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Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo.

Identifieur interne : 000000 ( Main/Exploration ); suivant : 000001

Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo.

Auteurs : Yue Lou [République populaire de Chine] ; Miao Cai [République populaire de Chine] ; Liangguo Xu [République populaire de Chine] ; Yanwen Wang [République populaire de Chine] ; Liying Zhuang [République populaire de Chine] ; Xiaoli Liu [République populaire de Chine]

Source :

RBID : pubmed:32057490

Descripteurs français

English descriptors

Abstract

OBJECTIVES

To evaluate the efficacy of automatic benign paroxysmal positional vertigo (BPPV) diagnosis and treatment system for BPPV compared with the manual repositioning group.

METHODS

Two hundred thirty patients diagnosed as idiopathic BPPV who were admitted from August 2018 to July 2019 in Zhejiang Hospital were included. Among them, 150 patients of posterior semicircular canal BPPV(pc-BPPV), 53 patients of horizontal semicircular canal BPPV(hc-BPPV), and 27 patients of horizontal semicircular canal calculus (hc-BPPV-cu) were randomly treated with BPPV diagnosis and treatment system(the experimental group) or manual repositioning (the control group). Resolution of vertigo and nystagmus on the Dix-Hallpike and Roll test on day 3,day 7,day 14 and day 28 follow-up after first treatment was the main outcome measure to assess the efficacy of treatment.

RESULTS

At 3-day and 7-day follow-up after treatment with BPPV diagnosis and treatment system, 79%, 91%had complete resolution of vertigo and nystagmus, the effective rate in the experimental group were significantly higher than those in the control group, the differences were statistically significant(P < .05). On day 14, the effective rate in the experimental group (96%) was slightly higher than that in the control group(91%), but there was no significant difference between the two groups. And at 28-day after the first treatment, the effective rate was 100% in the experimental group and the control group. The repositioning efficiency of pc-BPPV (the first, second, third treatment), hc-BPPV (the first, second, third treatment), hc-BPPV-cu(the first, second treatment) in the experimental group were higher than the control group, and the secondary reposition of pc-BPPV in the experimental group was significantly higher than the control group(96%vs.84%; P < .05). While for the hc-BPPV-cu patients, the effective rate of the third treatment in the experimental group was slightly lower than that of the control group, but the differences were not statistically significant.

CONCLUSIONS

BPPV diagnosis and treatment system is effective for the treatment of BPPV, with a better effective rate than those treated with manual maneuver, and is safe and easy to perform on patients.


DOI: 10.1016/j.amjoto.2020.102412
PubMed: 32057490


Affiliations:


