Intended for healthcare professionals

Letters Preventing falls in older people in the community

Authors’ reply to Seemungal and Bolland and colleagues

BMJ 2016; 353 doi: (Published 01 June 2016) Cite this as: BMJ 2016;353:i3006
  1. Edgar R Vieira, assistant professor and graduate program director On behalf of the authors
  1. Florida International University, 11200 SW 8 Street, AHC3-430, Miami, FL 33199, USA
  1. Edgar.Vieira{at}

We agree with Seemungal that vertigo is a well known risk for falls—for example, odds ratio 1.81 2 3—and that benign paroxysmal positional vertigo (BPPV) causes balance impairment and can lead to falls. While symptomatic patients are often seen initially in primary care, diagnostic studies, including the Dix-Hallpike manoeuvre, and particularly treatment …

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