J Otolaryngol Ophthalmol Shandong Univ ›› 2017, Vol. 31 ›› Issue (6): 42-45.doi: 10.6040/j.issn.1673-3770.0.2017.266

Previous Articles     Next Articles

Curative effect of postural restriction on benign paroxysmal positional vertigo after manual reduction.

LI Guifang, WANG Chunhua, ZHANG Shuzhen   

  1. Department of Otolaryngology, Hebei Provincial Ophthalmology Hospital, Xingtai 054001, Hebei, China
  • Received:2017-06-16 Online:2017-12-16 Published:2017-12-16

PDF (PC)

202

Abstract: Objective To examine the effect of postural restriction on patients with benign paroxysmal positional vertigo(BPPV)after manual reduction. Methods A total of 210 cases of BPPV including 140 with posterior semicircular canal(PSC)-BPPV and 70 with horizontal semicircular canal(HSC)-BPPV(50 HSC-BPPV and 20 apogeotropic HSC-BPPV)were randomly divided into a combined position restriction group(observation group)and a control group. Results In patients with PSC-BPPV, there was no significant short-term(7 days)or long-term(3 months)difference in curative effect between the two groups(P=0.515, P=0.967). There was a statistically significant difference during short-term evaluation(P=0.030, P=0.040)but no significant difference(P=0.972)in the long-term curative effect between the HSC-BPPV and apogeotropic HSC-BPPV groups. Conclusion Postural restriction therapy is not needed in PSC-BPPV but should be used in HSC-BPPV until symptoms remit.

Key words: Benign paroxysmal positional vertigo, Postural restrictions, Semicircular canal

CLC Number: 

