Canalith repositioning variations for benign paroxysmal positional vertigo.
Identifieur interne : 000279 ( Main/Exploration ); précédent : 000278; suivant : 000280Canalith repositioning variations for benign paroxysmal positional vertigo.
Auteurs : Helen S. Cohen [États-Unis] ; Haleh Sangi-HaghpeykarSource :
- Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery [ 1097-6817 ] ; 2010.
Descripteurs français
- KwdFr :
- Activités de la vie quotidienne (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Autosoins (MeSH), Canaux semicirculaires osseux (MeSH), Femelle (MeSH), Humains (MeSH), Manipulations de l'appareil locomoteur (méthodes), Mâle (MeSH), Positionnement du patient (MeSH), Récupération fonctionnelle (MeSH), Résultat thérapeutique (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vertige (physiopathologie), Vertige (thérapie), Études prospectives (MeSH).
- MESH :
- méthodes : Manipulations de l'appareil locomoteur.
- physiopathologie : Vertige.
- thérapie : Vertige.
- Activités de la vie quotidienne, Adulte, Adulte d'âge moyen, Autosoins, Canaux semicirculaires osseux, Femelle, Humains, Mâle, Positionnement du patient, Récupération fonctionnelle, Résultat thérapeutique, Sujet âgé, Sujet âgé de 80 ans ou plus, Études prospectives.
English descriptors
- KwdEn :
- Activities of Daily Living (MeSH), Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Musculoskeletal Manipulations (methods), Patient Positioning (MeSH), Prospective Studies (MeSH), Recovery of Function (MeSH), Self Care (MeSH), Semicircular Canals (MeSH), Treatment Outcome (MeSH), Vertigo (physiopathology), Vertigo (therapy).
- MESH :
- methods : Musculoskeletal Manipulations.
- physiopathology : Vertigo.
- therapy : Vertigo.
- Activities of Daily Living, Adult, Aged, Aged, 80 and over, Female, Humans, Male, Middle Aged, Patient Positioning, Prospective Studies, Recovery of Function, Self Care, Semicircular Canals, Treatment Outcome.
Abstract
OBJECTIVE
To determine if variations in common treatments for benign paroxysmal positional vertigo (BPPV) affected efficacy.
STUDY DESIGN
Prospective, pseudo-randomized study.
SETTING
Outpatient practice in a tertiary care facility.
SUBJECTS AND METHODS
Patients (n = 118) with unilateral BPPV of the posterior canal, including 13 patients with BPPV of the lateral canal, were tested at a tertiary care center on one of five interventions: canalith repositioning maneuver (CRP), CRP plus home exercise, modified CRP, CRP for patients with involvement of two semicircular canals, and self-CRP home exercise. Self-CRP was also compared to previously published data on efficacy of the Brandt Daroff exercise. Main outcome measures were vertigo intensity and frequency, presence/absence of Dix-Hallpike responses, Vestibular Disorders Activities of Daily Living Scale (VADL), and computerized dynamic posturography.
RESULTS
Vertigo intensity and frequency and Dix-Hallpike responses decreased significantly, and posturography and VADL improved significantly from pre- to post tests. No other significant changes were found. The groups did not differ significantly. Vertigo intensity and frequency were not strongly related at pretest but were related at post-test. Length of illness and age did not influence the results.
CONCLUSION
However the head is moved, as long as it is moved rapidly enough and through the correct planes in space, repositioning treatments are likely to be effective. Therefore, clinicians have a range of choices in selecting the treatment best suited for each patient's unique needs.
DOI: 10.1016/j.otohns.2010.05.022
PubMed: 20723779
PubMed Central: PMC2925299
Affiliations:
Links toward previous steps (curation, corpus...)
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Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Sangi Haghpeykar, Haleh" sort="Sangi Haghpeykar, Haleh" uniqKey="Sangi Haghpeykar H" first="Haleh" last="Sangi-Haghpeykar">Haleh Sangi-Haghpeykar</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="RBID">pubmed:20723779</idno><idno type="pmid">20723779</idno><idno type="doi">10.1016/j.otohns.2010.05.022</idno><idno type="pmc">PMC2925299</idno><idno type="wicri:Area/Main/Corpus">000264</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000264</idno><idno type="wicri:Area/Main/Curation">000264</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000264</idno><idno type="wicri:Area/Main/Exploration">000264</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Canalith repositioning variations for benign paroxysmal positional vertigo.</title><author><name sortKey="Cohen, Helen S" sort="Cohen, Helen S" uniqKey="Cohen H" first="Helen S" last="Cohen">Helen S. Cohen</name><affiliation wicri:level="2"><nlm:affiliation>Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA. hcohen@bcm.edu</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Sangi Haghpeykar, Haleh" sort="Sangi Haghpeykar, Haleh" uniqKey="Sangi Haghpeykar H" first="Haleh" last="Sangi-Haghpeykar">Haleh Sangi-Haghpeykar</name></author></analytic><series><title level="j">Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</title><idno type="eISSN">1097-6817</idno><imprint><date when="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Activities of Daily Living (MeSH)</term><term>Adult (MeSH)</term><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Musculoskeletal Manipulations (methods)</term><term>Patient Positioning (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Recovery of Function (MeSH)</term><term>Self Care (MeSH)</term><term>Semicircular Canals (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Vertigo (physiopathology)</term><term>Vertigo (therapy)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Activités de la vie quotidienne (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Autosoins (MeSH)</term><term>Canaux semicirculaires osseux (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Manipulations de l'appareil locomoteur (méthodes)</term><term>Mâle (MeSH)</term><term>Positionnement du patient (MeSH)</term><term>Récupération fonctionnelle (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Vertige (physiopathologie)</term><term>Vertige (thérapie)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Musculoskeletal Manipulations</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Manipulations de l'appareil