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Le document en format XML

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<term>Aged (MeSH)</term>
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<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Moving and Lifting Patients (instrumentation)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Young Adult (MeSH)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
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<term>Humains (MeSH)</term>
<term>Jeune adulte (MeSH)</term>
<term>Lever et mobilisation de patient (instrumentation)</term>
<term>Mâle (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (diagnostic)</term>
<term>Vertige positionnel paroxystique bénin (thérapie)</term>
<term>Études de suivi (MeSH)</term>
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<term>Benign Paroxysmal Positional Vertigo</term>
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<term>Benign Paroxysmal Positional Vertigo</term>
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<term>Vertige positionnel paroxystique bénin</term>
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<term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Treatment Outcome</term>
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<term>Adulte d'âge moyen</term>
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<term>Mâle</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVES</b>
</p>
<p>To evaluate the efficacy of automatic benign paroxysmal positional vertigo (BPPV) diagnosis and treatment system for BPPV compared with the manual repositioning group.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>Two hundred thirty patients diagnosed as idiopathic BPPV who were admitted from August 2018 to July 2019 in Zhejiang Hospital were included. Among them, 150 patients of posterior semicircular canal BPPV(pc-BPPV), 53 patients of horizontal semicircular canal BPPV(hc-BPPV), and 27 patients of horizontal semicircular canal calculus (hc-BPPV-cu) were randomly treated with BPPV diagnosis and treatment system(the experimental group) or manual repositioning (the control group). Resolution of vertigo and nystagmus on the Dix-Hallpike and Roll test on day 3,day 7,day 14 and day 28 follow-up after first treatment was the main outcome measure to assess the efficacy of treatment.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>At 3-day and 7-day follow-up after treatment with BPPV diagnosis and treatment system, 79%, 91%had complete resolution of vertigo and nystagmus, the effective rate in the experimental group were significantly higher than those in the control group, the differences were statistically significant(P < .05). On day 14, the effective rate in the experimental group (96%) was slightly higher than that in the control group(91%), but there was no significant difference between the two groups. And at 28-day after the first treatment, the effective rate was 100% in the experimental group and the control group. The repositioning efficiency of pc-BPPV (the first, second, third treatment), hc-BPPV (the first, second, third treatment), hc-BPPV-cu(the first, second treatment) in the experimental group were higher than the control group, and the secondary reposition of pc-BPPV in the experimental group was significantly higher than the control group(96%vs.84%; P < .05). While for the hc-BPPV-cu patients, the effective rate of the third treatment in the experimental group was slightly lower than that of the control group, but the differences were not statistically significant.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSIONS</b>
</p>
<p>BPPV diagnosis and treatment system is effective for the treatment of BPPV, with a better effective rate than those treated with manual maneuver, and is safe and easy to perform on patients.</p>
</div>
</front>
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<DateCompleted>
<Year>2020</Year>
<Month>10</Month>
<Day>29</Day>
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<Year>2020</Year>
<Month>10</Month>
<Day>29</Day>
</DateRevised>
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<Journal>
<ISSN IssnType="Electronic">1532-818X</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>41</Volume>
<Issue>3</Issue>
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<MedlineDate>2020 May - Jun</MedlineDate>
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<Title>American journal of otolaryngology</Title>
<ISOAbbreviation>Am J Otolaryngol</ISOAbbreviation>
</Journal>
<ArticleTitle>Efficacy of BPPV diagnosis and treatment system for benign paroxysmal positional vertigo.</ArticleTitle>
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<Abstract>
<AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To evaluate the efficacy of automatic benign paroxysmal positional vertigo (BPPV) diagnosis and treatment system for BPPV compared with the manual repositioning group.