A randomised sham-controlled trial to assess the long-term effect of the Epley manoeuvre for treatment of posterior canal benign paroxysmal positional vertigo

2014 ◽  
Vol 39 (1) ◽  
pp. 39-44 ◽  
Author(s):  
Tj.D. Bruintjes ◽  
J. Companjen ◽  
H.J. van der Zaag-Loonen ◽  
P.P.G. van Benthem
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Controlled Trial ◽  
Term Effect ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Long Term Effect ◽  
Paroxysmal Positional Vertigo

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.

scholarly journals Effectiveness of the Epley’s maneuver performed in primary care to treat posterior canal benign paroxysmal positional vertigo: study protocol for a randomized controlled trial

Trials ◽  
2014 ◽  
Vol 15 (1) ◽  
Author(s):  
José Luis Ballve Moreno ◽  
Ricard Carrillo Muñoz ◽  
Iván Villar Balboa ◽  
Yolanda Rando Matos ◽  
Olga Lucia Arias Agudelo ◽  
...  
Keyword(s):  
Primary Care ◽  
Randomized Controlled Trial ◽  
Study Protocol ◽  
Benign Paroxysmal Positional Vertigo ◽  
Controlled Trial ◽  
Posterior Canal ◽  
Randomized Controlled ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

Efficacy of laser occlusion of posterior semicircular canal for benign paroxysmal positional vertigo: case report

2009 ◽  
Vol 124 (5) ◽  
Author(s):  
S-Z Lin ◽  
J-P Fan ◽  
A-H Sun ◽  
J Guan ◽  
H-B Liu ◽  
...  
Keyword(s):  
Case Report ◽  
Semicircular Canal ◽  
World Literature ◽  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Semicircular Canal ◽  
Positional Vertigo ◽  
Long Term Effect ◽  
Paroxysmal Positional Vertigo

AbstractObjective:To observe the long-term effect of laser occlusion of the posterior semicircular canal for benign paroxysmal positional vertigo.Method:Case report and review of the relevant world literature.Results:We treated a patient with refractory benign paroxysmal positional vertigo using laser occlusion of the posterior semicircular canal, and achieved satisfactory results. Three months after the operation, the patient was able to lead a normal life. There was no recurrence over five years of follow up.Conclusion:To our knowledge, this is the first report in the world literature of a patient with refractory benign paroxysmal positional vertigo being treated with laser occlusion of the posterior semicircular canal. This method had long-term effectiveness, and may be one of the most effective methods of treating patients with refractory benign paroxysmal positional vertigo.

scholarly journals Physical Therapy for Posterior and Horizontal Canal Benign Paroxysmal Positional Vertigo: Long-term Effect and Recurrence: A Systematic Review

2017 ◽  
Vol 22 (04) ◽  
pp. 455-459 ◽  
Author(s):  
Daniele Rodrigues ◽  
Alleluia Ledesma ◽  
Carlos de Oliveira ◽  
Fayez Bahamad Júnior
Keyword(s):  
Systematic Review ◽  
Benign Paroxysmal Positional Vertigo ◽  
Data Synthesis ◽  
Horizontal Canal ◽  
Scientific Databases ◽  
Beneficial Effects ◽  
Positional Vertigo ◽  
Long Term Effect ◽  
Paroxysmal Positional Vertigo

Introduction Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo, and it is characterized by episodes of vertigo roundabout when the head is moved. A systematic review was performed using the most important scientific databases. This review included studies published in English in the last ten years, performed in adults, with emphasis on the diagnosis and treatment of BPPV. Objective To investigate the long-term effectiveness of vestibular rehabilitation (VR) in patients with BPPV and the rate of recurrence of symptoms. Data Synthesis A total of 38 studies were identified, of which only 12 met the inclusion criteria. The majority of the studies stated that VR is effective in decreasing the symptoms, with a short-term efficacy of 84.7%, and 89.2% in the long term in the reviewed studies. Conclusion Valuable studies show the beneficial effects of the maneuvers for the treatment of BPPV and their long-term effectiveness. This strengthens the conclusion that this treatment is effective in resolving symptoms and decreasing recurrences.

Long-term follow-up of patients with posterior canal benign paroxysmal positional vertigo

2010 ◽  
Vol 130 (9) ◽  
pp. 1009-1012 ◽  
Author(s):  
Leyla Kansu ◽  
Suat Avci ◽  
Ismail Yilmaz ◽  
Levent N. Ozluoglu
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
Posterior Canal ◽  
Positional Vertigo ◽  
Long Term Follow Up ◽  
Paroxysmal Positional Vertigo

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)

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