TestDixHallpikeV1, Main, Exploration, bibRecord, 000133

Comparative Study on the Roles of the Number of Accelerations and Rotation Angle in the Treatment Maneuvers for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo.

Identifieur interne : 000133 ( Main/Exploration ); précédent : 000132; suivant : 000134

Comparative Study on the Roles of the Number of Accelerations and Rotation Angle in the Treatment Maneuvers for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo.

Auteurs : Liang Tian [République populaire de Chine] ; Hai-Bin Sheng ; Jing Wang ; Xu Luo ; Jing Yu ; Xian-Hao Jia ; Xiang Cheng ; Zhao Han ; Fang-Lu Chi

Source :

ORL; journal for oto-rhino-laryngology and its related specialties [ 1423-0275 ] ; 2016.

RBID : pubmed:26682914

Descripteurs français

English descriptors

KwdEn :
- Acceleration (MeSH), Benign Paroxysmal Positional Vertigo (diagnosis), Benign Paroxysmal Positional Vertigo (physiopathology), Benign Paroxysmal Positional Vertigo (therapy), Equipment and Supplies (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Patient Positioning (MeSH), Physical Therapy Modalities (MeSH), Prospective Studies (MeSH), Rotation (MeSH), Semicircular Canals (physiopathology), Single-Blind Method (MeSH), Treatment Outcome (MeSH).
MESH :
- diagnosis : Benign Paroxysmal Positional Vertigo.
- physiopathology : Benign Paroxysmal Positional Vertigo, Semicircular Canals.
- therapy : Benign Paroxysmal Positional Vertigo.
- Acceleration, Equipment and Supplies, Female, Humans, Male, Middle Aged, Patient Positioning, Physical Therapy Modalities, Prospective Studies, Rotation, Single-Blind Method, Treatment Outcome.

Abstract

AIMS

This study aims to investigate the roles of the number of accelerations and rotation angle in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV).

METHODS

We enrolled 344 patients with unilateral PC-BPPV. Of these, 167 patients in the simple-step maneuver (SSM) group were accelerated twice and rotated 120° per step, whereas 177 patients in the multi-step maneuver (MSM) group were accelerated 4 times and rotated 60° per step. Dix-Hallpike (DH) tests were performed to categorize the treatment outcome as follows: 'symptom free' if the result was negative, 'symptom persistent' if the result remained positive after performing the maneuver 3 times or 'canal conversion' if horizontal nystagmus was evoked.

RESULTS

Of the patients in the SSM and MSM groups, 78.4 and 91.5% became symptom free, respectively, while canal conversion occurred in 13.8 and 5.1%, respectively (p = 0.003, χ(2) test). The success rate after performing the maneuver once was 57.1% in the MSM and 32.3% in the SSM symptom-free patients (p = 0.001, χ(2) test). One month after the treatment, 22.0 and 9.6% of the SSM and MSM patients had symptom relapse, respectively (p = 0.007, χ(2) test).

CONCLUSIONS

More accelerations and a smaller rotation angle improved the effectiveness and efficiency of the repositioning maneuvers and reduced canal conversion.

DOI: 10.1159/000442091
PubMed: 26682914

Affiliations:

