![]() ![]() ![]() Positive results from our study will highlight that treatment of benign paroxysmal positional vertigo can be performed by trained general practitioners (GPs) and, therefore, its widespread practice may contribute to improve the quality of life of BPPV patients. Chi-square test or Fisher’s exact test will be conducted to compare categorical measures and Student’s t-test or Mann–Whitney U-test will be used for intergroup comparison variables. Groups will be compared using the intent-to-treat approach and either parametric or nonparametric tests, depending on the nature and distribution of the variables. We will use descriptive statistics of all variables collected. Outcome variables will be: response to the D-H test, patients’ report on presence or absence of vertigo during the previous week (dichotomous variable: yes/no), intensity of vertigo symptoms on a Likert-type scale in the previous week, total score on the Dizziness Handicap Inventory (DHI) and quantity of betahistine taken. All patients attending these two primary care centers, who are newly diagnosed with benign paroxysmal positional vertigo, will be invited to participate in the study and will be randomly assigned either to the treatment group (Epley’s maneuver) or to the control group (a sham maneuver). The study’s scope will include two urban primary care centers which provide care for approximately 49,400 patients. This study is a randomized clinical trial conducted in the primary care setting. The objective of this study is to evaluate the effectiveness of Epley’s maneuver performed by general practitioners (GPs) in the treatment of BPPV. The main cause of vertigo in primary care is benign paroxysmal positional vertigo (BPPV), which should be confirmed by a positive D-H positional test and treated with repositioning maneuvers. Weider DJ, Ryder CJ, Stram JR (1994) Benign paroxysmal positional vertigo: analysis of 44 cases treated by the canalith repositioning procedure of Epley.Vertigo is a common medical condition with a broad spectrum of diagnoses which requires an integrated approach to patients through a structured clinical interview and physical examination. In: Brackman DE (ed) Neurological surgery of the ear and skull base. Silverstein H (1982) Singular neurectomy: a treatment for benign positional vertigo. S'emont A, Freyss G, Vitte E (1988) Curing the BPPV with a liberatory maneuver. Parnes LS, Price-Jones RG (1993) Particle repositioning maneuver for benign paroxysmal positional vertigo. Parnes LS, McClure JA (1992) Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Parnes LS, McClure JA (1991) Posterior semicircular canal occlusion in the normal hearing ear. Parnes LS, McClure JA (1990) Posterior semicircular canal occlusion for intractable benign paroxysmal positional vertigo. Norré ME (1987) Rationale of rehabilitation treatment for vertigo. Meyerhoff WL (1985) Surgical section of the posterior ampullary nerve. Kornhuber HH (1974) Handbook of sensory physiology, vol 4, part 2. Arch Otolaryngol Head Neck Surg 119: 450–454 Herdman SJ, Tusa RS, Zee DS, Proctor LR, Mattox DE (1993) Single treatment approaches to benign paroxysmal positional vertigo. Gacek RR (1991) Singular neurectomy update. Otolaryngol Head Neck Surg 88: 599–605Įpley JM (1992) The canalith repositioning procedure for treatment of benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 6: 987–1016Įpley JM (1980) New dimension of benign paroxysmal positional vertigo. Audiol Ital 9: 40–44ĭix R, Hallpike CS (1952) The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. J Chart Soc Physiother 30: 106–107Ĭiniglio Appiani G, Lucertini M, Gagliardi M (1992) Vertigine parossistica posizionale benigna: esperienza di trattamento con manovra liberatoria secondo Sémont. Arch Otolaryngol 106: 484–485īrandt T, Steddin S (1993) Current view of the mechanism of benign paroxysmal positioning vertigo: cupulolithiasis or canalolithiasis? J Vestib Res 3: 373–382Ĭawthome T (1944) The physiologic basis for head exercise. Acta Otolaryngol (Stockh) 2: 434–437īrandt T, Daroff RB (1980) Physical therapy for benign paroxysmal positional vertigo. Barany R (1921) Diagnose von Krankheitserscheinungen im Bereiche des Otolithenapparates. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |