what is PPPD?
persistent sensations of rocking or swaying unsteadiness WITHOUT vertigo lasting 3 months or more
pts tend to have a high visual dependency for balance
what are the primary symptoms of PPPD?
include unsteadiness or dizziness
are present > 50% of time for 3+ months
onset following an event involving acute vestib symptoms or impaired postural control
fluctuate in severity depending on triggers
symptoms are related to body posture
what are some comorbidities associated with PPPD?
anxiety
mild depression
other vestib disorders
what treatment options are there for PPPD?
medication
- SSRI, SNRI
calming exercises
- tai chi
- relaxation
- controlled depp breathing
vestib balance rehab therapy
- desensitize or habituate
- graded and varied exposures
- avoid extreme stim
- task specific exercises
