Are postural restrictions necessary for management of posterior canal benign paroxysmal positional vertigo?

6533b828fe1ef96bd12879bb

RESEARCH PRODUCT

Are postural restrictions necessary for management of posterior canal benign paroxysmal positional vertigo?

Adelchi Croce Anna Grazia Petrucci Gautham Kulamarva Leonardo Citraro Pamela Di Giovanni Navneet Mathur Alessandro De Stefano Francesco Dispenza

subject

Adult Male medicine.medical_specialty Benign paroxysmal positional vertigo Adolescent medicine.medical_treatment Posture Epley maneuver law.invention Semont maneuver Young Adult Physical medicine and rehabilitation Posterior canal vertigo Randomized controlled trial law Postural restriction Recurrence Vertigo medicine Humans Epley maneuver Benign Paroxysmal Positional Vertigo Prospective Studies Prospective cohort study Aged Semont maneuver Aged 80 and over Adult patients biology Posterior Semicircular Canal business.industry General Medicine Middle Aged medicine.disease biology.organism_classification BPPV Surgery Treatment Outcome Otorhinolaryngology Vertigo Female business

description

Objectives: An important component of management of benign paroxysmal positional vertigo (BPPV) has been the application of postural restrictions after use of a canalith repositioning maneuver (CRM) to prevent the return of otolithic debris into the posterior semicircular canal (PSC). This study was designed to explore the effectiveness of postural restrictions in patients with BPPV caused by otolithic debris in the PSC. Methods: Seventy-four adult patients with unilateral PSC BPPV were enrolled into this study. All patients were managed with a CRM — Either the modified Epley maneuver or the Semont maneuver. The patients were divided randomly into 2 groups: Group A, with postural restrictions, and group B, without postural restrictions. The statistical analysis was performed with χ2 tests and t-tests. Results: No patients in either group showed positional nystagmus in the posttreatment evaluation under infrared videonys-tagmoscopy. No patients had symptoms of vertigo after the therapy. The results of follow-up vestibular tests were normal in both groups. Conclusions: In our experience, postural restrictions do not enhance the beneficial effect of the CRMs. They do not seem to have any protective role and therefore should not be recommended as an adjunct to the treatment of PSC BPPV.

year	journal	country	edition	language
2011-07-01	The Annals of otology, rhinology, and laryngology

10.1177/000348941112000707 https://pubmed.ncbi.nlm.nih.gov/21859055