisher","first-page":"630","DOI":"10.1067\/mhn.2000.105415","article-title":"Unrecognized benign paroxysmal positional vertigo in elderly patients","volume":"122","author":"Oghalai","year":"2000","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025032904405292700_ref11","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1177\/0194599816689667","article-title":"Clinical practice guideline: Benign paroxysmal positional vertigo (update)","volume":"156","author":"Bhattacharyya","year":"2017","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025032904405292700_ref12","doi-asserted-by":"publisher","first-page":"455","DOI":"10.1055\/s-0037-1604345","article-title":"Physical therapy for posterior and horizontal canal benign paroxysmal positional vertigo: long-term effect and recurrence: a systematic review","volume":"22","author":"Rodrigues","year":"2018","journal-title":"Int Arch Otorhinolaryngol"},{"key":"2025032904405292700_ref13","doi-asserted-by":"publisher","first-page":"127","DOI":"10.1097\/NPT.0000000000000438","article-title":"Gait and falls in benign paroxysmal positional vertigo: a systematic review and meta-analysis","volume":"47","author":"Pauwels","year":"2023","journal-title":"J Neurol Phys Ther"},{"key":"2025032904405292700_ref14","doi-asserted-by":"publisher","first-page":"1229","DOI":"10.1177\/02692155231162423","article-title":"Vestibular dysfunction in people who fall: a systematic review and meta-analysis of prevalence and associated factors","volume":"37","author":"Donovan","year":"2023","journal-title":"Clin Rehabil"},{"key":"2025032904405292700_ref15","doi-asserted-by":"publisher","first-page":"2251","DOI":"10.2147\/CIA.S144134","article-title":"Benign paroxysmal positional vertigo in the elderly: current insights","volume":"13","author":"Balatsouras","year":"2018","journal-title":"Clin Interv Aging"},{"key":"2025032904405292700_ref16","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/j.otohns.2006.05.016","article-title":"An augmented liberatory maneuver for benign paroxysmal positional vertigo for patients who are difficult to move","volume":"136","author":"Cohen","year":"2007","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025032904405292700_ref17","doi-asserted-by":"publisher","first-page":"317","DOI":"10.1007\/BF03325263","article-title":"Benign paroxysmal positional vertigo is a common cause of dizziness and unsteadiness in a large population of 75-year-olds","volume":"24","author":"Koll\u00e9n","year":"2012","journal-title":"Aging Clin Exp Res"},{"key":"2025032904405292700_ref18","doi-asserted-by":"publisher","first-page":"2025","DOI":"10.1093\/ageing\/afab122","article-title":"The frequency and impact of undiagnosed benign paroxysmal positional vertigo in outpatients with high falls risk","volume":"50","author":"Hawke","year":"2021","journal-title":"Age Ageing"},{"key":"2025032904405292700_ref19","doi-asserted-by":"publisher","first-page":"i5","DOI":"10.1093\/ageing\/afu036.20","article-title":"Identification of benign parosxysmal positional vertigo in patients attending a community based falls prevention service","volume":"43","author":"Lawson","year":"2014","journal-title":"Age Ageing"},{"key":"2025032904405292700_ref20","doi-asserted-by":"publisher","first-page":"iii17","DOI":"10.1093\/ageing\/afz103.193","article-title":"Vestibular assessment and rehabilitation within a day hospital falls assessment service: is it necessary and is it feasible?","volume":"48","author":"McDonnell","year":"2019","journal-title":"Age Ageing"},{"key":"2025032904405292700_ref21","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1186\/s12877-022-02818-w","article-title":"Dizziness and benign paroxysmal positional vertigo among retirement home residents: a cross-sectional descriptive and interventional study","volume":"22","author":"M\u00fcller","year":"2022","journal-title":"BMC Geriatr"},{"key":"2025032904405292700_ref22","doi-asserted-by":"publisher","first-page":"335","DOI":"10.7861\/clinmedicine.16-4-335","article-title":"Assessment for benign paroxysmal positional vertigo in medical patients admitted with falls in a district general hospital","volume":"16","author":"Abbott","year":"2016","journal-title":"Clin Med (Lond)"},{"key":"2025032904405292700_ref23","doi-asserted-by":"publisher","first-page":"111868","DOI":"10.1016\/j.exger.2022.111868","article-title":"Falls at advanced age - the importance to search for benign paroxysmal positional vertigo (BPPV)","volume":"165","author":"Krieger","year":"2022","journal-title":"Exp