{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T18:31:49Z","timestamp":1790188309748,"version":"4.1.0"},"reference-count":95,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,1,25]],"date-time":"2016-01-25T00:00:00Z","timestamp":1453680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>\n                    Benign paroxysmal positional vertigo (\n                    <jats:styled-content style=\"fixed-case\">BPPV<\/jats:styled-content>\n                    ) is the most common cause of vertigo in older adults. Beyond the unpleasant sensation of vertigo,\n                    <jats:styled-content style=\"fixed-case\">BPPV<\/jats:styled-content>\n                    also negatively affects older adults' gait and balance and increases their risk of falling. As such it has a profound effect on function, independence, and quality of life. Otoconia are the inner ear structures that help detect horizontal and vertical movements. Aging contributes to the fragmentation of otoconia, whose displacement into the semicircular, most commonly posterior canals, can produce rotatory movement sensations with head movement.\n                    <jats:styled-content style=\"fixed-case\">BPPV<\/jats:styled-content>\n                    is more commonly idiopathic in older adults than in younger individuals, can present atypically, and has a more\u2010protracted course and higher risk of recurrence. Medications such as meclizine that are commonly prescribed for\n                    <jats:styled-content style=\"fixed-case\">BPPV<\/jats:styled-content>\n                    can be associated with significant side effects. Dix\u2010Hallpike and Head Roll tests can generally identify the involved canal. Symptoms resolve as otoconia fragments dissolve into the endolymph, but appropriate canalith repositioning (e.g., Epley maneuver) can expedite recovery and reduce the burden of this disorder. Observations suggesting an association between idiopathic\n                    <jats:styled-content style=\"fixed-case\">BPPV<\/jats:styled-content>\n                    and vitamin D deficiency and osteoporosis indicate that\n                    <jats:styled-content style=\"fixed-case\">BPPV<\/jats:styled-content>\n                    may share risk factors with other common geriatric conditions, which highlights the importance of moving beyond purely otological considerations and addressing the needs of older adults with vertigo through a systems\u2010based multidisciplinary approach.\n                  <\/jats:p>","DOI":"10.1111\/jgs.13926","type":"journal-article","created":{"date-parts":[[2016,1,25]],"date-time":"2016-01-25T04:38:49Z","timestamp":1453696729000},"page":"378-385","source":"Crossref","is-referenced-by-count":63,"title":["A Geriatric Perspective on Benign Paroxysmal Positional 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