  • R76
[1] 头晕诊断流程建议专家组. 头晕的诊断流程建议[J].中华内科杂志,2009,48(5):435-437.
[2] 熊彬彬,吴子明,刘兴健,等. 良性阵发性位置性眩晕的临床特征分析[J].中华耳科学杂志,2012,10(2):208-211. XIONG Binbin, WU Ziming, LIU Xingjian, et al. Analysis of clinical characteristics of benign paroxysmal positional vertigo[J]. Chin J Otol, 2012, 10(2):208-211.
[3] Bhattacharyya N, Baugh RF, Orvidas L, et al. Clinical practice guideline: benign paroxysmal positional vertigo[J]. Otolaryngol Head Neck Surg, 2008, 139(5 Suppl 4):47-81.
[4] 中华耳鼻咽喉头颈外科杂志编辑委员会,中华医学会耳鼻咽喉科学分会. 良性阵发性位置性眩晕的诊断依据和疗效评估[J].中华耳鼻咽喉头颈外科杂志,2007,42(3):163-164. Editorial Board of Chinese Journal of Otorhinolaryngology Head and Neck Surgery Chinese Otorhinolaryngology Head Surgery,Society of Chinese Medical Association. Diagnosis basis and curative effect appraisal of benign paroxysmal positional vertigo[J]. Chin J Otorhinolaryngol Head Neck Surg, 2007, 42(3):163-164.
[5] 闵密克, 韩朝. 良性阵发性位置性眩晕综述[J].中华耳科学杂志,2015,13(2):359-361.
[6] 时美娟,孟晴,吕哲,等. 良性阵发性位置性眩晕发病率及发病机制新进展[J].中华耳科学杂志,2016,14(4):521-525. SHI Meijuan, MENG Qing, LÜ Zhe, et al. Advances in research on morbidity and mechanism of benign paroxysmal positional vertigo[J]. Chin J Otol, 2016, 14(4):521-525.
[7] Gans RE, Harrington-Gans PA. Treatment efficacy of benign paroxysmal positional vertigo(BPPV)with canalith repositioning maneuver and semont liberatory maneuver in 376 patients[J]. Semin Hear, 2002, 23(1):129-142.
[8] 王伟芳.Epley手法联合体位限制治疗后半规管良性阵发性位置性眩晕的效果观察[J].中国实用医药,2015,10(31):92-93.
[9] Fyrmpas G, Rachovitsas D, Haidich AB, et al. Are postural restrictions after an Epley maneuver unnecessary? First results of a controlled study and review of the literature[J]. Auris Nasus Larynx, 2009, 36(6):637-643.
[10] McGinnis PQ, Nebbia M, Saez L, et al. Retrospective comparison of outcomes for patients with benign paroxysmal positional vertigo based on length of postural restrictions[J]. J Geriatr Phys Ther, 2009, 32(4):168-173.
[11] Casqueiro JC, Ayala A, Monedero G. No more postural restrictions in posterior canal benign paroxysmal positional vertigo[J]. Otol Neurotol, 2008, 29(5):706-709.
[12] 原红艳,张淑香. 药物与耳石复位治疗后半规管良性阵发性位置性眩晕的疗效分析[J].听力学及言语疾病杂志,2015,23(1):82-84.
[13] 尹时华,韦顺莲,舒竞铖,等. 2118例良性阵发性眩晕患者手法复位疗效观察[J].中华耳科学杂志,2015,13(4):707-711. YIN Shihua, WEI Shunlian, SHU Jingcheng, et al. Canalith repositioning outcomes in 2118 patients with benign paroxysmal positional vertigo[J]. Chin J Otol, 2015, 13(4):707-711.
[14] Uno A, Moriwakik, Kato T, et al. Clinical features of benign paroxymal positional vertigo[J].Nippon Jibinkoka Gakkai Aibo, 2001, 104(1):9-16.
[15] Chiou WY, Lee HL, Tsai SC, et al. A single therapy for all subtypes of horizontal canal positional vertigo[J]. Laryngoscope, 2005, 115(8):1432-1435.
[16] 区永康,郑亿庆,陈玲,等.不同类型良性阵发性位置性眩晕的诊断和治疗[J].中华耳科学杂志,2006,4(4):279-282. QU Yongkang, ZHENG Yiqing, CHEN Ling, et al. Diagnosis and treatment of various benign paroxysmal positional vertigo variants[J]. Chin J Otol, 2006, 4(4):279-282.
[17] Richard W, Bruintjes TD, Oostenbrink P, et al. Efficacy of the epley maneuver for posterior canal bppv a long-term, controlled study of 81 patients[J]. Ear Nose Throat J, 2005, 84(1):22-25.
[18] Gufoni M, Mastrosimone L, Di Nasso F. Repositioning maneuver in benign paroxysmal vertigo of horizontal semicircular canal[J]. Acta Otorhinolaryngol Ital,1998, 18(3):363-367.
[19] 朱思翔,彭本刚.睡眠障碍对良性阵发性位置性眩晕治疗效果的影响[J]. 中华耳科学杂志,2016,14(4):549-550.
[20] 张国庆,唐月英,陈宇,等. 不同方法治疗在良性阵发性眩晕的研究[J]. 中华耳科学杂志,2015,13(4):704-706. ZHANG Guoqing, TANG Yueying, CHEN Yu, et al. Quality of life before and after treatment with different canalith repositioning maneuvers in patients with apogeotropic nystagmus associated with horizontal semicircular canal benign paroxysmal positional vertigo[J]. Chin J Otol, 2015, 13(4):704-706.
[1] ZHU Zijian, LIU Qiang. Clinical analysis of 35 cases of lateral semicircular canal benign paroxysmal positional vertigo with transformable-direction eye shock [J]. J Otolaryngol Ophthalmol Shandong Univ, 2018, 32(5): 53-57.
[2] YAN Huiqin, WANG Hao. Clinical analysis of intractable benign paroxysmal positional vertigo [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2018, 32(3): 86-88.
[3] JU Jun, LI Jinrang, ZOU Shizhen, JIA Manyu. Clinical characteristics and short-term outcomes of traumatic benign paroxysmal positional vertigo. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(5): 57-61.
[4] . Exploration of diagnostic strategy for atypical PSC-BPPV with negative DHM. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2017, 31(1): 88-90.
[5] LIU Xuesheng, LI Xiaoyu, DENG Wei. The clinical manifestations of posterior semicircular canal benign paroxysmal positional vertigo at the time of acute onset. [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2016, 30(6): 11-13.
[6] WANG Xue-hai, ZHANG Jian-xin, MENG Zhao-jin, LIU Xiu-ling. Anterior semicircular canal benign paroxysmal positional vertigo in 41 patients [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2014, 28(3): 47-50.
[7] SUN Xiang1, YU Ya-feng2. Diagnosis and treatment of secondary posterior semicircular canal benign paroxysmal positional vertigo [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 22-23.
[8] WANG Ning-ning, LI Yong-tuan. Clinical analysis of positional vertigo [J]. J Otolaryngol Ophthalmol Shandong Univ, 2013, 27(5): 24-27.
[9] LIU Jing-bo, LIU Jian-zhi, HUANG Jian-min. Clinical analysis of 36 benign paroxysmal positional vertigo patients treated with positional maneuver [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2010, 24(6): 17-19.
[10] CAO Xiao-Ping, WANG Tian-Sheng, GU Dong-Sheng, TUN Chun-Ping. Particle repositioning maneuver for benign paroxysmal positional  vertigo [J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(5): 10-12.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Website Copyright: Editorial Office of Journal of Otolaryngology and Ophthalmology of Shandong University
Address: No.27 Shanda South Road, Jinan, Shandong, China. Post code: 250100 Tel: +86-0531-88366912 Email: ebhxb@sdu.edu.cn Supported by Beijing Magtech Co.Ltd