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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 : 000102

Automated 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 Li

Source :

RBID : pubmed:28942452

English descriptors

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:28942452

Le document en format XML

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<title xml:lang="en">Automated Mechanical Repositioning Treatment for Posterior Canal Benign Paroxysmal Positional Vertigo: A Single-Center Experience and Literature Review.</title>
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<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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<name sortKey="Treister, Roi" sort="Treister, Roi" uniqKey="Treister R" first="Roi" last="Treister">Roi Treister</name>
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<nlm:affiliation>Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA.</nlm:affiliation>
</affiliation>
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<name sortKey="Yan, Yinan" sort="Yan, Yinan" uniqKey="Yan Y" first="Yinan" last="Yan">Yinan Yan</name>
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<nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
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<name sortKey="Wang, Hailong" sort="Wang, Hailong" uniqKey="Wang H" first="Hailong" last="Wang">Hailong Wang</name>
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<nlm:affiliation>Department of Neurology, Dayi Hospital of Shanxi Medical University, Taiyuan, China.</nlm:affiliation>
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<name sortKey="Li, Xinyi" sort="Li, Xinyi" uniqKey="Li X" first="Xinyi" last="Li">Xinyi Li</name>
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<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>
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<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en">
<term>Automation</term>
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<term>Automation</term>
<term>Patient Positioning</term>
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<term>Benign Paroxysmal Positional Vertigo</term>
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<term>Adult</term>
<term>Aged</term>
<term>Case-Control 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>
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<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>
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<CopyrightInformation>© 2017 S. Karger AG, Basel.</CopyrightInformation>
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