Single Cycle Versus Multiple Cycles of Canalith Repositioning Procedure for Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial.
Identifieur interne : 000009 ( Main/Exploration ); précédent : 000008; suivant : 000010Single Cycle Versus Multiple Cycles of Canalith Repositioning Procedure for Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial.
Auteurs : Suwicha Kaewsiri Isaradisaikul ; Sanathorn Chowsilpa ; Charuk Hanprasertpong ; Tayaporn Rithirangsriroj [Thaïlande]Source :
- Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [ 1537-4505 ] ; 2020.
Abstract
OBJECTIVE
To compare the treatment outcomes and complications of single cycle versus multiple cycles of the canalith repositioning procedure (CRP).
STUDY DESIGN
Randomized controlled trial.
SETTING
Academic tertiary referral center; Chiang Mai University, Thailand.
PATIENTS
One hundred and forty-three adults who had unilateral posterior canal benign paroxysmal positional vertigo (BPPV).
INTERVENTION
Therapeutic. Patients received either a single cycle or multiple cycles of the CRP in one session.
MAIN OUTCOME MEASURES
Rate of negative Dix-Hallpike test (DHT), rate of symptom improvement, dizziness handicap inventory score (DHI), and rate of complications.
RESULTS
At the 1st week and the 4th week recall visits after CRP the treatment outcomes between the single-CRP group and the multiple-CRP group showed no significant difference. The outcomes included: 1) rate of negative DHT (1st week: 76.9 and 76.7%, 4th week: 89.5 and 88.2%); 2) rate of complete recovery or improved symptoms (1st week: 92.3 and 91.7%; 4th week: 96.5 and 98.0%); 3) DHI scores (1st week: 22 and 28; 4th week: 6 and 10); and 4) complication rate (1st week: 12.5 and 20%; 4th week: 20 and 0%. Rate of complications in the single-CRP group (6.9%) during the 1st treatment was lower than in the multiple-CRP groups (21.1%) (p-value = 0.013).
CONCLUSION
A single cycle of CRP is as effective as multiple cycle CRP, with a lower incidence of complication and a decrease in the time for treatment. Single-cycle CRP is a more advantageous treatment for unilateral posterior canal BPPV. CLINICALTRIALS.
GOV IDENTIFIER
NCT02701218.
DOI: 10.1097/MAO.0000000000002894
PubMed: 32947492
Affiliations:
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Mai</wicri:noCountry></affiliation></author><author><name sortKey="Hanprasertpong, Charuk" sort="Hanprasertpong, Charuk" uniqKey="Hanprasertpong C" first="Charuk" last="Hanprasertpong">Charuk Hanprasertpong</name><affiliation><nlm:affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</nlm:affiliation><wicri:noCountry code="subField">Chiang Mai</wicri:noCountry></affiliation></author><author><name sortKey="Rithirangsriroj, Tayaporn" sort="Rithirangsriroj, Tayaporn" uniqKey="Rithirangsriroj T" first="Tayaporn" last="Rithirangsriroj">Tayaporn Rithirangsriroj</name><affiliation wicri:level="1"><nlm:affiliation>Bamrasnaradura Infectious Diseases Institute, Nonthaburi, Thailand.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bamrasnaradura Infectious Diseases Institute, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32947492</idno><idno type="pmid">32947492</idno><idno type="doi">10.1097/MAO.0000000000002894</idno><idno type="wicri:Area/Main/Corpus">000002</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000002</idno><idno type="wicri:Area/Main/Curation">000002</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000002</idno><idno type="wicri:Area/Main/Exploration">000002</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Single Cycle Versus Multiple Cycles of Canalith Repositioning Procedure for Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial.</title><author><name sortKey="Isaradisaikul, Suwicha Kaewsiri" sort="Isaradisaikul, Suwicha Kaewsiri" uniqKey="Isaradisaikul S" first="Suwicha Kaewsiri" last="Isaradisaikul">Suwicha Kaewsiri Isaradisaikul</name><affiliation><nlm:affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</nlm:affiliation><wicri:noCountry code="subField">Chiang Mai</wicri:noCountry></affiliation></author><author><name sortKey="Chowsilpa, Sanathorn" sort="Chowsilpa, Sanathorn" uniqKey="Chowsilpa S" first="Sanathorn" last="Chowsilpa">Sanathorn Chowsilpa</name><affiliation><nlm:affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</nlm:affiliation><wicri:noCountry code="subField">Chiang Mai</wicri:noCountry></affiliation></author><author><name sortKey="Hanprasertpong, Charuk" sort="Hanprasertpong, Charuk" uniqKey="Hanprasertpong C" first="Charuk" last="Hanprasertpong">Charuk Hanprasertpong</name><affiliation><nlm:affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</nlm:affiliation><wicri:noCountry code="subField">Chiang Mai</wicri:noCountry></affiliation></author><author><name sortKey="Rithirangsriroj, Tayaporn" sort="Rithirangsriroj, Tayaporn" uniqKey="Rithirangsriroj T" first="Tayaporn" last="Rithirangsriroj">Tayaporn Rithirangsriroj</name><affiliation wicri:level="1"><nlm:affiliation>Bamrasnaradura Infectious Diseases Institute, Nonthaburi, Thailand.</nlm:affiliation><country xml:lang="fr">Thaïlande</country><wicri:regionArea>Bamrasnaradura Infectious Diseases Institute, Nonthaburi</wicri:regionArea><wicri:noRegion>Nonthaburi</wicri:noRegion></affiliation></author></analytic><series><title level="j">Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</title><idno type="eISSN">1537-4505</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To compare the treatment outcomes and complications of single cycle versus multiple cycles of the canalith repositioning procedure (CRP).</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Randomized controlled trial.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Academic tertiary referral center; Chiang Mai University, Thailand.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS</b></p><p>One hundred and forty-three adults who had unilateral posterior canal benign paroxysmal positional vertigo (BPPV).</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTION</b></p><p>Therapeutic. Patients received either a single cycle or multiple cycles of the CRP in one session.