Work

The value of mechanical repositioning chair in managing BPPV in a patient with limited neck mobility: a case report

Year: 2026

Type: article

Abstract: Benign positional paroxysmal vertigo (BPPV) is a common vestibular disorder that is usually straightforward to diagnose and treat. However, management can be challenging in patients with significant physical limitations. We present a case of BPPV in a 70-year-old male with severe cervical spine rigidity. Fixation of the neck prevented the use of the standard Dix-Hallpike manoeuvre. The Thomas Richard Vitton (TRV) mechanical repositioning chair was employed to perform whole-body positional testing. This approach enabled a definitive diagnosis and successful treatment. The TRV chair can improve outcomes in patients who cannot undergo conventional manoeuvres.

Source: Acta Oto-Laryngologica Case Reports

DOI: 10.1080/23772484.2026.2630472

Authors: Etienne Villeneuve, Yougan Saman, Tammy Barker, Sachin Patel, Peter Rea

Institutions: Leicester Royal Infirmary, University Hospitals of Leicester NHS Trust

Language: English

Topic: Vestibular and auditory disorders

Subfield: Neurology

Field: Neuroscience

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $484