In people with posterior canal benign paroxysmal positional vertigo (BPPV), how do modifications of the Epley (canalith repositioning) maneuver affect outcomes?

2014 ◽  
Author(s):  
Michael Johansen
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

Efficacy of a New Treatment Maneuver for Posterior Canal Benign Paroxysmal Positional Vertigo

2006 ◽  
Vol 17 (08) ◽  
pp. 598-604 ◽  
Author(s):  
Richard A. Roberts ◽  
Richard E. Gans ◽  
Renee L. Montaudo
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Hybrid Approach ◽  
Vertebrobasilar Insufficiency ◽  
Posterior Canal ◽  
Excellent Outcome ◽  
Positional Vertigo ◽  
New Treatment ◽  
Back Problems ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

Existing treatment maneuvers for posterior canal benign paroxysmal positional vertigo (PC-BPPV) include the Semont liberatory maneuver (SLM) and canalith repositioning maneuver (CRM). Independent investigations reveal that these maneuvers provide an excellent outcome for most patients. However, certain aspects of these maneuvers, such as hyperextension of the neck for CRM and brisk lateral motion for the SLM, are contraindicated for patients with vertebrobasilar insufficiency, cervical spondylosis, back problems, and so forth. A hybrid approach, the Gans repositioning maneuver (GRM) was developed for use with these patients. The purpose of this project was to assess efficacy of the GRM for treatment of PC-BPPV. Two-hundred seven participants were enrolled in this prospective study. All participants were treated with the GRM. Six different clinicians performed the treatments. Participants returned for follow-up at one-week intervals until it was determined that the PC-BPPV was clear. On average, 1.25 GRM treatments were required to resolve the PC-BPPV. The majority of the participants (80.2%) were cleared with one GRM treatment, and 95.6% were clear after two treatments. Recurrence rate was 5%. There was no difference in outcome based on clinician. The GRM is an efficacious treatment maneuver for PC-BPPV and may be preferential for use in patients with neck, back, hip, and/or mobility issues that contraindicate the use of SLM or CRM.

Effect of a Hybrid Maneuver in Treating Posterior Canal Benign Paroxysmal Positional Vertigo

2015 ◽  
Vol 26 (02) ◽  
pp. 138-144 ◽  
Author(s):  
Wanees M. A. Badawy ◽  
Ebtessam K. Gad El-Mawla ◽  
Ahmed E. F. Chedid ◽  
Ahmed H. A. Mustafa
Keyword(s):  
Repeated Measures ◽  
Benign Paroxysmal Positional Vertigo ◽  
Controlled Trial ◽  
Rank Correlation ◽  
Posterior Canal ◽  
Hybrid Treatment ◽  
Positional Vertigo ◽  
New Treatment ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

Background: Benign paroxysmal positional vertigo (BPPV) is the most common disorder of the vestibular system of the inner ear, which is a vital part of maintaining balance. Although the efficacy of the Epley maneuver—also known as the canalith repositioning maneuver (CRM)—is well established, data comparing CRM versus a hybrid treatment are lacking. Purpose: The purpose of this study was to determine the effect of a hybrid treatment, the Gans repositioning maneuver (GRM) either with or without postmaneuver restrictions, compared with CRM on treatment of posterior canal BPPV (PC-BPPV). Research Design: Study design was a randomized controlled trial. Study Sample: A total of 45 patients (30 males and 15 females) with unilateral PC-BPPV were randomly allocated to one of three equal groups on the basis of the date of the first visit with matched assignment for gender: a GRMR group (GRM with postmaneuver restrictions), a GRM group, and a CRM group. Intervention: Patients received weekly administration of the maneuver until resolution of symptoms. The Dix-Hallpike test was performed before treatment at every appointment, and finally after 1 mo from the last maneuver. Data Collection and Analysis: Nystagmus duration and vertigo intensity were recorded. The supine roll test was performed in case the Dix-Hallpike test was negative to test otoconial migration. Data were analyzed with repeated-measures analysis of variance, paired t-tests with a Bonferroni correction, and the Spearman rank correlation coefficient. Results: All patients showed improvement within the groups, and PC-BPPV symptoms were resolved by an average of 2, 1.7, and 1.6 maneuvers for GRMR, GRM, and CRM, respectively, with no statistical differences among the three groups (p > 0.05). Only two patients had recurrence, and one patient had horizontal BPPV at 1 mo follow-up. Conclusion: We demonstrated that the GRM as a new treatment is effective in treating PC-BPPV with no benefits to postmaneuver restrictions.