République populaire de Chine

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

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Le document en format XML

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<sourceDesc><biblStruct><analytic><title xml:lang="en">Comparative Study on the Roles of the Number of Accelerations and Rotation Angle in the Treatment Maneuvers for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo.</title>
<author><name sortKey="Tian, Liang" sort="Tian, Liang" uniqKey="Tian L" first="Liang" last="Tian">Liang Tian</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Otology and Skull Base Surgery, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai Clinical Medical Center of Hearing Medicine, and Key Laboratory of Hearing Science, Ministry of Health, Shanghai, China.</nlm:affiliation>
<country xml:lang="fr">République populaire de Chine</country>
<wicri:regionArea>Department of Otology and Skull Base Surgery, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai Clinical Medical Center of Hearing Medicine, and Key Laboratory of Hearing Science, Ministry of Health, Shanghai</wicri:regionArea>
<wicri:noRegion>Shanghai</wicri:noRegion>
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<author><name sortKey="Sheng, Hai Bin" sort="Sheng, Hai Bin" uniqKey="Sheng H" first="Hai-Bin" last="Sheng">Hai-Bin Sheng</name>
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<author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name>
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<author><name sortKey="Luo, Xu" sort="Luo, Xu" uniqKey="Luo X" first="Xu" last="Luo">Xu Luo</name>
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<author><name sortKey="Yu, Jing" sort="Yu, Jing" uniqKey="Yu J" first="Jing" last="Yu">Jing Yu</name>
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<author><name sortKey="Jia, Xian Hao" sort="Jia, Xian Hao" uniqKey="Jia X" first="Xian-Hao" last="Jia">Xian-Hao Jia</name>
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<author><name sortKey="Cheng, Xiang" sort="Cheng, Xiang" uniqKey="Cheng X" first="Xiang" last="Cheng">Xiang Cheng</name>
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<author><name sortKey="Han, Zhao" sort="Han, Zhao" uniqKey="Han Z" first="Zhao" last="Han">Zhao Han</name>
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<author><name sortKey="Chi, Fang Lu" sort="Chi, Fang Lu" uniqKey="Chi F" first="Fang-Lu" last="Chi">Fang-Lu Chi</name>
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<series><title level="j">ORL; journal for oto-rhino-laryngology and its related specialties</title>
<idno type="eISSN">1423-0275</idno>
<imprint><date when="2016" type="published">2016</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acceleration (MeSH)</term>
<term>Benign Paroxysmal Positional Vertigo (diagnosis)</term>
<term>Benign Paroxysmal Positional Vertigo (physiopathology)</term>
<term>Benign Paroxysmal Positional Vertigo (therapy)</term>
<term>Equipment and Supplies (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Patient Positioning (MeSH)</term>
<term>Physical Therapy Modalities (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Semicircular Canals (physiopathology)</term>
<term>Single-Blind Method (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Accélération (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Canaux semicirculaires osseux (physiopathologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Méthode en simple aveugle (MeSH)</term>
<term>Positionnement du patient (MeSH)</term>
<term>Rotation (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Techniques de physiothérapie (MeSH)</term>
<term>Vertige positionnel paroxystique bénin (diagnostic)</term>
<term>Vertige positionnel paroxystique bénin (physiopathologie)</term>
<term>Vertige positionnel paroxystique bénin (thérapie)</term>
<term>Équipement et fournitures (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Canaux semicirculaires osseux</term>
<term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
<term>Semicircular Canals</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Benign Paroxysmal Positional Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige positionnel paroxystique bénin</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Acceleration</term>
<term>Equipment and Supplies</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Positioning</term>
<term>Physical Therapy Modalities</term>
<term>Prospective Studies</term>
<term>Rotation</term>
<term>Single-Blind Method</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Accélération</term>
<term>Adulte d'âge moyen</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Méthode en simple aveugle</term>
<term>Positionnement du patient</term>
<term>Rotation</term>
<term>Résultat thérapeutique</term>
<term>Techniques de physiothérapie</term>
<term>Équipement et fournitures</term>
<term>Études prospectives</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en"><p><b>AIMS</b>
</p>
<p>This study aims to investigate the roles of the number of accelerations and rotation angle in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>We enrolled 344 patients with unilateral PC-BPPV. Of these, 167 patients in the simple-step maneuver (SSM) group were accelerated twice and rotated 120° per step, whereas 177 patients in the multi-step maneuver (MSM) group were accelerated 4 times and rotated 60° per step. Dix-Hallpike (DH) tests were performed to categorize the treatment outcome as follows: 'symptom free' if the result was negative, 'symptom persistent' if the result remained positive after performing the maneuver 3 times or 'canal conversion' if horizontal nystagmus was evoked.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Of the patients in the SSM and MSM groups, 78.4 and 91.5% became symptom free, respectively, while canal conversion occurred in 13.8 and 5.1%, respectively (p = 0.003, χ(2) test). The success rate after performing the maneuver once was 57.1% in the MSM and 32.3% in the SSM symptom-free patients (p = 0.001, χ(2) test). One month after the treatment, 22.0 and 9.6% of the SSM and MSM patients had symptom relapse, respectively (p = 0.007, χ(2) test).</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>More accelerations and a smaller rotation angle improved the effectiveness and efficiency of the repositioning maneuvers and reduced canal conversion.</p>
</div>
</front>
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<Abstract><AbstractText Label="AIMS" NlmCategory="OBJECTIVE">This study aims to investigate the roles of the number of accelerations and rotation angle in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV).</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We enrolled 344 patients with unilateral PC-BPPV. Of these, 167 patients in the simple-step maneuver (SSM) group were accelerated twice and rotated 120° per step, whereas 177 patients in the multi-step maneuver (MSM) group were accelerated 4 times and rotated 60° per step. Dix-Hallpike (DH) tests were performed to categorize the treatment outcome as follows: 'symptom free' if the result was negative, 'symptom persistent' if the result remained positive after performing the maneuver 3 times or 'canal conversion' if horizontal nystagmus was evoked.</AbstractText>
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<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">More accelerations and a smaller rotation angle improved the effectiveness and efficiency of the repositioning maneuvers and reduced canal conversion.</AbstractText>
<CopyrightInformation>© 2015 S. Karger AG, Basel.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tian</LastName>
<ForeName>Liang</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>Department of Otology and Skull Base Surgery, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai Clinical Medical Center of Hearing Medicine, and Key Laboratory of Hearing Science, Ministry of Health, Shanghai, China.</Affiliation>
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<ForeName>Fang-Lu</ForeName>
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<name sortKey="Han, Zhao" sort="Han, Zhao" uniqKey="Han Z" first="Zhao" last="Han">Zhao Han</name>
<name sortKey="Jia, Xian Hao" sort="Jia, Xian Hao" uniqKey="Jia X" first="Xian-Hao" last="Jia">Xian-Hao Jia</name>
<name sortKey="Luo, Xu" sort="Luo, Xu" uniqKey="Luo X" first="Xu" last="Luo">Xu Luo</name>
<name sortKey="Sheng, Hai Bin" sort="Sheng, Hai Bin" uniqKey="Sheng H" first="Hai-Bin" last="Sheng">Hai-Bin Sheng</name>
<name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name>
<name sortKey="Yu, Jing" sort="Yu, Jing" uniqKey="Yu J" first="Jing" last="Yu">Jing Yu</name>
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<country name="République populaire de Chine"><noRegion><name sortKey="Tian, Liang" sort="Tian, Liang" uniqKey="Tian L" first="Liang" last="Tian">Liang Tian</name>
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Serveur d'exploration sur le test Dix-Hallpike

Comparative Study on the Roles of the Number of Accelerations and Rotation Angle in the Treatment Maneuvers for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo.

Comparative Study on the Roles of the Number of Accelerations and Rotation Angle in the Treatment Maneuvers for Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo.

Source :

Descripteurs français

English descriptors

Abstract

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

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