Gerontol"},{"key":"2025032904405292700_ref24","doi-asserted-by":"publisher","first-page":"1453","DOI":"10.1016\/S0140-6736(07)61602-X","article-title":"The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies","volume":"370","author":"Elm","year":"2007","journal-title":"Lancet"},{"key":"2025032904405292700_ref25","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1503\/cmaj.050051","article-title":"A global clinical measure of fitness and frailty in elderly people","volume":"173","author":"Rockwood","year":"2005","journal-title":"CMAJ"},{"key":"2025032904405292700_ref26","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1093\/ptj\/64.1.35","article-title":"Clinical gait assessment in the neurologically impaired. Reliability and meaningfulness","volume":"64","author":"Holden","year":"1984","journal-title":"Phys Ther"},{"key":"2025032904405292700_ref27","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1186\/1477-7525-6-63","article-title":"The de Morton mobility index (DEMMI): an essential health index for an ageing world","volume":"6","author":"Morton","year":"2008","journal-title":"Health Qual Life Outcomes"},{"key":"2025032904405292700_ref28","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.1016\/S0003-9993(96)90072-6","article-title":"Deficit and change in gait velocity during rehabilitation after stroke","volume":"77","author":"Goldie","year":"1996","journal-title":"Arch Phys Med Rehabil"},{"key":"2025032904405292700_ref29","doi-asserted-by":"publisher","first-page":"142","DOI":"10.1111\/j.1532-5415.1991.tb01616.x","article-title":"The timed \u201cup & go\u201d: a test of basic functional mobility for frail elderly persons","volume":"39","author":"Podsiadlo","year":"1991","journal-title":"J Am Geriatr Soc"},{"key":"2025032904405292700_ref30","doi-asserted-by":"publisher","first-page":"424","DOI":"10.1001\/archotol.1990.01870040046011","article-title":"The development of the dizziness handicap inventory","volume":"116","author":"Jacobson","year":"1990","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"2025032904405292700_ref31","doi-asserted-by":"publisher","first-page":"1027","DOI":"10.1097\/01.mao.0000185066.04834.4e","article-title":"Usefulness of the dizziness handicap inventory in the screening for benign paroxysmal positional vertigo","volume":"26","author":"Whitney","year":"2005","journal-title":"Otol Neurotol"},{"key":"2025032904405292700_ref32","doi-asserted-by":"publisher","first-page":"1217","DOI":"10.1097\/MAO.0000000000002365","article-title":"The component structure of the dizziness handicap inventory (DHI): a reappraisal","volume":"40","author":"Van De Wyngaerde","year":"2019","journal-title":"Otol Neurotol"},{"key":"2025032904405292700_ref33","doi-asserted-by":"publisher","first-page":"987","DOI":"10.1177\/000348945206100403","article-title":"The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system","volume":"61","author":"Dix","year":"1952","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"2025032904405292700_ref34","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1097\/00129492-200403000-00008","article-title":"Side-lying as an alternative to the dix-hallpike test of the posterior canal","volume":"25","author":"Cohen","year":"2004","journal-title":"Otol Neurotol"},{"key":"2025032904405292700_ref35","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1097\/WCO.0b013e32835c5ec4","article-title":"Vestibular rehabilitation","volume":"26","author":"Herdman","year":"2013","journal-title":"Curr Opin Neurol"},{"key":"2025032904405292700_ref36","doi-asserted-by":"publisher","first-page":"399","DOI":"10.1177\/019459989210700310","article-title":"The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo","volume":"107","author":"Epley","year":"1992","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025032904405292700_ref37","doi-asserted-by":"publisher","first-page":"290","DOI":"10.1159\/000416126","article-title":"Curing the BPPV with a liberatory maneuver","volume":"42","author":"Semont","year":"1988","journal-title":"Adv Otorhinolaryngol"},{"key":"2025032904405292700_ref38","doi-asserted-by":"publisher","first-page":"451","DOI":"10.1016\/j.otohns.2005.07.045","article-title":"What is the true incidence of horizontal semicircular canal benign paroxysmal positional vertigo?","volume":"134","author":"Cakir","year":"2006","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025032904405292700_ref39","doi-asserted-by":"publisher","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform"},{"key":"2025032904405292700_ref40","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/s13012-017-0635-3","article-title":"Psychometric assessment of three newly developed implementation outcome