Particle Repositioning Maneuver Versus Brandt-Daroff Exercise for Treatment of Unilateral Idiopathic BPPV of the Posterior Semicircular Canal

Amor-Dorado, Juan Carlos; Barreira-Fernandez, Maria P.; Arán-González, Ismael; Casariego-Vales, Emilio; Llorca, Javier; González-Gay, Miguel Á.

doi:10.1097/mao.0b013e318268d50a

Cited by 64 publications

(58 citation statements)

References 22 publications

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“…Long-term recurrence of BPPV is common, and the recurrence rate varies with time from 16 to 36% [22, 23]. So far, reports concerning recurrence by using the computer-controlled repositioning procedure are rare, as shown in Table 4.…”

Section: Discussionmentioning

confidence: 99%

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

et al. 2017

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Objective: To evaluate the feasibility and effectiveness of automated mechanical repositioning treatment (AMRT) for posterior canal benign paroxysmal positional vertigo (PC-BPPV). Patients and Methods: We reviewed all PC-BPPV patients admitted to our department between January and December 2016. The inclusion criteria mainly required conducting a diagnosis for PC-BPPV by using the Dix-Hallpike test, a PC-BPPV history within 1 month, no intake of medications for the last 48 h. Compared with the cases who received classical manual repositioning treatment (CMRT), the proportion of patients who underwent AMRT with a resolution within the 1-week follow-up session after initial treatment and a recurrence during the 6-month follow-up were evaluated. Results: A total of182 patients who underwent AMRT and 152 patients who underwent CMRT were included. Compared with the CMRT group, the AMRT group had a higher rate of complete or partial resolution and positional nystagmus at the 1 week follow-up (92.6 vs. 86.2%; p = 0.004). AMRT with less treatment cycles was more effective than CMRT (1.5 vs. 1.9; p < 0.001). After 6 months of follow-up, the cumulative recurrence rate of the AMRT group was significantly lower than that of the CMRT group (3.0 vs. 8.9%; p = 0.037). Conclusion: AMRT is a feasible and effective procedure for the resolution of PC-BPPV.

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Section: Discussionmentioning

confidence: 99%

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

et al. 2017

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“…Recent studies have shown that the majority of patients are adequately treated with 1 or 2 CRPs (79.4%-92.7%). 175,[258][259][260] However, 12.8% to 15.3% of patients will require a second CRP, and 5.1% will be classified as treatment failures after 2 CRPs. 175,[258][259][260] If initial therapy fails, the patient should be reassessed for BPPV diagnosis accuracy.…”

Section: Action Statement Profile For Statement 7amentioning

confidence: 99%

“…217 Concluding statements from the Cochrane review support intuitive thought that the primary intervention for patients with BPPV should be maneuvers (CRP) that directly treat the condition (eg, mechanical repositioning) but that other aspects of movement/habituation-based VR may further aide and support long-term functional recovery. 174,217 Although there is evidence that movement/habituation VR should not be considered as a substitute for CRP in the initial treatment of BPPV, there is a role for VR as adjuvant therapy in the management of selected patients with BPPV. BPPV can result in significant residual complaints of more generalized dizziness (abnormal motion sensitivities not associated with provocation of nystagmus) and definable abnormal postural control with heightened fall risk even after CRP has successfully resolved paroxysmal positional nystagmus.…”

Section: Action Statement Profile For Statement 4cmentioning

confidence: 99%

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Bhattacharyya¹,

Gubbels

Schwartz

et al. 2017

Otolaryngol.--head neck surg.

