Vibration with the canalith repositioning maneuver: a prospective randomized study to determine efficacy.
Identifieur interne : 000351 ( Main/Exploration ); précédent : 000350; suivant : 000352Vibration with the canalith repositioning maneuver: a prospective randomized study to determine efficacy.
Auteurs : John D. Macias [États-Unis] ; Andrea Ellensohn ; Shelly Massingale ; Richard GerkinSource :
- The Laryngoscope [ 0023-852X ] ; 2004.
Descripteurs français
- KwdFr :
- MESH :
- thérapie : Vertige.
- usage thérapeutique : Vibration.
- Adulte d'âge moyen, Femelle, Humains, Loi du khi-deux, Modèles des risques proportionnels, Mâle, Posture, Résultat thérapeutique, Études prospectives.
English descriptors
- KwdEn :
- MESH :
- therapeutic use : Vibration.
- therapy : Vertigo.
- Chi-Square Distribution, Female, Humans, Male, Middle Aged, Posture, Proportional Hazards Models, Prospective Studies, Treatment Outcome.
Abstract
OBJECTIVES/HYPOTHESIS
The objective was to determine whether the inclusion of vibration and additional treatment cycles has an effect on short- and long-term success rates in the treatment of benign paroxysmal positional vertigo with the canalith repositioning maneuver.
STUDY DESIGN
Prospective randomized study of patients treated at a tertiary vestibular rehabilitation center.
METHODS
Variables identified for statistical analysis included patient age, gender, vibration used, and canalith repositioning cycles. Analysis using Student t test, chi2 test, Kaplan-Meier curves with log rank test, and Cox proportional hazards regression was performed.
RESULTS
One hundred two patients with benign paroxysmal positional vertigo treated over a 1-year period (August 2001-August 2002) were randomly assigned to receive the canalith repositioning maneuver with or without vibration. Average duration of follow-up was 9.44 months. The single treatment success rate was 93.1%. To relieve symptoms, 29.4% of patients required more than one canalith repositioning cycle. The relapse rate was 30.5%. Thirty-nine patients were assigned to the canalith repositioning group with vibration, and 63 to the canalith repositioning group without vibration. There was no statistical difference in age, gender, initial success rates, or relapse rates between the canalith repositioning groups with and without vibration. On average, patients required 1.38 canalith repositioning cycles for successful treatment. Vibration did not affect the number of canalith repositioning cycles required to convert the Dix-Hallpike test result to normal. The need for additional canalith repositioning cycles had no statistical effect on initial treatment success or relapse rates.
CONCLUSION
Vibration provided no additional benefit in initial treatment success or in reducing long-term relapse rates when included in the canalith repositioning maneuver. Many patients with benign paroxysmal positional vertigo require more than one canalith repositioning cycle at the time of initial treatment to relieve symptoms, but this does not indicate a higher likelihood for recurrence. No variable predicted a higher rate of recurrence.
DOI: 10.1097/00005537-200406000-00010
PubMed: 15179204
Affiliations:
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Macias</name><affiliation wicri:level="2"><nlm:affiliation>Macias Otology, Banner Good Samaritan Rehabilitation Institute, Phoenix, Arizona, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Macias Otology, Banner Good Samaritan Rehabilitation Institute, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Ellensohn, Andrea" sort="Ellensohn, Andrea" uniqKey="Ellensohn A" first="Andrea" last="Ellensohn">Andrea Ellensohn</name></author><author><name sortKey="Massingale, Shelly" sort="Massingale, Shelly" uniqKey="Massingale S" first="Shelly" last="Massingale">Shelly Massingale</name></author><author><name sortKey="Gerkin, Richard" sort="Gerkin, Richard" uniqKey="Gerkin R" first="Richard" last="Gerkin">Richard Gerkin</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2004">2004</date><idno type="RBID">pubmed:15179204</idno><idno type="pmid">15179204</idno><idno type="doi">10.1097/00005537-200406000-00010</idno><idno type="wicri:Area/Main/Corpus">000356</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000356</idno><idno type="wicri:Area/Main/Curation">000356</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000356</idno><idno type="wicri:Area/Main/Exploration">000356</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Vibration with the canalith repositioning maneuver: a prospective randomized study to determine efficacy.