Condutas pós-manobra de Epley em idosos com VPPB de canal posterior

Abstract

Beni gn Paroxysmal Positional Vertigo is the most common peripheral vestibular disorder, especially in the elderly and presents as the predominant etiology in this population of the degeneration of the utricular macula. Aim: To compare the effectiveness of the approaches after Epley maneuver. Study Design: longitudinal cohort. Materials and Methods: The study included 53 volunteers with Benign Paroxysmal Positional Vertigo of the posterior semicircular canal, divided into Group 1, who underwent Epley maneuver associated with the use of neck collar and post-maneuver instructions, Group 2 underwent the Epley maneuver without the use cervical collar and/or post-maneuver restrictions, and Group 3 underwent the Epley maneuver associated with the use of a mini vibrator, without the use of neck collar and/ or post-maneuver restrictions. Results: In the three groups, the number of Epley maneuvers ranged from one to three. We employed the Brazilian Dizziness Handicap Inventory-pre-and post-treatment and observed a statistically significant difference on most scores pre-and post-treatment for both groups. Conclusion: Regardless of the post Epley maneuver treatment selected for the treatment of Benign Paroxysmal Positional Vertigo, it was effective when comparing the Brazilian Dizziness Handicap Inventory pre-and post-treatment.

Physical therapy interventions for older people with vertigo, dizziness and balance disorders addressing mobility and participation: a systematic review

“…The sample of the initial literature search comprised 16 studies [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45], the search update revealed 5…”

“…Comparing CRM (Epley manoeuvre) with CRM and distinct additional instructions like wearing a neck collar for 48 hours after manoeuvre or using a mini-vibrator placed on the mastoid of affected side during manoeuvre revealed no advantage as measured by the Dizziness Handicap Inventory (DHI) (no primary outcome stated, n = 53 participants) [31].…”

“…CRMs for the treatment of vertigo in adults are well researched [52] and successfully practised, but the included studies with older patients show that high-quality evidence is scarce. We identified only one study investigating Epley manoeuvre in variations for older adults [31]. Considering BPPV as the most relevant diagnosis for dizziness [53] and the increasing number of older individuals suffering BPPV across their lifespan [15], findings of this review detect a lack of evidence, if CRMs are equally effective for older individuals in particular.…”

Physical therapy interventions for older people with vertigo, dizziness and balance disorders addressing mobility and participation: a systematic review

“…The sample of the initial literature search comprised 16 studies [30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45], the search update revealed 5 additional studies [46][47][48][49][50], and one study that was updated due to a new follow-up publication [51]. Thus, the nal sample comprised 22 studies with 1,876 participants.…”

“…CRMs for the treatment of vertigo in adults are well researched [52] and successfully practised, but the included studies with older patients show that high-quality evidence is scarce. We identi ed only one study investigating Epley manoeuvre in variations for older adults [31]. Considering BPPV as the most relevant diagnosis for dizziness [53] and the increasing number of older individuals suffering BPPV across their lifespan [15], ndings of this review detect a lack of evidence, if CRMs are equally effective for older individuals in particular.…”