TestDixHallpikeV1, Main, Exploration, bibRecord, 000044

Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV.

Identifieur interne : 000044 ( Main/Exploration ); précédent : 000043; suivant : 000045

Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV.

Auteurs : Uzdan Uz [Turquie] ; Didem Uz [Turquie] ; Gülden Akdal [Turquie] ; Onur Çelik [Turquie]

Source :

The journal of international advanced otology [ 2148-3817 ] ; 2019.

RBID : pubmed:31846923

Descripteurs français

KwdFr :
- Facteurs temps (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mâle (MeSH), Positionnement du patient (méthodes), Qualité de vie (MeSH), Résultat thérapeutique (MeSH), Sensation vertigineuse (diagnostic), Sensation vertigineuse (étiologie), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Techniques de physiothérapie (psychologie), Vertige positionnel paroxystique bénin (complications), Vertige positionnel paroxystique bénin (psychologie), Vertige positionnel paroxystique bénin (thérapie), Échelle visuelle analogique (MeSH), Études prospectives (MeSH), Évaluation gériatrique (MeSH).
MESH :
- diagnostic : Sensation vertigineuse.
- méthodes : Positionnement du patient.
- psychologie : Techniques de physiothérapie, Vertige positionnel paroxystique bénin.
- thérapie : Vertige positionnel paroxystique bénin.
- étiologie : Sensation vertigineuse.
- complications : Facteurs temps, Femelle, Humains, Indice de gravité de la maladie, Mâle, Qualité de vie, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Vertige positionnel paroxystique bénin, Échelle visuelle analogique, Études prospectives, Évaluation gériatrique.

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Benign Paroxysmal Positional Vertigo (complications), Benign Paroxysmal Positional Vertigo (psychology), Benign Paroxysmal Positional Vertigo (therapy), Dizziness (diagnosis), Dizziness (etiology), Female (MeSH), Geriatric Assessment (MeSH), Humans (MeSH), Male (MeSH), Patient Positioning (methods), Physical Therapy Modalities (psychology), Prospective Studies (MeSH), Quality of Life (MeSH), Severity of Illness Index (MeSH), Time Factors (MeSH), Treatment Outcome (MeSH), Visual Analog Scale (MeSH).
MESH :
- complications : Benign Paroxysmal Positional Vertigo.
- diagnosis : Dizziness.
- etiology : Dizziness.
- methods : Patient Positioning.
- psychology : Benign Paroxysmal Positional Vertigo, Physical Therapy Modalities.
- therapy : Benign Paroxysmal Positional Vertigo.
- Aged, Aged, 80 and over, Female, Geriatric Assessment, Humans, Male, Prospective Studies, Quality of Life, Severity of Illness Index, Time Factors, Treatment Outcome, Visual Analog Scale.

Abstract

OBJECTIVES

This study aimed to evaluate the efficacy of the repositioning maneuver on quality of life in elderly patients with dizziness and/or vertigo.

MATERIALS AND METHODS

This controlled, prospective randomized clinical trial was conducted in elderly patients aged 65 years and above with a positive history of benign paroxysmal positional vertigo (BPPV), presence of vertigo, and no observable nystagmus during the Dix-Hallpike test, so-called Subjective BPPV (S-BPPV). Individuals were evaluated by visual analog scale (VAS) and dizziness handicap inventory (DHI). Groups were defined as treatment (treated with Epley maneuver bilaterally) or no treatment control (no treatment modality or canalith repositioning maneuver). Ten days after the first assessment, all patients were reassessed using VAS and DHI.

RESULTS

A total of 50 patients were randomized into two groups: 25 to the treatment group, and 25 to the control group. No significant differences were observed for baseline VAS and total DHI scores between the groups (p=0.636, p=0.846, respectively). On the other hand, after the reassessment, VAS and total DHI scores were both significantly reduced in the treatment group (p<0.001, p<0.001, respectively), but no reduction in either score was found in the control group (p=0.216, p=0.731, respectively).

CONCLUSION

This study showed that elderly patients with S-BPPV benefit from the Epley maneuver, in particular global and disease-specific quality of life.

DOI: 10.5152/iao.2019.6483
PubMed: 31846923
PubMed Central: PMC6937179

Affiliations:

Turquie

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000022
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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (complications)</term>
<term>Benign Paroxysmal Positional Vertigo (psychology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Dizziness (diagnosis)</term>
<term>Dizziness (etiology)</term>
<term>Female (MeSH)</term>
<term>Geriatric Assessment (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Patient Positioning (methods)</term>
<term>Physical Therapy Modalities (psychology)</term>
<term>Prospective Studies (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Time Factors (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Visual Analog Scale (MeSH)</term>
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<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Positionnement du patient (méthodes)</term>
<term>Qualité de vie (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Sensation vertigineuse (diagnostic)</term>
<term>Sensation vertigineuse (étiologie)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Techniques de physiothérapie (psychologie)</term>
<term>Vertige positionnel paroxystique bénin (complications)</term>
<term>Vertige positionnel paroxystique bénin (psychologie)</term>
<term>Vertige positionnel paroxystique bénin (thérapie)</term>
<term>Échelle visuelle analogique (MeSH)</term>
<term>Études prospectives (MeSH)</term>
<term>Évaluation gériatrique (MeSH)</term>
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<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dizziness</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Sensation vertigineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dizziness</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Patient Positioning</term>
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<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Techniques de physiothérapie</term>
<term>Vertige positionnel paroxystique bénin</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Physical Therapy Modalities</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
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<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term>
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<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Sensation vertigineuse</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Geriatric Assessment</term>
<term>Humans</term>
<term>Male</term>
<term>Prospective Studies</term>
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<term>Severity of Illness Index</term>
<term>Time Factors</term>
<term>Treatment Outcome</term>
<term>Visual Analog Scale</term>
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<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Mâle</term>
<term>Qualité de vie</term>
<term>Résultat thérapeutique</term>
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<term>Sujet âgé de 80 ans ou plus</term>
<term>Vertige positionnel paroxystique bénin</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>This study aimed to evaluate the efficacy of the repositioning maneuver on quality of life in elderly patients with dizziness and/or vertigo.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MATERIALS AND METHODS</b>
</p>
<p>This controlled, prospective randomized clinical trial was conducted in elderly patients aged 65 years and above with a positive history of benign paroxysmal positional vertigo (BPPV), presence of vertigo, and no observable nystagmus during the Dix-Hallpike test, so-called Subjective BPPV (S-BPPV). Individuals were evaluated by visual analog scale (VAS) and dizziness handicap inventory (DHI). Groups were defined as treatment (treated with Epley maneuver bilaterally) or no treatment control (no treatment modality or canalith repositioning maneuver). Ten days after the first assessment, all patients were reassessed using VAS and DHI.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 50 patients were randomized into two groups: 25 to the treatment group, and 25 to the control group. No significant differences were observed for baseline VAS and total DHI scores between the groups (p=0.636, p=0.846, respectively). On the other hand, after the reassessment, VAS and total DHI scores were both significantly reduced in the treatment group (p<0.001, p<0.001, respectively), but no reduction in either score was found in the control group (p=0.216, p=0.731, respectively).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>This study showed that elderly patients with S-BPPV benefit from the Epley maneuver, in particular global and disease-specific quality of life.</p>
</div>
</front>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">This study aimed to evaluate the efficacy of the repositioning maneuver on quality of life in elderly patients with dizziness and/or vertigo.</AbstractText>
<AbstractText Label="MATERIALS AND METHODS" NlmCategory="METHODS">This controlled, prospective randomized clinical trial was conducted in elderly patients aged 65 years and above with a positive history of benign paroxysmal positional vertigo (BPPV), presence of vertigo, and no observable nystagmus during the Dix-Hallpike test, so-called Subjective BPPV (S-BPPV). Individuals were evaluated by visual analog scale (VAS) and dizziness handicap inventory (DHI). Groups were defined as treatment (treated with Epley maneuver bilaterally) or no treatment control (no treatment modality or canalith repositioning maneuver). Ten days after the first assessment, all patients were reassessed using VAS and DHI.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">A total of 50 patients were randomized into two groups: 25 to the treatment group, and 25 to the control group. No significant differences were observed for baseline VAS and total DHI scores between the groups (p=0.636, p=0.846, respectively). On the other hand, after the reassessment, VAS and total DHI scores were both significantly reduced in the treatment group (p<0.001, p<0.001, respectively), but no reduction in either score was found in the control group (p=0.216, p=0.731, respectively).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">This study showed that elderly patients with S-BPPV benefit from the Epley maneuver, in particular global and disease-specific quality of life.</AbstractText>
</Abstract>
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<ForeName>Didem</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurology, Dokuz Eylül University School of Medicine, İzmir, Turkey.</Affiliation>
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Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV.

Efficacy of Epley Maneuver on Quality of Life of Elderly Patients with Subjective BPPV.

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