The Somatic Connection  |   January 2018
OMT May Be Helpful in the Management of Benign Paroxysmal Positional Vertigo
Author Notes
  • Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Pomona, California 
  • Western University of Health Sciences College of Osteopathic Medicine of the Pacific, Lebanon, Oregon 
Article Information
The Somatic Connection   |   January 2018
OMT May Be Helpful in the Management of Benign Paroxysmal Positional Vertigo
The Journal of the American Osteopathic Association, January 2018, Vol. 118, 51-52. doi:10.7556/jaoa.2018.010
The Journal of the American Osteopathic Association, January 2018, Vol. 118, 51-52. doi:10.7556/jaoa.2018.010
Web of Science® Times Cited: 1
Papa L, Amodio A, Biffi F, Mandara A. Impact of osteopathic therapy on proprioceptive balance and quality of life in patients with dizziness. J Bodyw Mov Ther. 2017;21:866-872. doi:10.1016/j.jbmt.2017.03.001 
In 2013, Fraix et al1 reported that osteopathic manipulative treatment (OMT) for spinal somatic dysfunction improved balance in patients with chronic dizziness. Benign paroxysmal positional vertigo (BPPV) is an episodic spinning sensation with head repositioning arising from dysfunction of the inner ear. Pathophysiologically, BPPV is associated with calcium debris in the semicircular canal. It is typically successfully managed using repositioning maneuvers (eg, Epley maneuvers, Semont maneuvers, home exercises) and sometimes with medication.2 Refractory BPPV can be managed surgically.3 However, this study by Papa et al suggests that osteopathic manipulative therapy (OMTh; manipulative care provided by foreign-trained osteopaths) could be helpful for managing refractory BPPV. 
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