</p></div><div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b></p><p>Rate of negative Dix-Hallpike test (DHT), rate of symptom improvement, dizziness handicap inventory score (DHI), and rate of complications.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>At the 1st week and the 4th week recall visits after CRP the treatment outcomes between the single-CRP group and the multiple-CRP group showed no significant difference. The outcomes included: 1) rate of negative DHT (1st week: 76.9 and 76.7%, 4th week: 89.5 and 88.2%); 2) rate of complete recovery or improved symptoms (1st week: 92.3 and 91.7%; 4th week: 96.5 and 98.0%); 3) DHI scores (1st week: 22 and 28; 4th week: 6 and 10); and 4) complication rate (1st week: 12.5 and 20%; 4th week: 20 and 0%. Rate of complications in the single-CRP group (6.9%) during the 1st treatment was lower than in the multiple-CRP groups (21.1%) (p-value = 0.013).</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>A single cycle of CRP is as effective as multiple cycle CRP, with a lower incidence of complication and a decrease in the time for treatment. Single-cycle CRP is a more advantageous treatment for unilateral posterior canal BPPV. CLINICALTRIALS.</p></div><div type="abstract" xml:lang="en"><p><b>GOV IDENTIFIER</b></p><p>NCT02701218.</p></div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32947492</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>18</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1537-4505</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Sep</Month><Day>17</Day></PubDate></JournalIssue><Title>Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology</Title><ISOAbbreviation>Otol Neurotol</ISOAbbreviation></Journal><ArticleTitle>Single Cycle Versus Multiple Cycles of Canalith Repositioning Procedure for Treatment of Posterior Canal Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1097/MAO.0000000000002894</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To compare the treatment outcomes and complications of single cycle versus multiple cycles of the canalith repositioning procedure (CRP).</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Randomized controlled trial.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Academic tertiary referral center; Chiang Mai University, Thailand.</AbstractText><AbstractText Label="PATIENTS" NlmCategory="METHODS">One hundred and forty-three adults who had unilateral posterior canal benign paroxysmal positional vertigo (BPPV).</AbstractText><AbstractText Label="INTERVENTION" NlmCategory="METHODS">Therapeutic. Patients received either a single cycle or multiple cycles of the CRP in one session.</AbstractText><AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Rate of negative Dix-Hallpike test (DHT), rate of symptom improvement, dizziness handicap inventory score (DHI), and rate of complications.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">At the 1st week and the 4th week recall visits after CRP the treatment outcomes between the single-CRP group and the multiple-CRP group showed no significant difference. The outcomes included: 1) rate of negative DHT (1st week: 76.9 and 76.7%, 4th week: 89.5 and 88.2%); 2) rate of complete recovery or improved symptoms (1st week: 92.3 and 91.7%; 4th week: 96.5 and 98.0%); 3) DHI scores (1st week: 22 and 28; 4th week: 6 and 10); and 4) complication rate (1st week: 12.5 and 20%; 4th week: 20 and 0%. Rate of complications in the single-CRP group (6.9%) during the 1st treatment was lower than in the multiple-CRP groups (21.1%) (p-value = 0.013).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A single cycle of CRP is as effective as multiple cycle CRP, with a lower incidence of complication and a decrease in the time for treatment. Single-cycle CRP is a more advantageous treatment for unilateral posterior canal BPPV. CLINICALTRIALS.</AbstractText><AbstractText Label="GOV IDENTIFIER" NlmCategory="UNASSIGNED">NCT02701218.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Isaradisaikul</LastName><ForeName>Suwicha Kaewsiri</ForeName><Initials>SK</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chowsilpa</LastName><ForeName>Sanathorn</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hanprasertpong</LastName><ForeName>Charuk</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rithirangsriroj</LastName><ForeName>Tayaporn</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Bamrasnaradura Infectious Diseases Institute, Nonthaburi, Thailand.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT02701218</AccessionNumber></AccessionNumberList></DataBank></DataBankList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>09</Month><Day>17</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Otol Neurotol</MedlineTA><NlmUniqueID>100961504</NlmUniqueID><ISSNLinking>1531-7129</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>9</Month><Day>18</Day><Hour>20</Hour><Minute>25</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>19</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32947492</ArticleId><ArticleId IdType="doi">10.1097/MAO.0000000000002894</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Thaïlande</li></country></list><tree><noCountry><name sortKey="Chowsilpa, Sanathorn" sort="Chowsilpa, Sanathorn" uniqKey="Chowsilpa S" first="Sanathorn" last="Chowsilpa">Sanathorn Chowsilpa</name><name sortKey="Hanprasertpong, Charuk" sort="Hanprasertpong, Charuk" uniqKey="Hanprasertpong C" first="Charuk" last="Hanprasertpong">Charuk Hanprasertpong</name><name sortKey="Isaradisaikul, Suwicha Kaewsiri" sort="Isaradisaikul, Suwicha Kaewsiri" uniqKey="Isaradisaikul S" first="Suwicha Kaewsiri" last="Isaradisaikul">Suwicha Kaewsiri Isaradisaikul</name></noCountry><country name="Thaïlande"><noRegion><name sortKey="Rithirangsriroj, Tayaporn" sort="Rithirangsriroj, Tayaporn" uniqKey="Rithirangsriroj T" first="Tayaporn" last="Rithirangsriroj">Tayaporn Rithirangsriroj</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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