ArticleFrontiers in neurology2022
Simulation Study of BPPV Fatigability.
Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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The trial behind it
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Who cites it
7 citing papers in PubMed, 8 citations in OpenAlex.
- Development of a new maneuver to rapidly restore positional nystagmus from benign paroxysmal positional vertigo fatigue in patients with posterior canal-type benign paroxysmal positional vertigo: a single-arm prospective interventional clinical trial.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025Trial
- Advances in Benign Paroxysmal Positional Vertigo: Updated Insights on Diagnostic Pitfalls and Management.Journal of audiology & otology · 2026Review
- Mechanisms and clinical significance of Tumarkin-like phenomenon during the final step of the Epley and Semont maneuver: insights from virtual simulation and literature review.Frontiers in neurology · 2025Article
- Enhancing the security of horizontal canal BPPV repositioning maneuvers: insights from virtual simulation.Frontiers in neurology · 2025Article
- The spatial orientation of crista ampullaris: implications for BPPV diagnosis and treatment.Frontiers in neurology · 2024Article
- Design and analysis of HSC-BPPV diagnostic maneuver based on virtual simulation.Frontiers in neurology · 2023Article
- Simulation Study of Canal Switching in BPPV.Frontiers in neurology · 2022Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
To analyze the mechanism and clinical significance of Benign paroxysmal positional vertigo (BPPV) fatigability and discuss how to eliminate BPPV fatigability. A physical simulation model of BPPV was developed to observe the effect of the Dix-Hallpike test on otolith location and explore strategies to eliminate fatigability. Dix-Hallpike test can keep the otoliths in the lower arm of the posterior semicircular canal away from the ampulla. When the head is tilted 30° forward, the otolith slides to the lower arm near the ampulla, which is sufficient to ensure that the starting position of the otolith is consistent when the Dix-Hallpike test is repeated. When the head is tilted 60° forward, the otolith can enter the ampulla and reach the bottom of the crista ampullaris, which leads to long latency because the otolith sliding in the ampulla does not cause an obvious hydrodynamic effect during the Dix-Hallpike test. The otoliths located on the short arm side of the posterior semicircular canal will break away from the short arm side and enter the utricle when the head is tilted 120° forward. The stable and consistent nystagmus induced by the improved diagnostic test may be a more important feature of BPPV.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.