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Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study

Objectives: The purpose of this study is to investigate a modified Epley maneuver for self-treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV). Methods: The study recruited 155 patients with PC-BPPV. All patients were randomized into the Epley maneuver group (n = 77) and modi...

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Autores principales: Gan, Zhuangqin, Zhou, Shiling, Yang, Hui, He, Feng, Wei, Dong, Bai, Ya, Wang, Yuanyuan, Wang, Yingxia, Fu, Wei, Han, Junliang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116577/
https://www.ncbi.nlm.nih.gov/pubmed/33996859
http://dx.doi.org/10.3389/fmed.2021.654637
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author Gan, Zhuangqin
Zhou, Shiling
Yang, Hui
He, Feng
Wei, Dong
Bai, Ya
Wang, Yuanyuan
Wang, Yingxia
Fu, Wei
Han, Junliang
author_facet Gan, Zhuangqin
Zhou, Shiling
Yang, Hui
He, Feng
Wei, Dong
Bai, Ya
Wang, Yuanyuan
Wang, Yingxia
Fu, Wei
Han, Junliang
author_sort Gan, Zhuangqin
collection PubMed
description Objectives: The purpose of this study is to investigate a modified Epley maneuver for self-treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV). Methods: The study recruited 155 patients with PC-BPPV. All patients were randomized into the Epley maneuver group (n = 77) and modified Epley maneuver group (n = 78). We analyzed the resolution rate (1 day and 1 week), residual symptoms after the maneuver, and adverse effects. Results: It was found that the modified Epley maneuver group had a higher resolution rate than that of the Epley maneuver group in the treatment of PC-BPPV after 1 day of the initial maneuver (p < 0.05). However, there was no difference in resolution rate between the Epley maneuver group and the modified Epley maneuver group in resolution rate after 1 week of the initial maneuver (p > 0.05). The modified Epley maneuver group had fewer residual symptoms than that of the Epley maneuver group 1 week after treatment of PC-BPPV (p < 0.05). Significant improvements were also observed in average DHI scores in patients who underwent the modified Epley maneuver compared to the Epley maneuver (p < 0.05). There was no significant difference in adverse effects between the two groups (p > 0.05). Conclusions: The modified Epley maneuver has a satisfactory therapeutic efficacy with less residual symptoms and could be recommended as a self-treatment for patients with PC-BPPV.
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spelling pubmed-81165772021-05-14 Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study Gan, Zhuangqin Zhou, Shiling Yang, Hui He, Feng Wei, Dong Bai, Ya Wang, Yuanyuan Wang, Yingxia Fu, Wei Han, Junliang Front Med (Lausanne) Medicine Objectives: The purpose of this study is to investigate a modified Epley maneuver for self-treatment of posterior canal benign paroxysmal positional vertigo (PC-BPPV). Methods: The study recruited 155 patients with PC-BPPV. All patients were randomized into the Epley maneuver group (n = 77) and modified Epley maneuver group (n = 78). We analyzed the resolution rate (1 day and 1 week), residual symptoms after the maneuver, and adverse effects. Results: It was found that the modified Epley maneuver group had a higher resolution rate than that of the Epley maneuver group in the treatment of PC-BPPV after 1 day of the initial maneuver (p < 0.05). However, there was no difference in resolution rate between the Epley maneuver group and the modified Epley maneuver group in resolution rate after 1 week of the initial maneuver (p > 0.05). The modified Epley maneuver group had fewer residual symptoms than that of the Epley maneuver group 1 week after treatment of PC-BPPV (p < 0.05). Significant improvements were also observed in average DHI scores in patients who underwent the modified Epley maneuver compared to the Epley maneuver (p < 0.05). There was no significant difference in adverse effects between the two groups (p > 0.05). Conclusions: The modified Epley maneuver has a satisfactory therapeutic efficacy with less residual symptoms and could be recommended as a self-treatment for patients with PC-BPPV. Frontiers Media S.A. 2021-04-29 /pmc/articles/PMC8116577/ /pubmed/33996859 http://dx.doi.org/10.3389/fmed.2021.654637 Text en Copyright © 2021 Gan, Zhou, Yang, He, Wei, Bai, Wang, Wang, Fu and Han. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Medicine
Gan, Zhuangqin
Zhou, Shiling
Yang, Hui
He, Feng
Wei, Dong
Bai, Ya
Wang, Yuanyuan
Wang, Yingxia
Fu, Wei
Han, Junliang
Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study
title Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study
title_full Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study
title_fullStr Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study
title_full_unstemmed Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study
title_short Self-Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Preliminary Study
title_sort self-treatment of posterior canal benign paroxysmal positional vertigo: a preliminary study
topic Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8116577/
https://www.ncbi.nlm.nih.gov/pubmed/33996859
http://dx.doi.org/10.3389/fmed.2021.654637
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