Strategies to prevent recurrence of benign paroxysmal positional vertigo.
Identifieur interne : 000335 ( Main/Exploration ); précédent : 000334; suivant : 000336Strategies 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 HainSource :
- Archives of otolaryngology--head & neck surgery [ 0886-4470 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Canaux semicirculaires osseux (MeSH), Enquêtes et questionnaires (MeSH), Entretiens comme sujet (MeSH), Exercice physique (MeSH), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Récidive (MeSH), Vertige (prévention et contrôle), Études de suivi (MeSH), Études rétrospectives (MeSH).
- MESH :
- prévention et contrôle : Vertige.
- Adulte d'âge moyen, Canaux semicirculaires osseux, Enquêtes et questionnaires, Entretiens comme sujet, Exercice physique, Femelle, Humains, Mâle, Récidive, Études de suivi, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- prevention & control : Vertigo.
- Exercise, Female, Follow-Up Studies, Humans, Interviews as Topic, Male, Middle Aged, Recurrence, Retrospective Studies, Semicircular Canals, Surveys and Questionnaires.
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:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Helminski, Janet Odry" sort="Helminski, Janet Odry" uniqKey="Helminski J" first="Janet Odry" last="Helminski">Janet Odry Helminski</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Physical Therapy, Midwestern University, Downers Grove, IL 60515, USA. jhelmi@midwestern.edu</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Department of Physical Therapy, Midwestern University, Downers Grove, IL 60515</wicri:regionArea>
<placeName><region type="state">Illinois</region>
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<author><name sortKey="Janssen, Imke" sort="Janssen, Imke" uniqKey="Janssen I" first="Imke" last="Janssen">Imke Janssen</name>
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<author><name sortKey="Kotaspouikis, Despina" sort="Kotaspouikis, Despina" uniqKey="Kotaspouikis D" first="Despina" last="Kotaspouikis">Despina Kotaspouikis</name>
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<author><name sortKey="Kovacs, Karen" sort="Kovacs, Karen" uniqKey="Kovacs K" first="Karen" last="Kovacs">Karen Kovacs</name>
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<author><name sortKey="Sheldon, Phil" sort="Sheldon, Phil" uniqKey="Sheldon P" first="Phil" last="Sheldon">Phil Sheldon</name>
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<author><name sortKey="Mcqueen, Kristin" sort="Mcqueen, Kristin" uniqKey="Mcqueen K" first="Kristin" last="Mcqueen">Kristin Mcqueen</name>
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<author><name sortKey="Hain, Timothy Carl" sort="Hain, Timothy Carl" uniqKey="Hain T" first="Timothy Carl" last="Hain">Timothy Carl Hain</name>
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<affiliation wicri:level="2"><nlm:affiliation>Department of Physical Therapy, Midwestern University, Downers Grove, IL 60515, USA. jhelmi@midwestern.edu</nlm:affiliation>
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<author><name sortKey="Kotaspouikis, Despina" sort="Kotaspouikis, Despina" uniqKey="Kotaspouikis D" first="Despina" last="Kotaspouikis">Despina Kotaspouikis</name>
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<author><name sortKey="Kovacs, Karen" sort="Kovacs, Karen" uniqKey="Kovacs K" first="Karen" last="Kovacs">Karen Kovacs</name>
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<author><name sortKey="Sheldon, Phil" sort="Sheldon, Phil" uniqKey="Sheldon P" first="Phil" last="Sheldon">Phil Sheldon</name>
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<author><name sortKey="Mcqueen, Kristin" sort="Mcqueen, Kristin" uniqKey="Mcqueen K" first="Kristin" last="Mcqueen">Kristin Mcqueen</name>
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<series><title level="j">Archives of otolaryngology--head & neck surgery</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><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>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><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>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Vertigo</term>
</keywords>
<keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Vertige</term>
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<keywords scheme="MESH" xml:lang="en"><term>Exercise</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Interviews as Topic</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Recurrence</term>
<term>Retrospective Studies</term>
<term>Semicircular Canals</term>
<term>Surveys and Questionnaires</term>
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<term>Canaux semicirculaires osseux</term>
<term>Enquêtes et questionnaires</term>
<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>
<term>Études rétrospectives</term>
</keywords>
</textClass>
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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>
</front>
</TEI>
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<Month>05</Month>
<Day>10</Day>
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<Title>Archives of otolaryngology--head & neck surgery</Title>
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<ArticleTitle>Strategies to prevent recurrence of benign paroxysmal positional vertigo.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="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).</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Random sample of convenience and retrospective case review.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Tertiary referral center and outpatient clinic.</AbstractText>
<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>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">Patients in the treatment group (n = 43) performed daily Brandt-Daroff exercises, while patients in the no-treatment group (n = 73) performed no exercises.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">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.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="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).</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">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.</AbstractText>
</Abstract>
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<MeshHeading><DescriptorName UI="D012665" MajorTopicYN="N">Semicircular Canals</DescriptorName>
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<MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName>
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