Document Detail

Does vertigo disappear only by rolling over? Rehabilitation for benign paroxysmal positional vertigo.
MedLine Citation:
PMID:  19579144     Owner:  NLM     Status:  MEDLINE    
CONCLUSION: We propose that the rolling-over maneuver (ROM) is as effective as the canalith repositioning maneuver (CRP) for the treatment of benign paroxysmal positional vertigo (BPPV). ROM involves easy movements, with only a small load. This therapy is suitable for most BPPV patients, even for those without an indication for CRP. OBJECTIVES: BPPV is a common vestibular disorder. CRP is known to be an effective therapy for the treatment of BPPV. Because of its various movements of the head and body, it is impossible to perform CRP in BPPV patients with orthopedic impairments or in the elderly. For these patients, we perform a maneuver called ROM, which involves easy movements. In this study, we compared the efficacy of ROM with that of CRP in patients with posterior semicircular canal-type BPPV. PATIENTS AND METHODS: The study included 22 patients with BPPV who were randomized and divided into the following 2 groups: 1) those treated by the modified Epley maneuver as CRP; and 2) those treated by ROM. RESULTS: We found no significant difference between the two groups in the number of days from onset to remission of both nystagmus and vertigo.
Akemi Sugita-Kitajima; Shigeki Sato; Koshi Mikami; Mitsuhiro Mukaide; Izumi Koizuka
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Acta oto-laryngologica     Volume:  130     ISSN:  1651-2251     ISO Abbreviation:  Acta Otolaryngol.     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-14     Completed Date:  2010-10-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370354     Medline TA:  Acta Otolaryngol     Country:  England    
Other Details:
Languages:  eng     Pagination:  84-8     Citation Subset:  IM    
Department of Otolaryngology, St Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan.
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MeSH Terms
Head Movements / physiology*
Middle Aged
Physical Therapy Modalities*
Posture / physiology*
Semicircular Canals / physiopathology
Vertigo / physiopathology,  rehabilitation*

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