locomoteur</term></keywords><keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr"><term>Vertige</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Vertigo</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Vertige</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Activities of Daily Living</term><term>Adult</term><term>Aged</term><term>Aged, 80 and over</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Patient Positioning</term><term>Prospective Studies</term><term>Recovery of Function</term><term>Self Care</term><term>Semicircular Canals</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Activités de la vie quotidienne</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Autosoins</term><term>Canaux semicirculaires osseux</term><term>Femelle</term><term>Humains</term><term>Mâle</term><term>Positionnement du patient</term><term>Récupération fonctionnelle</term><term>Résultat thérapeutique</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To determine if variations in common treatments for benign paroxysmal positional vertigo (BPPV) affected efficacy.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Prospective, pseudo-randomized study.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Outpatient practice in a tertiary care facility.</p></div><div type="abstract" xml:lang="en"><p><b>SUBJECTS AND METHODS</b></p><p>Patients (n = 118) with unilateral BPPV of the posterior canal, including 13 patients with BPPV of the lateral canal, were tested at a tertiary care center on one of five interventions: canalith repositioning maneuver (CRP), CRP plus home exercise, modified CRP, CRP for patients with involvement of two semicircular canals, and self-CRP home exercise. Self-CRP was also compared to previously published data on efficacy of the Brandt Daroff exercise. Main outcome measures were vertigo intensity and frequency, presence/absence of Dix-Hallpike responses, Vestibular Disorders Activities of Daily Living Scale (VADL), and computerized dynamic posturography.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Vertigo intensity and frequency and Dix-Hallpike responses decreased significantly, and posturography and VADL improved significantly from pre- to post tests. No other significant changes were found. The groups did not differ significantly. Vertigo intensity and frequency were not strongly related at pretest but were related at post-test. Length of illness and age did not influence the results.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>However the head is moved, as long as it is moved rapidly enough and through the correct planes in space, repositioning treatments are likely to be effective. Therefore, clinicians have a range of choices in selecting the treatment best suited for each patient's unique needs.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20723779</PMID><DateCompleted><Year>2010</Year><Month>09</Month><Day>28</Day></DateCompleted><DateRevised><Year>2018</Year><Month>11</Month><Day>13</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1097-6817</ISSN><JournalIssue CitedMedium="Internet"><Volume>143</Volume><Issue>3</Issue><PubDate><Year>2010</Year><Month>Sep</Month></PubDate></JournalIssue><Title>Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery</Title><ISOAbbreviation>Otolaryngol Head Neck Surg</ISOAbbreviation></Journal><ArticleTitle>Canalith repositioning variations for benign paroxysmal positional vertigo.</ArticleTitle><Pagination><MedlinePgn>405-12</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.otohns.2010.05.022</ELocationID><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine if variations in common treatments for benign paroxysmal positional vertigo (BPPV) affected efficacy.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective, pseudo-randomized study.</AbstractText><AbstractText Label="SETTING" NlmCategory="METHODS">Outpatient practice in a tertiary care facility.</AbstractText><AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">Patients (n = 118) with unilateral BPPV of the posterior canal, including 13 patients with BPPV of the lateral canal, were tested at a tertiary care center on one of five interventions: canalith repositioning maneuver (CRP), CRP plus home exercise, modified CRP, CRP for patients with involvement of two semicircular canals, and self-CRP home exercise. Self-CRP was also compared to previously published data on efficacy of the Brandt Daroff exercise. Main outcome measures were vertigo intensity and frequency, presence/absence of Dix-Hallpike responses, Vestibular Disorders Activities of Daily Living Scale (VADL), and computerized dynamic posturography.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Vertigo intensity and frequency and Dix-Hallpike responses decreased significantly, and posturography and VADL improved significantly from pre- to post tests. No other significant changes were found. The groups did not differ significantly. Vertigo intensity and frequency were not strongly related at pretest but were related at post-test. Length of illness and age did not influence the results.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">However the head is moved, as long as it is moved rapidly enough and through the correct planes in space, repositioning treatments are likely to be effective. Therefore, clinicians have a range of choices in selecting the treatment best suited for each patient's unique needs.</AbstractText><CopyrightInformation>Copyright 2010 American Academy of Otolaryngology-Head and Neck Surgery Foundation. Published by Mosby, Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cohen</LastName><ForeName>Helen S</ForeName><Initials>HS</Initials><AffiliationInfo><Affiliation>Bobby R. Alford Department of Otolaryngology-Head and Neck Surgery, Baylor College of Medicine, Houston, TX, USA. hcohen@bcm.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sangi-Haghpeykar</LastName><ForeName>Haleh</ForeName><Initials>H</Initials></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>R01 DC003602</GrantID><Acronym>DC</Acronym><Agency>NIDCD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 DC003602-04</GrantID><Acronym>DC</Acronym><Agency>NIDCD NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R01 DC003602-10</GrantID><Acronym>DC</Acronym><Agency>NIDCD NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., 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