Serveur d'exploration sur le test Dix-Hallpike

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Strategies to prevent recurrence of benign paroxysmal positional vertigo.

Identifieur interne : 000335 ( Main/Exploration ); précédent : 000334; suivant : 000336

Strategies to prevent recurrence of benign paroxysmal positional vertigo.

Auteurs : Janet Odry Helminski [États-Unis] ; Imke Janssen ; Despina Kotaspouikis ; Karen Kovacs ; Phil Sheldon ; Kristin Mcqueen ; Timothy Carl Hain

Source :

RBID : pubmed:15837905

Descripteurs français

English descriptors

Abstract

OBJECTIVE

To determine if a daily routine of Brandt-Daroff exercises increases the time to recurrence and reduces the rate of recurrence of benign paroxysmal positional vertigo (BPPV).

DESIGN

Random sample of convenience and retrospective case review.

SETTING

Tertiary referral center and outpatient clinic.

PATIENTS

One hundred sixteen patients diagnosed with BPPV involving the posterior semicircular canal (BPPV-PC) who were successfully treated with the canalith repositioning procedure.

INTERVENTIONS

Patients in the treatment group (n = 43) performed daily Brandt-Daroff exercises, while patients in the no-treatment group (n = 73) performed no exercises.

MAIN OUTCOME MEASURES

Follow-up was as long as 2 years. Every 2 months patients were mailed a questionnaire. If BPPV had recurred, patients contacted the principal investigator within 24 hours. Within 1 to 2 weeks, patients were evaluated in the clinic with the Dix-Hallpike maneuver or, if unable to travel to the clinic, interviewed by telephone.

RESULTS

Symptoms recurred in 50 (43%) of the 116 subjects, 34 (47%) of 73 in the no-treatment group and 16 (37%) of 43 in the treatment group. There was no significant difference in the frequency of recurrence (Pearson chi(2), P = .33) or time to recurrence (survival analysis, log-rank test, P = .92). A history of recurrent BPPV-PC did not affect frequency of recurrence (Pearson chi(2), P = .33) or time to recurrence (survival analysis, log-rank test, P = .72).

CONCLUSION

Our results suggest that a daily routine of Brandt-Daroff exercises does not significantly affect the time to recurrence or the rate of recurrence of BPPV-PC.


DOI: 10.1001/archotol.131.4.344
PubMed: 15837905


Affiliations:


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Le document en format XML

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<nlm:affiliation>Department of Physical Therapy, Midwestern University, Downers Grove, IL 60515, USA. jhelmi@midwestern.edu</nlm:affiliation>
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<name sortKey="Kotaspouikis, Despina" sort="Kotaspouikis, Despina" uniqKey="Kotaspouikis D" first="Despina" last="Kotaspouikis">Despina Kotaspouikis</name>
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<name sortKey="Kovacs, Karen" sort="Kovacs, Karen" uniqKey="Kovacs K" first="Karen" last="Kovacs">Karen Kovacs</name>
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<name sortKey="Sheldon, Phil" sort="Sheldon, Phil" uniqKey="Sheldon P" first="Phil" last="Sheldon">Phil Sheldon</name>
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<name sortKey="Mcqueen, Kristin" sort="Mcqueen, Kristin" uniqKey="Mcqueen K" first="Kristin" last="Mcqueen">Kristin Mcqueen</name>
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<term>Exercise (MeSH)</term>
<term>Female (MeSH)</term>
<term>Follow-Up Studies (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Interviews as Topic (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Recurrence (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
<term>Semicircular Canals (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
<term>Vertigo (prevention & control)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Canaux semicirculaires osseux (MeSH)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Entretiens comme sujet (MeSH)</term>
<term>Exercice physique (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Récidive (MeSH)</term>
<term>Vertige (prévention et contrôle)</term>
<term>Études de suivi (MeSH)</term>
<term>Études rétrospectives (MeSH)</term>
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<term>Entretiens comme sujet</term>
<term>Exercice physique</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Récidive</term>
<term>Études de suivi</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>OBJECTIVE</b>
</p>
<p>To determine if a daily routine of Brandt-Daroff exercises increases the time to recurrence and reduces the rate of recurrence of benign paroxysmal positional vertigo (BPPV).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>DESIGN</b>
</p>
<p>Random sample of convenience and retrospective case review.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>SETTING</b>
</p>
<p>Tertiary referral center and outpatient clinic.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>PATIENTS</b>
</p>
<p>One hundred sixteen patients diagnosed with BPPV involving the posterior semicircular canal (BPPV-PC) who were successfully treated with the canalith repositioning procedure.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERVENTIONS</b>
</p>
<p>Patients in the treatment group (n = 43) performed daily Brandt-Daroff exercises, while patients in the no-treatment group (n = 73) performed no exercises.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>MAIN OUTCOME MEASURES</b>
</p>
<p>Follow-up was as long as 2 years. Every 2 months patients were mailed a questionnaire. If BPPV had recurred, patients contacted the principal investigator within 24 hours. Within 1 to 2 weeks, patients were evaluated in the clinic with the Dix-Hallpike maneuver or, if unable to travel to the clinic, interviewed by telephone.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>RESULTS</b>
</p>
<p>Symptoms recurred in 50 (43%) of the 116 subjects, 34 (47%) of 73 in the no-treatment group and 16 (37%) of 43 in the treatment group. There was no significant difference in the frequency of recurrence (Pearson chi(2), P = .33) or time to recurrence (survival analysis, log-rank test, P = .92). A history of recurrent BPPV-PC did not affect frequency of recurrence (Pearson chi(2), P = .33) or time to recurrence (survival analysis, log-rank test, P = .72).</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>CONCLUSION</b>
</p>
<p>Our results suggest that a daily routine of Brandt-Daroff exercises does not significantly affect the time to recurrence or the rate of recurrence of BPPV-PC.</p>
</div>
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<AbstractText Label="PATIENTS" NlmCategory="METHODS">One hundred sixteen patients diagnosed with BPPV involving the posterior semicircular canal (BPPV-PC) who were successfully treated with the canalith repositioning procedure.</AbstractText>
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