Vértigo posicional paroxístico benigno: maniobras de provocación y liberación

Herreros, María Luisa; Martínez, Ainhoa Beato; Tur, Jaume; Juara, A. Moreno; Laguillo, A. González

doi:10.1157/13124898

Cited by 7 publications

(1 citation statement)

References 8 publications

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“…This maneuver has proved to be useful in both pediatric [11] and older-aged patients [12] and appears to be safe and effective if the following few contraindications are considered: cervical spinal stenosis, severe kyphoscoliosis, limited cervical mobility, Down syndrome, advanced rheumatoid arthritis, cervical radiculopathies, Paget’s disease, morbid obesity, ankylosing spondylitis, severe lumbar dysfunction and spinal cord injuries. No serious adverse effects have been reported.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of the Epley’s maneuver performed in primary care to treat posterior canal benign paroxysmal positional vertigo: study protocol for a randomized controlled trial

Moreno

Muñoz

Balboa

et al. 2014

Trials

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BackgroundVertigo is a common medical condition with a broad spectrum of diagnoses which requires an integrated approach to patients through a structured clinical interview and physical examination. The main cause of vertigo in primary care is benign paroxysmal positional vertigo (BPPV), which should be confirmed by a positive D-H positional test and treated with repositioning maneuvers. The objective of this study is to evaluate the effectiveness of Epley’s maneuver performed by general practitioners (GPs) in the treatment of BPPV.Methods/DesignThis study is a randomized clinical trial conducted in the primary care setting. The study’s scope will include two urban primary care centers which provide care for approximately 49,400 patients. All patients attending these two primary care centers, who are newly diagnosed with benign paroxysmal positional vertigo, will be invited to participate in the study and will be randomly assigned either to the treatment group (Epley’s maneuver) or to the control group (a sham maneuver). Both groups will receive betahistine. Outcome variables will be: response to the D-H test, patients’ report on presence or absence of vertigo during the previous week (dichotomous variable: yes/no), intensity of vertigo symptoms on a Likert-type scale in the previous week, total score on the Dizziness Handicap Inventory (DHI) and quantity of betahistine taken.We will use descriptive statistics of all variables collected. Groups will be compared using the intent-to-treat approach and either parametric or nonparametric tests, depending on the nature and distribution of the variables. Chi-square test or Fisher’s exact test will be conducted to compare categorical measures and Student’s t-test or Mann–Whitney U-test will be used for intergroup comparison variables.DiscussionPositive results from our study will highlight that treatment of benign paroxysmal positional vertigo can be performed by trained general practitioners (GPs) and, therefore, its widespread practice may contribute to improve the quality of life of BPPV patients.Trial registrationClinicalTrials.gov Identifier: NCT01969513.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of the Epley’s maneuver performed in primary care to treat posterior canal benign paroxysmal positional vertigo: study protocol for a randomized controlled trial

Moreno

Muñoz

Balboa

et al. 2014

Trials

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Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo

Karanjai

2010

Indian J Otolaryngol Head Neck Surg

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Aim (1) To evaluate the role of vestibular exercises in the management of benign paroxysmal positional vertigo (BPPV). (2) To compare the three vestibular exercises (Semont`s manoeuvre, Epley`s manoeuvre or Brandt-Daroff exercises) in the treatment of BPPV. Settings and Design Prospective randomised studyMethods and Material Fourty-eight patients diagnosed as BPPV in the study period November 2005-2006 were included in the study. They were randomly assigned to one of three groups, and the corresponding manoeuvre was done on them. Follow-up were at 2 weeks and 3 months.Results Thirty-five of the 48 patients (72.91%) reported relief of symptoms at 2 weeks and no recurrence of symptoms at 3 months. Result was best for the group which was subjected to the Epley manoeuvre (87.5%).Conclusions Performance of any of the three manoeuvres can be expected to give good results in the management of BPPV. The Epley manoeuvre appears to be better than the other two in terms of relief of symptoms and prevention of recurrence.

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Vestibular Examination of Children With Alterations in Balance (II): Results by Pathologies

Pino¹,

Femia

Pérez‐Fernández

2011

Acta Otorrinolaringologica (English Edition)

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Vértigo posicional paroxístico benigno: maniobras de provocación y liberación

Cited by 7 publications

References 8 publications

Effectiveness of the Epley’s maneuver performed in primary care to treat posterior canal benign paroxysmal positional vertigo: study protocol for a randomized controlled trial

Effectiveness of the Epley’s maneuver performed in primary care to treat posterior canal benign paroxysmal positional vertigo: study protocol for a randomized controlled trial

Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo

Vestibular Examination of Children With Alterations in Balance (II): Results by Pathologies

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