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Journals / Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi / 2026 / Volume: 9 Issue: 2

Comparision of Video Head Impulse Test Findings Before and After Therapy Maneuvers in Individuals with Benign Paroxysmal Positional Vertigo

Ercan Karababa(UNIVERSITY OF HEALTH SCIENCES, GÜLHANE FACULTY OF HEALTH SCIENCES, DEPARTMENT OF AUDIOLOGY, DEPARTMENT OF AUDIOLOGY)0000-0002-5207-0014
Haci Hüseyin Dere(ANKARA YILDIRIM BEYAZIT UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICINE, DEPARTMENT OF EAR, NOSE AND THROAT DISEASES)0000-0003-0750-9590
Doç.dr.banu Müjdeci(ANKARA YILDIRIM BEYAZIT UNIVERSITY, FACULTY OF HEALTH SCIENCES, DEPARTMENT OF AUDIOLOGY)0000-0002-3660-3650
Erkan Karataş(SANKO UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-9616-7168
Pages
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Publication Date
2022-08-31
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: It was found that vHIT was not a diagnostic test in BPPV and in terms of evaluating the efficacy of therapeutic maneuvers.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To investigate the significance of vHIT (Video Head Impulse Test) in determining the efficacy of therapeutic maneuvers in individuals with posterior semicircular canal (SCC) BPPV.
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Key Findings & Data:Materials and Methods: The study included 25 patients with posterior SCC BPPV (Study Group), 30 healthy individuals (Control Group).
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Conclusion & Impact:Conclusion: It was found that vHIT was not a diagnostic test in BPPV and in terms of evaluating the efficacy of therapeutic maneuvers.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Dizziness · Benign Paroxysmal Positional Vertigo (BPPV) · Video Head Impulse Test (vHIT)

Abstract

Objective: To investigate the significance of vHIT (Video Head Impulse Test) in determining the efficacy of therapeutic maneuvers in individuals with posterior semicircular canal (SCC) BPPV. Materials and Methods: The study included 25 patients with posterior SCC BPPV (Study Group), 30 healthy individuals (Control Group). All individuals underwent otorhinolaryngologic examination, audiological evaluation, videonystagmography, vHIT and completed Dizziness Handicap Inventory (DHI) and Visual Analogue Scale (VAS). Modified Epley Maneuver was performed 3 times at an interval of 3 days. The vHIT, DHI and VAS were re-administered to these individuals 1 week after improvement was detected in positional nystagmus. Results: There was no significant difference between the study and control groups in terms of vHIT gains for all bilateral SCCs before therapeutic maneuver (p>0.05). In the study group, there was no significant difference between vHIT gains of all bilateral SSCs before and after therapeutic maneuvers (p>0.05). No asymmetry or refixation saccades (overt and covert) were observed in any of the individuals in both groups during all measurements. Compared to before therapeutic maneuvers, there was a significant decrease in dizziness-related disability level assessed by DHI and intensity of dizziness assessed by VAS in the study group after the improvement (p<0.001). Conclusion: It was found that vHIT was not a diagnostic test in BPPV and in terms of evaluating the efficacy of therapeutic maneuvers. Subjective evaluations determining the intensity of dizziness and level of dizziness-related disability in BPPV provided supportive information in diagnosis and in determining the efficacy of therapeutic maneuvers.

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Cite This Article

Karababa, E., Dere, H. H., Müjdeci, D., Karataş, E. (2022). Comparision of Video Head Impulse Test Findings Before and After Therapy Maneuvers in Individuals with Benign Paroxysmal Positional Vertigo. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Volume: 9 Issue: 2. https://doi.org/10.21020/husbfd.1039638

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