Effects of customized vestibular rehabilitation plus canalith repositioning maneuver on gait and balance in adults with Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial

2021 ◽  
pp. 1-8
Author(s):  
Phui Lin Se To ◽  
Devinder Kaur Ajit Singh ◽  
Susan L. Whitney
Keyword(s):  
Randomized Controlled Trial ◽  
Benign Paroxysmal Positional Vertigo ◽  
Controlled Trial ◽  
Vestibular Rehabilitation ◽  
Posterior Canal ◽  
Randomized Controlled ◽  
Positional Vertigo ◽  
Dynamic Gait ◽  
Repositioning Maneuver ◽  
Paroxysmal Positional Vertigo

BACKGROUND: Adults with unilateral posterior canal benign paroxysmal positional vertigo (BPPV) may continue to present with residual dizziness and balance impairments after the canalith repositioning maneuver (CRM). Customized Vestibular rehabilitation (VR) in addition to the standard CRM may improve postural control in adults with BPPV. However, the effectiveness of this intervention for improving dyanmic gait measures in adults with BPPV is unknown. OBJECTIVE: We aimed to determine the effectiveness of customized VR in addition to the standard CRM on dynamic gait measures among adults with unilateral posterior canal BPPV. METHODS: In this double blind, randomized controlled trial, 28 adults with BPPV were randomized to either control (n = 14, age: 54.36±8.55) or experimental (n = 14, age: 50.71±9.88) groups. The experimental and control groups received customized VR plus standard CRM for six weeks and standard CRM for two weeks respectively. Dynamic gait measures (duration of a complete gait cycle, stride velocity, turning duration and number of steps while turning) were recorded using a portable mobility sensor (iTUG) at baseline, week 4 and 6. A mixed model ANOVA was used to estimate the main effects of the interventions. RESULTS: During walking, a group effect was demonstrated on gait duration, stride velocity, turning duration and number of steps while turning (p <  0.05). CONCLUSIONS: Six weeks of customized VR performed in addition to the standard CRM was more effective than the standard CRM alone in improving balance and gait in adults with posterior canal BPPV. (252 words)

Vestibular evoked myogenic potentials in idiopathic posterior canal benign paroxysmal positional vertigo

2013 ◽  
Vol 11 (4) ◽  
pp. 176-181 ◽  
Author(s):  
Hossam Sanyelbhaa Talaat ◽  
Mohamed Akram Metwaly ◽  
Ahmed Hafez Khafagy ◽  
Hatem Ragaa Abdelraouf ◽  
Hoda Abu Moussa Isak
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Vestibular Evoked Myogenic Potentials ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

An Effective Home-Based Particle Repositioning Procedure for Posterior Canal Benign Paroxysmal Positional Vertigo (BPPV)

2022 ◽  
Author(s):  
R. L. Ranju ◽  
Anjali Lepcha ◽  
Manju Deena Mammen ◽  
Lenny T. Vasanthan ◽  
Ann Mary Augustine ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Home Based ◽  
Paroxysmal Positional Vertigo

scholarly journals Effect of the Canalith Repositioning Procedure on Benign Paroxysmal Positional Vertigo. Posterior Canal Type.

1998 ◽  
Vol 91 (4) ◽  
pp. 341-345
Author(s):  
Ken HAYASHI ◽  
Naoki HAYASHI ◽  
Mamoru SUZUKI ◽  
Tohru TANIGAWA ◽  
Muneo TAKAMOTO ◽  
...  
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Canalith Repositioning Procedure ◽  
Paroxysmal Positional Vertigo
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