the effect of epley maneuver in the treatment of elderly patients with benign paroxysmal positional vertigo (bppv)
نویسندگان
چکیده
background: studies show that vestibular rehabilitation is an important option in the treatment bppv that is common in elderly. the purpose of this study was to analyze the effect of epley maneuver on vertigo symptoms in elderly patients with benign paroxysmal positional vertigo. methods: this cross-sectional-analytic study was performed from may 2007 to february 2010 on 67 patients (29 female, 38 male) aged 61-75 with bppv who referred to audiology clinic of shahid beheshti university rehabilitation center. epley maneuver with movement restriction was performed for treatment after diagnosis of bppv and one week later, results evaluated with dix-hallpike test. the collected data were analyzed employing t-test and spss 15 software. results: the average age of the patients was 67.28 ± 4.5 years. epley maneuver caused normal hallpike findings in 47 patients (70.1 %) and noticeable reduction in nystagmus amplitudes in 15 patients (22.38%). there was a statistically significant correlation between nystagmus amplitudes and dhi scores (p-valu=0.018) conclusion: epley maneuver plays an important role in reducing vertigo in at-risk elderly patients.
منابع مشابه
[Efficacy of Epley maneuver in treatment of benign paroxysmal positional vertigo of the posterior semicircular canal].
BACKGROUND/AIM Benign paroxysmal positional vertigo is one of the most frequent peripheral vestibular system disorders. The aim of this study was to examine the efficacy of the Epley maneuver in treating benign paroxysmal positional vertigo of the posterior semicircular canal (p-BPPV) and to discover possible causes of failure. METHODS This prospective study included 75 patients. In all the c...
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Particulate flow in the semicircular canals of the inner ear is suspected to be the most common cause for vertigo. This pathologic condition is known as benign paroxysmal positional vertigo (BPPV). We propose an analytical model for this flow configuration which consists of an equation for the fluid flow and of an equation of motion for the particles including the appropriate Stokes drag and gr...
متن کاملSelf-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure.
The authors compared the efficacy of a self-applied modified Semont maneuver (MSM) with self-treatment with a modified Epley procedure (MEP) in 70 patients with posterior canal benign paroxysmal positional vertigo. The response rate after 1 week, defined as absence of positional vertigo and torsional/upbeating nystagmus on positional testing, was 95% in the MEP group (n = 37) vs 58% in the MSM ...
متن کاملRapid Systematic Review of the Epley Maneuver versus Vestibular Rehabilitation for Benign Paroxysmal Positional Vertigo.
OBJECTIVE To evaluate the effectiveness of the Epley maneuver compared with vestibular rehabilitation on patient-reported symptom relief and conversion of the Dix-Hallpike from positive to negative in patients with posterior benign paroxysmal positional vertigo (p-BPPV). DATA SOURCES PubMed, Embase, and the Cochrane Library. REVIEW METHODS A systematic search was conducted. Studies reportin...
متن کاملEfficacy of the Semont maneuver in benign paroxysmal positional vertigo.
OBJECTIVES To assess the efficacy of the Semont maneuver in the treatment of benign paroxysmal positional vertigo (BPPV) of the posterior semicircular canal and to evaluate the possible effect of various factors on the efficacy of this maneuver. DESIGN AND SETTING Retrospective study in an outpatient clinic. PATIENTS Two hundred seventy-eight patients presenting with symptomatic, unilateral...
متن کاملComparison of Semont Maneuver and Vestibular Sedative in Benign Paroxysmal Positional Vertigo (bppv)
OBJECTIVE: To see and compare the effectiveness of Semont maneuver and vestibular sedative in the management of patients diagnosed as Benign Paroxysmal Positional Vertigo. STUDY DESIGN: A quasi experimental study st PLACE AND DURATION: ENT Department PAF Hospital Mushaf Base Sargodha from 1 February 2012 till 30th July 2012. METHODOLOGY: A total of sixty patients of Benign Paroxysmal Positional...
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عنوان ژورنال:
مجله دانشگاه علوم پزشکی کرمانشاهجلد ۱۶، شماره ۷، صفحات ۵۲۵-۵۳۱
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