Clinical efficacy of individualized manual reduction in the treatment of posterior semicircular canal benign paroxysmal positional vertigo with limited neck movement
10.16066/j.1672-7002.2024.01.005
- VernacularTitle:个体化手法复位治疗颈部活动受限后半规管良性阵发性位置性眩晕临床疗效
- Author:
Xiaohui LU
1
;
Haijiao JIANG
;
Yonghong JI
;
Yafeng FU
Author Information
1. 中山市小榄人民医院耳鼻咽喉科,广东 中山 528415
- Keywords:
Semicircular Canals;
Benign Paroxysmal Positional Vertigo;
posterior semicircular canal;
limited neck movement;
modified Epley maneuver reduction;
individualization
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2024;31(1):22-25
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To investigate the effect of individualized repositioning maneuver in the treatment of posterior semicircular canal benign paroxysmal positional vertigo(PC-BPPV)with limited neck movement.METHODS There were 163 patients with PC-BPPV admitted to the Department of Otolaryngology of Xiaolan People's Hospital of Zhongshan from January,2019 to July,2022 who were selected and divided into observation group(57 cases)and control group(106 cases)according to whether there was neck movement limitation or not.The control group was divided into control group 1(51 cases)and control group 2(55 cases)based on different reduction methods.The control group 1 were treated with modified Epley maneuver,and the observation group and the control group 2 were treated with individualized Epley maneuver.The cure rate and effective rate were compared among the three groups.The scores of vestibular symptom index(VSI),Berg balance scale(BBS)and the dimension scores of vertigo handicap inventory(DHI)were compared among the three groups before and after treatment.RESULTS There was no significant difference in the cure rate(84.37%vs.81.82%vs.80.70%)and effective rate(11.76%vs.10.91%vs.12.28%)among the three groups(P>0.05).After treatment,the scores of each dimension of VSI and DHI of PC-BPPV patients of the three groups decreased(P<0.01),and the scores of BBS increased(P<0.01),and there was no statistically significant difference in the scores of VSI(23.19±3.88 vs.23.70±4.01 vs.23.46±3.92),BBS(45.56±5.02 vs.45.14±4.98 vs.44.84±5.11)and each dimension of DHI among the three groups(P>0.05),respectively.CONCLUSION The individual Epley maneuver can effectively improve the vertigo status of patients with PC-BPPV with limited neck movement.
