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

Abstract

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.

Kanalit repozisyon manevralarının benign paroksismal pozisyonel vertigo tedavisinde kullanımı

“…[18] Hastaların 1 yıl takip edildiği bir yayında manevra sonrası %91 hastanın başarılı bir şekilde tedavi edildikleri gösterilmiştir. [19] Çalışmamızda ilk olarak Epley manevrası tüm hastalara yapılmış; ardından posterior kanal dışında diğer kanal tutulumları gösteren bireylere etyolosine yönelik manevralar uygulanmıştır. Posterior kanal patolojisi saptanan hastaların Epley Manevrasından fayda görme oranı %93,65; anterior kanal patolojisine sahip olan hastaların fayda görme oranı %68,18; horizontal kanal tutulumu olan hastaların oranı %89,25 olarak saptanmıştır.…”

Perception, knowledge, and attitude of medical doctors in Saudi Arabia about the role of physiotherapists in vestibular rehabilitation: a cross-sectional survey

“…Vestibular rehabilitation (VR) is reported to be effective in vestibular disorders ( Eleftheriadou, Skalidi & Velegrakis, 2012 ). In the last few years, there has been compelling evidence about the effectiveness of vestibular rehabilitation in the treatment of vestibular hypofunction ( Porciuncula, Johnson & Glickman, 2012 ), benign paroxysmal positional vertigo (BPPV) ( Rodrigues et al, 2018 ), persistent postural-perceptual dizziness (PPPD) ( Eldøen et al, 2021 ), vestibular migraine ( Power et al, 2018 ), dizziness associated with multiple sclerosis (MS) ( García-Muñoz et al, 2020 ), and vestibular involvement in traumatic brain injury ( Kleffelgaard et al, 2019 ).…”

Physical Therapy for Benign Positional Vertigo of Posterior Canal: The Role of Alternated Epley and Semont Maneuvers

“…6 Indeed, the comparison of these 2 maneuvers by a referral center was rarely performed according to a recent and detailed review. 7 Considerable variability was reported in the number of times maneuvers were applied for BPPV treatment across studies and in clinical practice. 8 According to a systematic review, there was a beneficial effect of repeated EP in pBPPV patients who were not fully cleared of symptoms after first maneuver.…”