Persistent Postural-Perceptual Dizziness: A Review of Current Knowledge on Vestibular Rehabilitation Publisher



Azeez SS¹ ; Nada EH² Show Affiliations
Source: Egyptian Journal of Otolaryngology Published:2025

Abstract

Persistent postural-perceptual dizziness disrupts daily life, causing chronic dizziness, unsteadiness, and imbalance. Often triggered by seemingly innocuous factors like movement or visual stimuli, the underlying cause of PPPD remains elusive. This intricate interplay between physical and psychological factors presents a significant diagnostic and treatment challenge for clinicians. This review explores the recent literature focusing on complexities of PPPD management, highlighting the limitations of current approaches and advocating for a multidisciplinary perspective. PPPD diagnosis can be arduous due to the absence of a definitive test. Additionally, the lack of established treatment protocols necessitates a multifaceted approach that may include pharmacotherapy, vestibular rehabilitation therapy (VRT), and psychological interventions. Collaborative research across disciplines, including neurotology, otolaryngology, psychiatry, and psychology, is crucial for advancing our understanding of PPPD and developing more effective treatment strategies. PPPD presents a multifaceted challenge, requiring a patient-centered approach that integrates various treatment modalities. By fostering collaboration across disciplines and prioritizing patient support networks, we can illuminate a path towards improved diagnosis, management, and, ultimately, a better quality of life for those affected by PPPD. © The Author(s) 2025.