Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review.
Identifieur interne : 000101 ( Main/Corpus ); précédent : 000100; suivant : 000102Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review.
Auteurs : Xiaolei Liu ; Roi Treister ; Yinan Yan ; Hailong Wang ; Xinyi LiSource :
- European neurology [ 1421-9913 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- instrumentation : Automation.
- methods : Automation, Patient Positioning.
- therapy : Benign Paroxysmal Positional Vertigo.
- Adult, Aged, Case-Control Studies, Female, Humans, Male, Middle Aged, Posture, Retrospective Studies.
Abstract
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.
DOI: 10.1159/000480429
PubMed: 28942452
Links to Exploration step
pubmed:28942452Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review.</title>
<author><name sortKey="Liu, Xiaolei" sort="Liu, Xiaolei" uniqKey="Liu X" first="Xiaolei" last="Liu">Xiaolei Liu</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Treister, Roi" sort="Treister, Roi" uniqKey="Treister R" first="Roi" last="Treister">Roi Treister</name>
<affiliation><nlm:affiliation>Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Yan, Yinan" sort="Yan, Yinan" uniqKey="Yan Y" first="Yinan" last="Yan">Yinan Yan</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Wang, Hailong" sort="Wang, Hailong" uniqKey="Wang H" first="Hailong" last="Wang">Hailong Wang</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Li, Xinyi" sort="Li, Xinyi" uniqKey="Li X" first="Xinyi" last="Li">Xinyi Li</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review.</title>
<author><name sortKey="Liu, Xiaolei" sort="Liu, Xiaolei" uniqKey="Liu X" first="Xiaolei" last="Liu">Xiaolei Liu</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
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<author><name sortKey="Treister, Roi" sort="Treister, Roi" uniqKey="Treister R" first="Roi" last="Treister">Roi Treister</name>
<affiliation><nlm:affiliation>Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Yan, Yinan" sort="Yan, Yinan" uniqKey="Yan Y" first="Yinan" last="Yan">Yinan Yan</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
</affiliation>
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<author><name sortKey="Wang, Hailong" sort="Wang, Hailong" uniqKey="Wang H" first="Hailong" last="Wang">Hailong Wang</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
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<author><name sortKey="Li, Xinyi" sort="Li, Xinyi" uniqKey="Li X" first="Xinyi" last="Li">Xinyi Li</name>
<affiliation><nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
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<series><title level="j">European neurology</title>
<idno type="eISSN">1421-9913</idno>
<imprint><date when="2017" type="published">2017</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Automation (instrumentation)</term>
<term>Automation (methods)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Case-Control Studies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Positioning (methods)</term>
<term>Posture (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Automation</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Automation</term>
<term>Patient Positioning</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Case-Control Studies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Posture</term>
<term>Retrospective Studies</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>To evaluate the feasibility and effectiveness of automated mechanical repositioning treatment (AMRT) for posterior canal benign paroxysmal positional vertigo -(PC-BPPV).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS AND METHODS</b>
</p>
<p>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.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>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).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>AMRT is a feasible and effective procedure for the resolution of PC-BPPV.</p>
</div>
</front>
</TEI>
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<Abstract><AbstractText Label="OBJECTIVE">To evaluate the feasibility and effectiveness of automated mechanical repositioning treatment (AMRT) for posterior canal benign paroxysmal positional vertigo -(PC-BPPV).</AbstractText>
<AbstractText Label="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.</AbstractText>
<AbstractText Label="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).</AbstractText>
<AbstractText Label="CONCLUSION">AMRT is a feasible and effective procedure for the resolution of PC-BPPV.</AbstractText>
<CopyrightInformation>© 2017 S. Karger AG, Basel.</CopyrightInformation>
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