measures","volume":"12","author":"Weiner","year":"2017","journal-title":"Implement Sci"},{"key":"2025032904405292700_ref41","doi-asserted-by":"publisher","first-page":"1482","DOI":"10.1007\/s12098-012-0763-3","article-title":"Sample size estimation in prevalence studies","volume":"79","author":"Arya","year":"2012","journal-title":"Indian J Pediatr"},{"key":"2025032904405292700_ref42","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2023.1042029","article-title":"Implementation strategies for occupational therapists to advance goal setting and goal management","volume":"3","author":"Kang","year":"2023","journal-title":"Front Health Serv"},{"key":"2025032904405292700_ref43","doi-asserted-by":"publisher","first-page":"772","DOI":"10.1111\/coa.12691","article-title":"Vestibular function testing in individuals with cognitive impairment: our experience with sixty participants","volume":"42","author":"Harun","year":"2017","journal-title":"Clin Otolaryngol"},{"key":"2025032904405292700_ref44","doi-asserted-by":"publisher","first-page":"afac205","DOI":"10.1093\/ageing\/afac205","article-title":"World guidelines for falls prevention and management for older adults: a global initiative","volume":"51","author":"Montero-Odasso","year":"2022","journal-title":"Age Ageing"},{"key":"2025032904405292700_ref45","doi-asserted-by":"publisher","first-page":"afad206","DOI":"10.1093\/ageing\/afad206","article-title":"We should be screening for benign paroxysmal positional vertigo (BPPV) in all older adults at risk of falling: a commentary on the world falls guidelines","volume":"52","author":"Li","year":"2023","journal-title":"Age Ageing"},{"key":"2025032904405292700_ref46","doi-asserted-by":"publisher","first-page":"120458","DOI":"10.1016\/j.jns.2022.120458","article-title":"The human brain networks mediating the vestibular sensation of self-motion","volume":"443","author":"Hadi","year":"2022","journal-title":"J Neurol Sci"},{"key":"2025032904405292700_ref47","doi-asserted-by":"publisher","first-page":"1241","DOI":"10.1007\/s10072-016-2573-2","article-title":"Validation of 5-item and 2-item questionnaires in Chinese version of dizziness handicap inventory for screening objective benign paroxysmal positional vertigo","volume":"37","author":"Chen","year":"2016","journal-title":"Neurol Sci"},{"key":"2025032904405292700_ref48","doi-asserted-by":"publisher","first-page":"S32","DOI":"10.1017\/S0022215123002049","article-title":"The rationale and recommendations for inclusion of screening for benign paroxysmal positional vertigo in falls clinics","volume":"138","author":"Metz","year":"2024","journal-title":"J Laryngol Otol"},{"key":"2025032904405292700_ref49","doi-asserted-by":"publisher","first-page":"585","DOI":"10.1093\/ageing\/afn151","article-title":"Positional vertigo in a falls service","volume":"37","author":"Lawson","year":"2008","journal-title":"Age Ageing"},{"key":"2025032904405292700_ref50","doi-asserted-by":"publisher","first-page":"896","DOI":"10.1093\/ptj\/80.9.896","article-title":"Predicting the probability for falls in community-dwelling older adults using the timed up & go test","volume":"80","author":"Shumway-Cook","year":"2000","journal-title":"Phys Ther"},{"key":"2025032904405292700_ref51","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3233\/VES-150553","article-title":"Benign paroxysmal positional vertigo: diagnostic criteria","volume":"25","author":"Brevern","year":"2015","journal-title":"J Vestib Res"},{"key":"2025032904405292700_ref52","doi-asserted-by":"publisher","first-page":"40","DOI":"10.1097\/01.HJ.0000294840.79013.39","article-title":"Video-oculography: a new diagnostic technology for vestibular patients","volume":"54","author":"Gans","year":"2001","journal-title":"Hearing J"}],"container-title":["Age and Ageing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/54\/3\/afaf039\/62441135\/afaf039.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ageing\/article-pdf\/54\/3\/afaf039\/62441135\/afaf039.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,31]],"date-time":"2025-03-31T03:14:11Z","timestamp":1743390851000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ageing\/article\/doi\/10.1093\/ageing\/afaf039\/8084700"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":52,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3,3]]}},"URL":"https:\/\/doi.org\/10.1093\/ageing\/afaf039","relation":{},"ISSN":["0002-0729","1468-2834"],"issn-type":[{"value":"0002-0729","type":"print"},{"value":"1468-2834","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,3]]},"published":{"date-parts":[[2025,3]]},"article-number":"afaf039"}}