providers

A multidisciplinary approach for a patient with neck pain & dizziness following a motor vehicle accident: a case report

Published on: June 18, 2020

International Physical Medicine & Rehabilitation Journal
Volume 5 Issue 3 – 2020
Steven E Spinks, Joseph T Sakumura, Richard E Gans
The American Institute of Balance, USA

Abstract
Following a motor vehicle accident, there is a cascade of mechanical, chemical, and psychological events that can occur.1,2 Many times this arduous process of assess-refer-assess can be detrimental to the physical and mental rehabilitation following this traumatic event. Efficient, streamlined processes in place may reduce the overall healthcare burden following a motor vehicle accident (MVA). We present a case study of a 56-year-old male with complaints of vertigo, neck pain, and disequilibrium. Following emergency department clearance with imaging techniques and referral for further evaluation. The patient was seen five weeks following his injury at The American Institute of Balance (AIB). The AIB is a multidisciplinary clinic with specialists in vestibular Audiology and Physiotherapy with utilization of comprehensive neurodiagnostic and assessment protocols. A confirmed right ear, posterior canal Benign Paroxysmal Positional Vertigo (BPPV-PC) was successfully treated with the Gans Repositioning Maneuver (GRM). This was followed by physiotherapy interventions for his complaints of neck pain and imbalance, post-clearance of the BPPV-PC. He was seen in the clinic for a total of three weeks, with a progression of home exercise given each week. At the end of his physiotherapy, he was discharged with no further complaints of vertigo and significantly improved mobility, strength, and subjective reports for his neck pain. This case study demonstrates the necessity for proper evaluation and comprehensive treatment when multiple comorbidities follow traumatic events. This ensures time-efficient management and successful and measurable treatment outcomes.

Read Article

 

Recent Posts

Comparison between Epley and Gans Repositioning Maneuvers for Posterior Canal BPPV: A Randomized Controlled Trial

Published on: March 26, 2024

Annals of Indian Academy of Neurology | Volume 26 – Issue 4 – July-August 2023 Benign paroxysmal positional vertigo (BPPV) is one of the commonly occurring causes of vertigo. BPPV […]

Read more

How to evaluate and treat the dizzy patient: non-medical diagnosis-based strategies

Published on: February 16, 2024

ENT & Audiology News | Balance & Vestibular Disorders 2024 It is estimated that dizziness, vertigo and falls are the third most common complaints heard by physicians from all age […]

Read more

The cost of untreated vestibular conditions: the role of otolaryngology & rehabilitation

Published on: February 15, 2024

Journal of Otolaryngology-ENT Research | Volume 16 Issue 1 – 2024 It is estimated that dizziness, vertigo, and falls are the third most common complaints heard by physicians from all […]

Read more

Understanding Mal de Debarquement syndrome (MdDS), persistent postural perceptual dizziness (3PD) and somatoform disorders: and the role of vestibular rehabilitation therapy (VRT)

Published on: January 3, 2024

Volume 16 Issue 1 – 2024 Richard E Gans, Kimberly Rutherford, Allisson D’Alessandro American Institute of Balance, USA Correspondence: Richard E Gans, Founder and Executive Director of the American Institute […]

Read more