</title><author><name sortKey="Macias, John D" sort="Macias, John D" uniqKey="Macias J" first="John D" last="Macias">John D. Macias</name><affiliation wicri:level="2"><nlm:affiliation>Macias Otology, Banner Good Samaritan Rehabilitation Institute, Phoenix, Arizona, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Macias Otology, Banner Good Samaritan Rehabilitation Institute, Phoenix, Arizona</wicri:regionArea><placeName><region type="state">Arizona</region></placeName></affiliation></author><author><name sortKey="Ellensohn, Andrea" sort="Ellensohn, Andrea" uniqKey="Ellensohn A" first="Andrea" last="Ellensohn">Andrea Ellensohn</name></author><author><name sortKey="Massingale, Shelly" sort="Massingale, Shelly" uniqKey="Massingale S" first="Shelly" last="Massingale">Shelly Massingale</name></author><author><name sortKey="Gerkin, Richard" sort="Gerkin, Richard" uniqKey="Gerkin R" first="Richard" last="Gerkin">Richard Gerkin</name></author></analytic><series><title level="j">The Laryngoscope</title><idno type="ISSN">0023-852X</idno><imprint><date when="2004" type="published">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Chi-Square Distribution (MeSH)</term><term>Female (MeSH)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Posture (MeSH)</term><term>Proportional Hazards Models (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Treatment Outcome (MeSH)</term><term>Vertigo (therapy)</term><term>Vibration (therapeutic use)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Loi du khi-deux (MeSH)</term><term>Modèles des risques proportionnels (MeSH)</term><term>Mâle (MeSH)</term><term>Posture (MeSH)</term><term>Résultat thérapeutique (MeSH)</term><term>Vertige (thérapie)</term><term>Vibration (usage thérapeutique)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="therapeutic use" xml:lang="en"><term>Vibration</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" qualifier="usage thérapeutique" xml:lang="fr"><term>Vibration</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Chi-Square Distribution</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Posture</term><term>Proportional Hazards Models</term><term>Prospective Studies</term><term>Treatment Outcome</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Femelle</term><term>Humains</term><term>Loi du khi-deux</term><term>Modèles des risques proportionnels</term><term>Mâle</term><term>Posture</term><term>Résultat thérapeutique</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES/HYPOTHESIS</b></p><p>The objective was to determine whether the inclusion of vibration and additional treatment cycles has an effect on short- and long-term success rates in the treatment of benign paroxysmal positional vertigo with the canalith repositioning maneuver.</p></div><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Prospective randomized study of patients treated at a tertiary vestibular rehabilitation center.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Variables identified for statistical analysis included patient age, gender, vibration used, and canalith repositioning cycles. Analysis using Student t test, chi2 test, Kaplan-Meier curves with log rank test, and Cox proportional hazards regression was performed.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>One hundred two patients with benign paroxysmal positional vertigo treated over a 1-year period (August 2001-August 2002) were randomly assigned to receive the canalith repositioning maneuver with or without vibration. Average duration of follow-up was 9.44 months. The single treatment success rate was 93.1%. To relieve symptoms, 29.4% of patients required more than one canalith repositioning cycle. The relapse rate was 30.5%. Thirty-nine patients were assigned to the canalith repositioning group with vibration, and 63 to the canalith repositioning group without vibration. There was no statistical difference in age, gender, initial success rates, or relapse rates between the canalith repositioning groups with and without vibration. On average, patients required 1.38 canalith repositioning cycles for successful treatment. Vibration did not affect the number of canalith repositioning cycles required to convert the Dix-Hallpike test result to normal. The need for additional canalith repositioning cycles had no statistical effect on initial treatment success or relapse rates.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>Vibration provided no additional benefit in initial treatment success or in reducing long-term relapse rates when included in the canalith repositioning maneuver. Many patients with benign paroxysmal positional vertigo require more than one canalith repositioning cycle at the time of initial treatment to relieve symptoms, but this does not indicate a higher likelihood for recurrence. No variable predicted a higher rate of recurrence.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">15179204</PMID><DateCompleted><Year>2004</Year><Month>07</Month><Day>26</Day></DateCompleted><DateRevised><Year>2004</Year><Month>11</Month><Day>17</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0023-852X</ISSN><JournalIssue CitedMedium="Print"><Volume>114</Volume><Issue>6</Issue><PubDate><Year>2004</Year><Month>Jun</Month></PubDate></JournalIssue><Title>The Laryngoscope</Title><ISOAbbreviation>Laryngoscope</ISOAbbreviation></Journal><ArticleTitle>Vibration with the canalith repositioning maneuver: a prospective randomized study to determine efficacy.