535

776

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Objective. This update of a 2008 guideline from the American Academy of Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as a disorder of the inner ear characterized by repeated episodes of positional vertigo. Changes from the prior guideline include a consumer advocate added to the update group; new evidence from 2 clinical practice guidelines, 20 systematic reviews, and 27 randomized controlled trials; enhanced emphasis on patient education and shared decision making; a new algorithm to clarify action statement relationships; and new and expanded recommendations for the diagnosis and management of BPPV.Purpose. The primary purposes of this guideline are to improve the quality of care and outcomes for BPPV by improving the accurate and efficient diagnosis of BPPV, reducing the inappropriate use of vestibular suppressant medications, decreasing the inappropriate use of ancillary testing such as radiographic imaging, and increasing the use of appropriate therapeutic repositioning maneuvers. The guideline is intended for all clinicians who are likely to diagnose and manage patients with BPPV, and it applies to any setting in which BPPV would be identified, monitored, or managed. The target patient for the guideline is aged ≥18 years with a suspected or potential diagnosis of BPPV. The primary outcome considered in this guideline is the resolution of the symptoms associated with BPPV. Secondary outcomes considered include an increased rate of accurate diagnoses of BPPV, a more efficient return to regular activities and work, decreased use of inappropriate medications and unnecessary diagnostic tests, reduction in recurrence of BPPV, and reduction in adverse events associated with undiagnosed or untreated BPPV. Other outcomes considered include minimizing costs in the diagnosis and treatment of BPPV, minimizing potentially unnecessary return physician visits, and maximizing the health-related quality of life of individuals afflicted with BPPV.Action Statements. The update group made strong recommendations that clinicians should (1) diagnose posterior semicircular canal BPPV when vertigo associated with torsional, upbeating nystagmus is provoked by the Dix-Hallpike maneuver, performed by bringing the patient from an upright to supine position with the head turned 45° to one side and neck extended 20° with the affected ear down, and (2) treat, or refer to a clinician who can treat, patients with posterior canal BPPV with a canalith repositioning procedure. The update group made a strong recommendation against postprocedural postural restrictions after canalith repositioning procedure for posterior canal BPPV. The update group made recommendations that the clinician should (1) perform, or refer to a clinician who can perform, a supine roll test to assess for lateral semicircular canal BPPV if the patient has a history compatible with BPPV and the Dix-Hallpike test exhibits horizontal or no nystagmus; (2) differentiate...

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“…Brandt-Daroff egzersizleri olarak bilinen bu habitüasyon yönteminde amaç vertigoyu indükleyen hareketleri iki hafta boyunca günde 3 kez tekrarlayarak kişiyi bu duruma alıştırmaktır (20,21). Brandt-Daroff egzersizlerinin vertigoyu azalttığı fakat bir komplikasyon olan multikanal BPPV'ye neden olabileceği bildirilmektedir.…”

Section: -Benign Paroksismal Pozisyonel Vertigo Rehabilitasyonuunclassified

Current Look at Vestibular Rehabilitation

Benlidayı¹

2014

ADUTFD

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ÖzetVestibüler rehabilitasyon periferik ve santral vestibüler sistem hastalıklarında kullanılan bir tedavi yöntemidir. Vestibüler rehabilitasyonun amacı insan beynindeki adaptif ve kompansatuar mekanizmaları harekete geçirmektir. Başlıca endikasyonları, vestibüler hipofonksiyon ve benign paroksismal pozisyonel vertigodur. Stabil olup henüz kompanzasyon mekanizması tamamlanmamış vestibüler sistem lezyonlarında önerilmektedir. Spesifik ve spesifik olmayan tedavi yöntemleri bulunmaktadır. Spesifik tedavi yöntemleri arasında habitüasyon, adaptasyon, substitüsyon ve otolitlerin yeniden pozisyonlandırılması gelirken, spesifik olmayan metotlar arasında endurans egzersizleri, yürüme ve denge ile ilgili spesifik kas gruplarının güçlendirilmesi gelmektedir. Vestibüler rehabilitasyonda uygulanan diğer tedavi seçenekleri vibrotaktil geri besleme, sanal gerçek-lik ve vestibüler elektriksel stimülasyondur. Vestibüler rehabilitasyon, dalgalanma gösteren vestibüler kayıplarda, devam eden labirent patolojilerinde ve yavaş progresyon gösteren bir tümör varlığında faydasızdır. Vestibüler sistem ile ilgili patolojiler vertigo, presenkop veya dengesizlik ile sonuçlanır ve ilişkili semptomlar genel olarak baş dönmesi veya sersemlik hissi şeklinde ifade edilir (1). Birçok vestibüler sistem lezyonu benign karakterdedir ve vestibüler kompanzasyon mekanizmaları ile spontan rezolüsyona girer (2).Vestibüler rehabilitasyon, insan beynindeki adaptif ve kompansatuar mekanizmaları harekete geçirmeyi hedefleyen bir tedavi yönte-midir. İlk kez Cawthorne ve Cooksey tarafından cerrahiye ya da kafa travmasına bağlı labirent yaralanması olan hastalarda kullanılmıştır (3, 4). 73

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Particle Repositioning Maneuver Versus Brandt-Daroff Exercise for Treatment of Unilateral Idiopathic BPPV of the Posterior Semicircular Canal

Cited by 64 publications

References 22 publications

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review

Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update)

Current Look at Vestibular Rehabilitation

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