Serveur d'exploration sur le test Dix-Hallpike

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Efficacy of a new home treatment device for benign paroxysmal positional vertigo.

Identifieur interne : 000273 ( Main/Exploration ); précédent : 000272; suivant : 000274

Efficacy of a new home treatment device for benign paroxysmal positional vertigo.

Auteurs : Matthew Bromwich [Canada] ; Brian Hughes ; Mark Raymond ; Sydney Sukerman ; Lorne Parnes

Source :

RBID : pubmed:20644063

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To prospectively test the efficacy of a device for the home treatment of benign paroxysmal positional vertigo (BPPV).

DESIGN

Multicenter prospective cohort study.

SETTING

Community and tertiary care clinic offices and patient homes.

PATIENTS

Forty patients with active BPPV.

INTERVENTIONS

Training on and treatment with a home treatment device (The DizzyFIX) as their primary therapy technique.

MAIN OUTCOME MEASURE

The Dix-Hallpike maneuver at 1 week after treatment.

RESULTS

Patients using the home treatment device had no evidence of nystagmus in posttreatment Dix-Hallpike maneuvers at 1 week in 88% of cases (n = 40). This rate was comparable to standard treatment. There were no significant complications.

CONCLUSION

The use of this device enables patients with an established diagnosis of posterior canal BPPV to safely conduct an effective particle repositioning maneuver and achieve success rates similar to those found with the standard Epley maneuver.


DOI: 10.1001/archoto.2010.105
PubMed: 20644063


Affiliations:


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Le document en format XML

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<title xml:lang="en">Efficacy of a new home treatment device for benign paroxysmal positional vertigo.</title>
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<name sortKey="Bromwich, Matthew" sort="Bromwich, Matthew" uniqKey="Bromwich M" first="Matthew" last="Bromwich">Matthew Bromwich</name>
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<nlm:affiliation>Department of Otolaryngology, University of Western Ontario, London, Ontario, Canada. mabromwich@gmail.com</nlm:affiliation>
<country xml:lang="fr">Canada</country>
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<name sortKey="Hughes, Brian" sort="Hughes, Brian" uniqKey="Hughes B" first="Brian" last="Hughes">Brian Hughes</name>
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<name sortKey="Raymond, Mark" sort="Raymond, Mark" uniqKey="Raymond M" first="Mark" last="Raymond">Mark Raymond</name>
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<name sortKey="Sukerman, Sydney" sort="Sukerman, Sydney" uniqKey="Sukerman S" first="Sydney" last="Sukerman">Sydney Sukerman</name>
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<name sortKey="Parnes, Lorne" sort="Parnes, Lorne" uniqKey="Parnes L" first="Lorne" last="Parnes">Lorne Parnes</name>
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<term>Aged (MeSH)</term>
<term>Cohort Studies (MeSH)</term>
<term>Equipment Design (MeSH)</term>
<term>Equipment Safety (MeSH)</term>
<term>Female (MeSH)</term>
<term>Home Nursing (methods)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nystagmus, Pathologic (diagnosis)</term>
<term>Nystagmus, Pathologic (rehabilitation)</term>
<term>Patient Satisfaction (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Self-Help Devices (MeSH)</term>
<term>Severity of Illness Index (MeSH)</term>
<term>Treatment Outcome (MeSH)</term>
<term>Vertigo (diagnosis)</term>
<term>Vertigo (rehabilitation)</term>
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<term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Conception d'appareillage (MeSH)</term>
<term>Dispositifs d'assistance au mouvement (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Indice de gravité de la maladie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nystagmus pathologique (diagnostic)</term>
<term>Nystagmus pathologique (rééducation et réadaptation)</term>
<term>Posture (MeSH)</term>
<term>Résultat thérapeutique (MeSH)</term>
<term>Satisfaction des patients (MeSH)</term>
<term>Soins à domicile (méthodes)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sécurité du matériel (MeSH)</term>
<term>Vertige (diagnostic)</term>
<term>Vertige (rééducation et réadaptation)</term>
<term>Études de cohortes (MeSH)</term>
<term>Études prospectives (MeSH)</term>
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<term>Nystagmus, Pathologic</term>
<term>Vertigo</term>
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<term>Vertige</term>
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<term>Home Nursing</term>
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<term>Soins à domicile</term>
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<term>Nystagmus, Pathologic</term>
<term>Vertigo</term>
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<term>Nystagmus pathologique</term>
<term>Vertige</term>
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<term>Adult</term>
<term>Aged</term>
<term>Cohort Studies</term>
<term>Equipment Design</term>
<term>Equipment Safety</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Patient Satisfaction</term>
<term>Posture</term>
<term>Prospective Studies</term>
<term>Self-Help Devices</term>
<term>Severity of Illness Index</term>
<term>Treatment Outcome</term>
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<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Conception d'appareillage</term>
<term>Dispositifs d'assistance au mouvement</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indice de gravité de la maladie</term>
<term>Mâle</term>
<term>Posture</term>
<term>Résultat thérapeutique</term>
<term>Satisfaction des patients</term>
<term>Sujet âgé</term>
<term>Sécurité du matériel</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To prospectively test the efficacy of a device for the home treatment of benign paroxysmal positional vertigo (BPPV).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Multicenter prospective cohort study.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Community and tertiary care clinic offices and patient homes.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS</b>
</p>
<p>Forty patients with active BPPV.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>Training on and treatment with a home treatment device (The DizzyFIX) as their primary therapy technique.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURE</b>
</p>
<p>The Dix-Hallpike maneuver at 1 week after treatment.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Patients using the home treatment device had no evidence of nystagmus in posttreatment Dix-Hallpike maneuvers at 1 week in 88% of cases (n = 40). This rate was comparable to standard treatment. There were no significant complications.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>The use of this device enables patients with an established diagnosis of posterior canal BPPV to safely conduct an effective particle repositioning maneuver and achieve success rates similar to those found with the standard Epley maneuver.</p>
</div>
</front>
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