</ArticleTitle><Pagination><MedlinePgn>1011-4</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVES/HYPOTHESIS" NlmCategory="OBJECTIVE">The objective was to determine whether the inclusion of vibration and additional treatment cycles has an effect on short- and long-term success rates in the treatment of benign paroxysmal positional vertigo with the canalith repositioning maneuver.</AbstractText><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective randomized study of patients treated at a tertiary vestibular rehabilitation center.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Variables identified for statistical analysis included patient age, gender, vibration used, and canalith repositioning cycles. Analysis using Student t test, chi2 test, Kaplan-Meier curves with log rank test, and Cox proportional hazards regression was performed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One hundred two patients with benign paroxysmal positional vertigo treated over a 1-year period (August 2001-August 2002) were randomly assigned to receive the canalith repositioning maneuver with or without vibration. Average duration of follow-up was 9.44 months. The single treatment success rate was 93.1%. To relieve symptoms, 29.4% of patients required more than one canalith repositioning cycle. The relapse rate was 30.5%. Thirty-nine patients were assigned to the canalith repositioning group with vibration, and 63 to the canalith repositioning group without vibration. There was no statistical difference in age, gender, initial success rates, or relapse rates between the canalith repositioning groups with and without vibration. On average, patients required 1.38 canalith repositioning cycles for successful treatment. Vibration did not affect the number of canalith repositioning cycles required to convert the Dix-Hallpike test result to normal. The need for additional canalith repositioning cycles had no statistical effect on initial treatment success or relapse rates.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Vibration provided no additional benefit in initial treatment success or in reducing long-term relapse rates when included in the canalith repositioning maneuver. Many patients with benign paroxysmal positional vertigo require more than one canalith repositioning cycle at the time of initial treatment to relieve symptoms, but this does not indicate a higher likelihood for recurrence. No variable predicted a higher rate of recurrence.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Macias</LastName><ForeName>John D</ForeName><Initials>JD</Initials><AffiliationInfo><Affiliation>Macias Otology, Banner Good Samaritan Rehabilitation Institute, Phoenix, Arizona, USA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ellensohn</LastName><ForeName>Andrea</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Massingale</LastName><ForeName>Shelly</ForeName><Initials>S</Initials></Author><Author ValidYN="Y"><LastName>Gerkin</LastName><ForeName>Richard</ForeName><Initials>R</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Laryngoscope</MedlineTA><NlmUniqueID>8607378</NlmUniqueID><ISSNLinking>0023-852X</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D016009" MajorTopicYN="N">Chi-Square Distribution</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011187" MajorTopicYN="N">Posture</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016016" MajorTopicYN="N">Proportional Hazards Models</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D014717" MajorTopicYN="N">Vertigo</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014732" MajorTopicYN="N">Vibration</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2004</Year><Month>6</Month><Day>5</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2004</Year><Month>7</Month><Day>28</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2004</Year><Month>6</Month><Day>5</Day><Hour>5</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">15179204</ArticleId><ArticleId IdType="pii">00005537-200406000-00010</ArticleId><ArticleId IdType="doi">10.1097/00005537-200406000-00010</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>États-Unis</li></country><region><li>Arizona</li></region></list><tree><noCountry><name sortKey="Ellensohn, Andrea" sort="Ellensohn, Andrea" uniqKey="Ellensohn A" first="Andrea" last="Ellensohn">Andrea Ellensohn</name><name sortKey="Gerkin, Richard" sort="Gerkin, Richard" uniqKey="Gerkin R" first="Richard" last="Gerkin">Richard Gerkin</name><name sortKey="Massingale, Shelly" sort="Massingale, Shelly" uniqKey="Massingale S" first="Shelly" last="Massingale">Shelly Massingale</name></noCountry><country name="États-Unis"><region name="Arizona"><name sortKey="Macias, John D" sort="Macias, John D" uniqKey="Macias J" first="John D" last="Macias">John D. 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