Efficacy of a new home treatment device for benign paroxysmal positional vertigo.
Identifieur interne : 000273 ( Main/Exploration ); précédent : 000272; suivant : 000274Efficacy of a new home treatment device for benign paroxysmal positional vertigo.
Auteurs : Matthew Bromwich [Canada] ; Brian Hughes ; Mark Raymond ; Sydney Sukerman ; Lorne ParnesSource :
- Archives of otolaryngology--head & neck surgery [ 1538-361X ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Conception d'appareillage (MeSH), Dispositifs d'assistance au mouvement (MeSH), Femelle (MeSH), Humains (MeSH), Indice de gravité de la maladie (MeSH), Mâle (MeSH), Nystagmus pathologique (diagnostic), Nystagmus pathologique (rééducation et réadaptation), Posture (MeSH), Résultat thérapeutique (MeSH), Satisfaction des patients (MeSH), Soins à domicile (méthodes), Sujet âgé (MeSH), Sécurité du matériel (MeSH), Vertige (diagnostic), Vertige (rééducation et réadaptation), Études de cohortes (MeSH), Études prospectives (MeSH).
- MESH :
- diagnostic : Nystagmus pathologique, Vertige.
- méthodes : Soins à domicile.
- rééducation et réadaptation : Nystagmus pathologique, Vertige.
- Adulte, Adulte d'âge moyen, Conception d'appareillage, Dispositifs d'assistance au mouvement, Femelle, Humains, Indice de gravité de la maladie, Mâle, Posture, Résultat thérapeutique, Satisfaction des patients, Sujet âgé, Sécurité du matériel, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Cohort Studies (MeSH), Equipment Design (MeSH), Equipment Safety (MeSH), Female (MeSH), Home Nursing (methods), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Nystagmus, Pathologic (diagnosis), Nystagmus, Pathologic (rehabilitation), Patient Satisfaction (MeSH), Posture (MeSH), Prospective Studies (MeSH), Self-Help Devices (MeSH), Severity of Illness Index (MeSH), Treatment Outcome (MeSH), Vertigo (diagnosis), Vertigo (rehabilitation).
- MESH :
- diagnosis : Nystagmus, Pathologic, Vertigo.
- methods : Home Nursing.
- rehabilitation : Nystagmus, Pathologic, Vertigo.
- Adult, Aged, Cohort Studies, Equipment Design, Equipment Safety, Female, Humans, Male, Middle Aged, Patient Satisfaction, Posture, Prospective Studies, Self-Help Devices, Severity of Illness Index, Treatment Outcome.
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:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Bromwich, Matthew" sort="Bromwich, Matthew" uniqKey="Bromwich M" first="Matthew" last="Bromwich">Matthew Bromwich</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, University of Western Ontario, London, Ontario, Canada. mabromwich@gmail.com</nlm:affiliation>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Otolaryngology, University of Western Ontario, London, Ontario</wicri:regionArea>
<wicri:noRegion>Ontario</wicri:noRegion>
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<author><name sortKey="Hughes, Brian" sort="Hughes, Brian" uniqKey="Hughes B" first="Brian" last="Hughes">Brian Hughes</name>
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<author><name sortKey="Raymond, Mark" sort="Raymond, Mark" uniqKey="Raymond M" first="Mark" last="Raymond">Mark Raymond</name>
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<author><name sortKey="Sukerman, Sydney" sort="Sukerman, Sydney" uniqKey="Sukerman S" first="Sydney" last="Sukerman">Sydney Sukerman</name>
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<author><name sortKey="Parnes, Lorne" sort="Parnes, Lorne" uniqKey="Parnes L" first="Lorne" last="Parnes">Lorne Parnes</name>
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<affiliation wicri:level="1"><nlm:affiliation>Department of Otolaryngology, University of Western Ontario, London, Ontario, Canada. mabromwich@gmail.com</nlm:affiliation>
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<author><name sortKey="Hughes, Brian" sort="Hughes, Brian" uniqKey="Hughes B" first="Brian" last="Hughes">Brian Hughes</name>
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<author><name sortKey="Raymond, Mark" sort="Raymond, Mark" uniqKey="Raymond M" first="Mark" last="Raymond">Mark Raymond</name>
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<author><name sortKey="Sukerman, Sydney" sort="Sukerman, Sydney" uniqKey="Sukerman S" first="Sydney" last="Sukerman">Sydney Sukerman</name>
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<series><title level="j">Archives of otolaryngology--head & neck surgery</title>
<idno type="eISSN">1538-361X</idno>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<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>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><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>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Nystagmus, Pathologic</term>
<term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Nystagmus pathologique</term>
<term>Vertige</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Home Nursing</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Soins à domicile</term>
</keywords>
<keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Nystagmus, Pathologic</term>
<term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Nystagmus pathologique</term>
<term>Vertige</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><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>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><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>
</keywords>
</textClass>
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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>
</TEI>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To prospectively test the efficacy of a device for the home treatment of benign paroxysmal positional vertigo (BPPV).</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Multicenter prospective cohort study.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Community and tertiary care clinic offices and patient homes.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Forty patients with active BPPV.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Training on and treatment with a home treatment device (The DizzyFIX) as their primary therapy technique.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">The Dix-Hallpike maneuver at 1 week after treatment.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
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