Cases requiring increased number of repositioning maneuvers in benign paroxysmal positional vertigo

Korkmaz, Mukadder; Korkmaz, Hakan

doi:10.1016/j.bjorl.2015.08.018

Cited by 9 publications

(22 citation statements)

References 25 publications

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“…Our data suggested that the patients with>4 week course may need multiple maneuver time [24] or some other therapeutic method. As reported by Korkmaz and coworker, age, sex, canal type and the duration of symptoms had no impact on the number of maneuvers [25]. However, as reported by Yoon and colleagues, longer duration of vertigo before treatment, bilateral or multiple canal involved, and age >50 years were the risk factors associated with the need for multiple particle repositioning maneuver [26].…”

Section: Discussionmentioning

confidence: 68%

Vestibular function and curative effect of BPPV patients in different duration by application of electronystagmography and posturography.

Jian-guo¹,

Chen²,

Hu³

et al. 2019

biomedicalresearch

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Objects: Benign paroxysmal positional vertigo (BPPV) is a common peripheral vestibular disease clinically. Electronystagmography (ENG) and posturography are commonly used methods for diagnosis of BPPV and examination of the vestibular function. Sparse study reported the characteristics of nystagmus and vestibular function and the curative effect in different duration of BPPV patients. Methods: This is a retrospective study of 40 adults with vestibular symptoms. Before ENG test and posturography test, the subjects underwent physical examination and excluded central disorders. The canalith repositioning maneuver was used for the therapy of BPPV and the curative effect was studied between different duration groups. Results: Of patients who suffered BPPV, higher rates of abnormal ENG were observed in the longer duration of BPPV. Among patients of BPPV, the patients' vestibular function in more than 12 months duration was inferior to the patients of a shorter duration. Moreover, the curative effect by repositioning maneuver in the shorter duration was superior to the longer duration. Conclusions: The present study suggested that the vestibular function in patients that suffered BPPV deteriorates as the course of BPPV develops. The curative effect by repositioning maneuver in the patients of shorter duration is more satisfied than the longer duration.

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Section: Discussionmentioning

confidence: 68%

Vestibular function and curative effect of BPPV patients in different duration by application of electronystagmography and posturography.

Jian-guo¹,

Chen²,

Hu³

et al. 2019

biomedicalresearch

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“…Adult female subjects seem to be more prone to the occurrence of BPPV, as also reported by previous studies. 5 It has been reported that female BPPV prevalence could be linked/correlated to hormonal variations, such as menopause and associated demineralization and metabolic changes. The latter condition could reduce bone mineral density, facilitating the detachment of otoconia from the utricular neuroephitelium.…”

Section: Discussionmentioning

confidence: 99%

“…4 Other studies have considered different factors related to BPPV incidence such as hypertension, hyperlipidaemia, thyroid issues (especially autoimmune thyroiditis), traumas and pathologies of the middle or internal ear, diabetes, gastric ulcer, osteoarthritis, cancer and chronicle coronaries or pulmonary pathologies. 2–6,18…”

Section: Discussionmentioning

confidence: 99%

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Clinical features of benign paroxysmal positional vertigo of the posterior semicircular canal

et al. 2019

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Objective:The aim of this study was to evaluate the relationship between age, gender and affected ear, in patients presenting benign paroxysmal positional vertigo.Methods:This was a retrospective study. Data from benign paroxysmal positional vertigo clinical reports (January 2009–December 2014) were analysed. A total of 174 patients affected by benign paroxysmal positional vertigo of the posterior semicircular canal have been identified. Pearson chi-square test has been used to evaluate the probability of benign paroxysmal positional vertigo occurrence in relation to gender and side, within the studied groups. The level of significance was set at a p < 0.05.Results:Considering age as a discriminant factor, three groups of patients were identified: group 1: 16 patients with an age <40 years; group 2: 79 patients with an age between 40 and 65 years and group 3: 79 patients with an age >65 years. In each group, the right posterior semicircular canal was involved in the majority of cases (group 1 incidence: 12/16; group 2 incidence: 49/79 and group 3 incidence: 52/79). In all three groups, female patients were significantly more affected (9/16 in group 1, 61/79 in group 2 and 55/79 in group 3).Conclusion:Benign paroxysmal positional vertigo is most prevalent in female subjects having an age>40 years and mainly involves the right posterior semicircular canal.

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“…Benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness among the population, characterized by short-lived vertiginous outbreaks resulting from positional changes in the head (2,3) and the presence of positional nystagmus due to these changes (4) , which may come accompanied by nausea (5) . The pathophysiology of BPPV involves the displacement of calcium carbonate crystals (otoliths) from the utricle to one of the three semicircular canals (anterior, posterior or lateral) -ductolithiasis -or their adherence to the dome of the canals -cupololithiasis (6,7) .The Dix-Hallpike test is used for the diagnosis of BPPV and, in positive case, after the test, the patient presents nystagmus (8,9) . Thus, due to the movement of the otoliths, the treatment consists basically in repositioning maneuvers (10) .…”

Section: Introductionmentioning

confidence: 99%

Effects of cranial osteopathic techniques in the symptoms of benign positional paroxistic vertical

Oliveira¹,

Mesquita

Mendes³

et al. 2020

mtprehabjournal

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Background: The benign paroxysmal positional vertigo (BPPV) is the most common cause of dizziness among the population. The osteopathy is a practice of manual therapy which is guided by a holistic perspective of human being, the cranial osteopathy affirms that the respective bones of the cranium represent mobility. Objective: To investigate the effect of the cranial osteopathy techniques on the benign paroxysmal positional vertigo. Methods: The current study included 20 female subjects, each one of them with benign paroxysmal positional vertigo, distributed in two groups, an intervention group and a control group (placebo); in order to detect the BPPV, was applied the Dix-Hallpike test before and after the interventions. Three techniques of cranial osteopathy were used on the structures related to vestibule and to the temporal bones: mobilization of temporal bones, tensioning of cerebellar tentorium and mobilization of eyeball. All statistical analyzes were performed using the GraphPad Prism 6.0 software (GraphPad Software, CA).Results: Among the intervention group, 7 of 10 individuals were negative to the Dix-Hallpike test, whilst individuals of the control group remained positive to the test. In the statistical analysis verified that the intervention with osteopathic techniques had a significant effect in compared to the control group, with a value p=0.0261. Conclusion: The cranial osteopathy appears to be able of produce effects on the vestibular activity, whereas were able to reduce, in a significant means, the symptoms concerning to BPPV.

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Cases requiring increased number of repositioning maneuvers in benign paroxysmal positional vertigo

Cited by 9 publications

References 25 publications

Vestibular function and curative effect of BPPV patients in different duration by application of electronystagmography and posturography.

Vestibular function and curative effect of BPPV patients in different duration by application of electronystagmography and posturography.

Clinical features of benign paroxysmal positional vertigo of the posterior semicircular canal

Effects of cranial osteopathic techniques in the symptoms of benign positional paroxistic vertical

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