Patients with benign paroxysmal positional vertigo and cervical spine problems: is Epley's manoeuvre contraindicated, and is a proposed new manoeuvre effective and safer?

Rashad, U M

doi:10.1017/s0022215110000927

Cited by 6 publications

(3 citation statements)

References 14 publications

(23 reference statements)

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“…11,12 Research on methods to address BPPV in this patient population is sparse; however, alternative maneuvers that could be used for treatment of some of these patients have been reported with success. 13,14 We report a cohort of BPPV patients with immobility prohibiting traditional repositioning maneuvers, the majority of whom had cervical spine disease. Treatment of these patients by PRC was successful, with most patients experiencing resolution of symptoms and the majority of those patients requiring only 1 CRM.…”

Section: Discussionmentioning

confidence: 99%

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Treatment of Patients With Benign Paroxysmal Positional Vertigo and Severe Immobility Using the Particle Repositioning Chair: A Retrospective Cohort Study

Luryi

Lawrence

LaRouere

et al. 2018

Ann Otol Rhinol Laryngol

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Objective: To report treatment of benign paroxysmal positional vertigo (BPPV) in patients unable to undergo traditional canalith repositioning maneuvers (CRMs) using a particle repositioning chair (PRC). Methods: A retrospective chart review was conducted at a single high-volume otology practice of patients diagnosed with BPPV from 2007 to 2017 with immobility prohibiting use of traditional CRMs. Patients were diagnosed and treated using a PRC, and outcome measures including resolution, recurrence, and number of treatment visits were recorded. Results: A total of 34 patients meeting criteria were identified, 24 of whom had cervical spine disease and 10 of whom had other prohibitive immobility. Symptoms were present for between 5 days and 11 years at presentation, with mean and median of 552 and 90 days, respectively. Symptoms resolved in 68% of patients and recurred in 13% of those patients. Most patients required 1 treatment visit. Conclusions: Successful treatment of patients with BPPV and concomitant immobility prohibiting traditional CRMs is reported using the PRC. Benign paroxysmal positional vertigo in the setting of immobility is an indication for treatment with a PRC if available.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Treatment of Patients With Benign Paroxysmal Positional Vertigo and Severe Immobility Using the Particle Repositioning Chair: A Retrospective Cohort Study

Luryi

Lawrence

LaRouere

et al. 2018

Ann Otol Rhinol Laryngol

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“…This may arise from lack of familiarity, time needed for implementing this maneuver, and difficulties in maintaining competence without routine use (32)(33)(34)(35)(36). One of the major limitations in correctly administering particle repositioning maneuvers, even in experienced hands, is the patient's body corpus, pain during certain positions, and neck movement limitations (37)(38)(39). In these cases, verification by a visual aid might be useful.…”

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confidence: 99%

Evaluating the Epley Canalolith Repositioning Procedure With and Without a Visual Assistive Device

Moroz¹,

Choy

Lee

et al. 2021

Otology &Amp; Neurotology

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Hypothesis:The primary goal of this study was to examine how accuracy is affected when we employ a guidance device to assist with the execution of the Epley canalolith repositioning procedure. Background: Benign paroxysmal positional vertigo is a common cause of vestibular vertigo. Treatment is noninvasive and generally effective when performed correctly. Deficiencies in clinical application result in unnecessary failures in response for those affected. Methods: Ten participants were each taken through six iterations of the Epley canalolith repositioning procedure. Iterations were divided evenly between those conducted with and without the use of a guidance device. One clinician performed all 60 procedures. Head movements were recorded using motion capture cameras and strategically placed motion tracking markers.Results: Results showed that the guidance device significantly improved the latter phase maneuver accuracy. Rotation error was significantly reduced for hold3 with-device ( M ¼ 20.2 38 , S D ¼ 12.08 8 ) versus without-device (M ¼ 40.138, SD ¼ 14.628, p ¼ 0.001). Maximal rotation error during rotation4 of the maneuver demonstrated a similar reduction of error with-device (M ¼ 24.448, SD ¼ 10.438) versus without-device (M ¼ 41.368, SD ¼ 12.898, p ¼ 0.002). Conclusion: A simple visual guidance device can increase the execution accuracy of canalith repositioning procedures. Further research is required to show how such improvements influence treatment efficacy.

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Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management

Devaraja

2018

Eur Arch Otorhinolaryngol

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Patients with benign paroxysmal positional vertigo and cervical spine problems: is Epley's manoeuvre contraindicated, and is a proposed new manoeuvre effective and safer?

Abstract: The proposed new manoeuvre is simple, effective and safe for treating patients with benign paroxysmal positional vertigo and cervical spine problems.

Cited by 6 publications

References 14 publications

Treatment of Patients With Benign Paroxysmal Positional Vertigo and Severe Immobility Using the Particle Repositioning Chair: A Retrospective Cohort Study

Treatment of Patients With Benign Paroxysmal Positional Vertigo and Severe Immobility Using the Particle Repositioning Chair: A Retrospective Cohort Study

Evaluating the Epley Canalolith Repositioning Procedure With and Without a Visual Assistive Device

Approach to cervicogenic dizziness: a comprehensive review of its aetiopathology and management

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