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Two hundred thirty patients diagnosed as idiopathic BPPV who were admitted from August 2018 to July 2019 in Zhejiang Hospital were included. Among them, 150 patients of posterior semicircular canal BPPV(pc-BPPV), 53 patients of horizontal semicircular canal BPPV(hc-BPPV), and 27 patients of horizontal semicircular canal calculus (hc-BPPV-cu) were randomly treated with BPPV diagnosis and treatment system(the experimental group) or manual repositioning (the control group). Resolution of vertigo and nystagmus on the Dix-Hallpike and Roll test on day 3,day 7,day 14 and day 28 follow-up after first treatment was the main outcome measure to assess the efficacy of treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">At 3-day and 7-day follow-up after treatment with BPPV diagnosis and treatment system, 79%, 91%had complete resolution of vertigo and nystagmus, the effective rate in the experimental group were significantly higher than those in the control group, the differences were statistically significant(P < .05). On day 14, the effective rate in the experimental group (96%) was slightly higher than that in the control group(91%), but there was no significant difference between the two groups. And at 28-day after the first treatment, the effective rate was 100% in the experimental group and the control group. The repositioning efficiency of pc-BPPV (the first, second, third treatment), hc-BPPV (the first, second, third treatment), hc-BPPV-cu(the first, second treatment) in the experimental group were higher than the control group, and the secondary reposition of pc-BPPV in the experimental group was significantly higher than the control group(96%vs.84%; P < .05). While for the hc-BPPV-cu patients, the effective rate of the third treatment in the experimental group was slightly lower than that of the control group, but the differences were not statistically significant.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">BPPV diagnosis and treatment system is effective for the treatment of BPPV, with a better effective rate than those treated with manual maneuver, and is safe and easy to perform on patients.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y">
<Author ValidYN="Y">
<LastName>Lou</LastName>
<ForeName>Yue</ForeName>
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<Affiliation>Department of Neurology, Zhejiang Hospital, Hangzhou 310013, China.</Affiliation>
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<LastName>Cai</LastName>
<ForeName>Miao</ForeName>
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</AffiliationInfo>
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<Affiliation>Department of Neurology, Zhejiang Hospital, Hangzhou 310013, China.</Affiliation>
</AffiliationInfo>
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<Affiliation>Department of Neurology, Zhejiang Hospital, Hangzhou 310013, China.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Zhuang</LastName>
<ForeName>Liying</ForeName>
<Initials>L</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, Zhejiang Hospital, Hangzhou 310013, China.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Liu</LastName>
<ForeName>Xiaoli</ForeName>
<Initials>X</Initials>
<AffiliationInfo>
<Affiliation>Department of Neurology, Zhejiang Hospital, Hangzhou 310013, China. Electronic address: liuxiaoli0907@126.com.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<PublicationTypeList>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic">
<Year>2020</Year>
<Month>02</Month>
<Day>04</Day>
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<Country>United States</Country>
<MedlineTA>Am J Otolaryngol</MedlineTA>
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<MeshHeading>
<DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D065635" MajorTopicYN="N">Benign Paroxysmal Positional Vertigo</DescriptorName>
<QualifierName UI="Q000175" MajorTopicYN="Y">diagnosis</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
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<MeshHeading>
<DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
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<MeshHeading>
<DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055805" MajorTopicYN="N">Moving and Lifting Patients</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="Y">instrumentation</QualifierName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
<MeshHeading>
<DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM">
<Keyword MajorTopicYN="N">BPPV diagnosis and treatment system</Keyword>
<Keyword MajorTopicYN="N">Benign paroxysmal positional vertigo</Keyword>
<Keyword MajorTopicYN="N">Dix-Hallpike test</Keyword>
<Keyword MajorTopicYN="N">Roll test</Keyword>
</KeywordList>
<CoiStatement>Declaration of competing interest Nothing was received by we and our institution from the company that makes the BPPV Diagnosis and Treatment System used to test and treat patients referenced in our manuscript and study, and there are no conflicts of interest to be reported by the authors of this study.</CoiStatement>
</MedlineCitation>
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<Year>2019</Year>
<Month>12</Month>
<Day>02</Day>
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<PubMedPubDate PubStatus="revised">
<Year>2020</Year>
<Month>01</Month>
<Day>28</Day>
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<PubMedPubDate PubStatus="accepted">
<Year>2020</Year>
<Month>02</Month>
<Day>02</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed">
<Year>2020</Year>
<Month>2</Month>
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<country name="République populaire de Chine">
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<name sortKey="Lou, Yue" sort="Lou, Yue" uniqKey="Lou Y" first="Yue" last="Lou">Yue Lou</name>
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<name sortKey="Cai, Miao" sort="Cai, Miao" uniqKey="Cai M" first="Miao" last="Cai">Miao Cai</name>
<name sortKey="Liu, Xiaoli" sort="Liu, Xiaoli" uniqKey="Liu X" first="Xiaoli" last="Liu">Xiaoli Liu</name>
<name sortKey="Wang, Yanwen" sort="Wang, Yanwen" uniqKey="Wang Y" first="Yanwen" last="Wang">Yanwen Wang</name>
<name sortKey="Xu, Liangguo" sort="Xu, Liangguo" uniqKey="Xu L" first="Liangguo" last="Xu">Liangguo Xu</name>
<name sortKey="Zhuang, Liying" sort="Zhuang, Liying" uniqKey="Zhuang L" first="Liying" last="Zhuang">Liying Zhuang</name>
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