SavedAdd your journal

Journals / OTOSCOPE / 2002 / Cilt: 3 - Sayı: 2

Effectiveness of modified epley canalith reposition manoeuvre for the treatment of benign paroxysmal positional vertigo

Benign paroksismal pozisyonel vertigo tedavisinde modifiye epley kanalit repozisyon manevrasının etkinliği

H. Nedim ARDA
Ümit TUNCEL
M. Ali ÇETİN
Özgür AKDOĞAN
Journal
OTOSCOPE
Pages
57–64
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

This manoeuvre is also favorable because it does not require that patients be frequently visited and it obvi-ates surgery and unnecessary consumption of drugs.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In this prospective study 44 patients with benign paroxysmal positional vertigo (BBPV) were treated by Epley's manoeuvre and pretreatment and posttreatment symptoms were compared to determine clinical effectiveness of this manoeuvre.
📊
Key Findings & Data:Methods: We applied modified Epley canalith reposition manoeuvre in 44 patients with symptoms of benign paroxysmal positional vertigo and positive Dix-Hallpike test.
💡
Conclusion & Impact:This manoeuvre is also favorable because it does not require that patients be frequently visited and it obvi-ates surgery and unnecessary consumption of drugs.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:İleriye dönük çalışma · Baş dönmesi · Semisirküler kanallar

Abstract

Objective: In this prospective study 44 patients with benign paroxysmal positional vertigo (BBPV) were treated by Epley's manoeuvre and pretreatment and posttreatment symptoms were compared to determine clinical effectiveness of this manoeuvre. Methods: We applied modified Epley canalith reposition manoeuvre in 44 patients with symptoms of benign paroxysmal positional vertigo and positive Dix-Hallpike test. We followed up the patients for a month and examined them with Dix-Hallpike manoeuvre once every week. Results: At the end of one month, symptoms of benign paroxysmal positional vertigo ceased and Dix-Hallpike tests became negative. Symptoms completely disappeared (90.8%) in 40 patients. Two patients had partial remission (4.54%) and two patients had no remission (4.54%). There was no sig-nificant relation between mean symptom scores before treatment and age and duration of symptoms (p>0.05). However, there was a significant decrease in severity scores of symptoms and signs after treatment (p<0.05). Conclusion: This study supports the usefulness of Epley's manouevre for the treatment of BPPV. This manoeuvre is also favorable because it does not require that patients be frequently visited and it obvi-ates surgery and unnecessary consumption of drugs.

Özet

Amaç: Bu çalışmada Benign Paroksismal Pozisyonel Vertigolu (BPPV) 44 hasta Modifeye Epley Manevrası ile tedavi edilmiş, tedavi öncesi ve tedavi sonrası semptomlar manevranın klinik etkisini saptamak için karşılaştırılmıştır. Gereç ve Yöntem: Bu prospektif çalışmada Dix Hallpike testi pozitif olan 44 hastaya Modifiye Epley Kanalit Repozisyon Manevrası uygulanmıştır. Hastalar 1 ay boyunca haftada bir kez kontrole çağrılmış ve Dix Hallpike manevrası ile kontrolleri yapılmıştır. Bulgular: Bir ay sonunda BPPV semptomları azalmış ve Dix Hallpike testi negatifleşmiştir. Hastaların 40'ında tam bir düzelme görülmüştür (%90.8). iki hastada kısmi (%4.54), 2 hastada ise (%4.54) düzelme olmamıştır. Tedavi öncesi ortalama semptom skorları ile yaş ve semptomların süresi arasında istatistiksel bir ilişki bulunamamıştır. Fakat semptomların şiddet skoru ve tedavi sonrası belirtilerde belirgin bir düşüş mevcuttu (p<0.05). Sonuç: Modifiye Epley Kanalit Repozisyon Manevrası BPPV'Iİ hastalarda çok kısa sürmesi, cerrahi ve ilaç yan etkilerinden hastayı koruması açısından tercih edilebilir.

🔖

Cite This Article

ARDA, H. N., TUNCEL, Ü., ÇETİN, M. A., AKDOĞAN, Ö. (2002). Effectiveness of modified epley canalith reposition manoeuvre for the treatment of benign paroxysmal positional vertigo. OTOSCOPE, Cilt: 3 - Sayı: 2, 57–64. https://ajindex.com/articles/286753

References (15)

  1. Barany R. Diagnose von krankheitserscheinungen im Bereiche des Otolithen apparates. Açta Otolaryngol (Stockh). 1921;2:434-7
  2. Schessel DA, Minor LB, Nedzelski J. Meniere's disease and other peripheral vestibular disorders; in Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Richardson MA, Schuller DE (eds); Otolaryngology Head and Neck Surgery (ed 3), Vol:4, Mosby, 1998; pp: 2686-91
  3. Appiani GC, Gagliardi M, Urbani L, Lucertini M. The Epley maneuver for the treatment of benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 1996;253(1-2):31-4
  4. Beynon GJ. A review of management of benign paroxysmal positional vertigo by exercise therapy and by repositioning manoeuvres. Br J Audiology 1997;31(1):11-26
  5. Brandt T. Positional and positioning vertigo and nystagmus. J Neurol Sciences 1990; 95: 3-28 6. Schuknecht HF. Cupulolithiasis. Arch Otolaryngol 1969 90:765-78
  6. Mattox DE. Meniere's disease, vestibuler neuronitis, paroxysmal positional vertigo and nystagmus. D.Cooke eds. Otolaryngology Head and Neck Surgery. J.J Ballenger.15th ed.İllinois. 1996;1125-32
  7. Hall SF, Ruby RR, McClure JA. The mechanics of benign paroxysmal vertigo. J Otolaryngol. 1979;8:151-8
  8. Brandt T, Steddin S, Daroff RB. Therapy for paroxysmal positioning vertigo revisited. Neurol 1994;44: 796-800
  9. Tirelli G, D'Orlando E, Zarcone O. Modified particle repositioning procedure. Laryngoscope 2000; 100:462-8
  10. Nunez RA, Cass SP, Furman JM. Short and long term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000;122:647-52
  11. Brandt T, Daroff RB. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol 1980; 106(8):484-5
  12. Semont A, Freyss G, Vitte E. Curing the BPPV with a liberatory manoeuvre. Adv Otorhinolaryngol 1988; 42: 290-93
  13. Epley JM. The canalith repositioning procedure for treat¬ment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992; 107(3):399-404.15. Herdman SJ, Tusa RJ, Zee DS, Proctor LR, Mattox DE. Single treatment approaches to benign paroxysmal posi¬tional vertigo. Arch Otolaryngol 1993;119:450-4
  14. Parnes LS, Price-Jones RG. Partide repositioning manoeuvre for benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 1993;102:325-31
  15. Cohen B, Tokumasu K, Gato K. Semicircular canal nerve, eye and head movements. The effect of changes in initial eye and head position on the plane of the induced movement. Arch Ophtalmol 1996;76:5