Efficacy of Epley’s canalith repositioning procedure according to the number of repetitions in the same session: comparison of three protocols

Lapenna, Ruggero; Faralli, Mario; Cipriani, L.; Marcelli, Vincenzo; Ricci, Giampietro

doi:10.1080/00016489.2021.1912387

Cited by 4 publications

(2 citation statements)

References 6 publications

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“…This rate was lower than those found in the present study. Other researchers reported a success rate of 86.11% of patients after a single Epley maneuver, however, the reassessment was performed 3 days after the procedure (Lapenna et al 2021).…”

Section: Discussionmentioning

confidence: 97%

Proposal of an otolith repositioning maneuver for posterior canal Benign Paroxysmal Positional Vertigo: a supine-seated approach

Rocha¹,

Lefèvre

2023

RSD

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Background: Benign Paroxysmal Positional Vertigo (BPPV) is one of the most frequent pathologies of the vestibular system. The treatment maneuvers involve changes in the position of the head, as proposed by previous research. The objective of this research was to describe a new otolith repositioning maneuver in supine position for patients diagnosed with posterior canal BPPV due to canalithiasis. Methods: we described a new otolith repositioning maneuver that does not involve a change of position in decubitus, being performed in the supine to sitting position. This is an uncontrolled clinical study to evaluate the effects of maneuver after 1 hour and after 1 week. Results: The present study obtained a success rate (abolition of nystagmus and positional vertigo) in 85.19% of patients after a single application of the new maneuver presented and in a further 9.26% after two maneuvers, totaling 94.44% success rate with 1 or 2 maneuvers performed on the same day. Conclusions: The new maneuver studied eliminated nystagmus and positional vertigo in most patients with PC BPPV. It may be preferred for patients who have difficulties in performing maneuvers that involve changing body position on the narrow stretcher and the execution of the lateral decubitus position.

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Section: Discussionmentioning

confidence: 97%

Proposal of an otolith repositioning maneuver for posterior canal Benign Paroxysmal Positional Vertigo: a supine-seated approach

Rocha¹,

Lefèvre

2023

RSD

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“…However, the superiority of multiple or single CRP within a single session for BPPV remains ambiguous until now. Some studies have reported that multiple CRPs in one session lead to an equal or higher resolution rate of positional vertigo and nystagmus than a single CRP (4)(5)(6). Although these studies have primarily evaluated the clinical benefits of multiple CRPs in treating BPPV, they have not yet explored the potential risks associated with multiple CRPs, including falls, CS, and RD.…”

Section: Introductionmentioning

confidence: 99%

Mechanical rotational chair-assisted multiple canalith repositioning procedures for benign paroxysmal positional vertigo: enhanced vertigo relief, comparable adverse effects, and decreased incidence of residual dizziness

Zhang

Zhu

2023

Front. Neurol.

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ObjectivesThis retrospective study aimed to assess the effectiveness and adverse effects of mechanical rotational chair-assisted multiple canalith repositioning procedures (CRPs) to treat benign paroxysmal positional vertigo (BPPV).Materials and methodsA retrospective analysis of 1,273 BPPV patients was conducted, with 241 patients included in the final study. The participants diagnosed with BPPV, unresolved by a single previous CRP, were categorized into either the single or multiple CRP groups. In both groups, on days 1, 4, and 7 after the initial treatment, the participants were re-evaluated after a single CRP; if positional vertigo was resolved, the treatment was regarded as successful. The remission rate, adverse effects (such as canal switch (CS), falls, and vomiting), residual dizziness (RD) rate, and RD duration were compared between the two groups.ResultsThe resolution rates for the single and multiple CRP groups were significantly different on days 1 and 4 (55.7% vs. 85.1%, 75.5% vs. 91.9%; P < 0.05) but not on day 7 (93.3% vs. 94.8%; P > 0.05). There were no significant differences between the single and multiple CRP groups in terms of CS and falls (3.8% vs. 5.2%, 10.3% vs. 8.9%; P > 0.05). However, there was a significant difference in the incidence of vomiting (6.6% vs. 14.8%; P < 0.05). RD such as head heaviness, imbalance, and non-specific dizziness is more common in the single CRP group than in the multiple CRP group (34.9% vs. 20.7%, 42.5% vs. 26.7%, 47.2% vs. 32.6%; P < 0.05). The incidence and duration of RD were notably diminished in the group undergoing multiple CRPs compared to the single CRP group, with incidence rates of 41.5% and 57.5%, respectively (P < 0.05).ConclusionFor patients with BPPV, multiple CRPs offer greater benefits than a single CRP.

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Clinical Practice Update Part II: Considerations for Treatment and Management of Benign Paroxysmal Positional Vertigo

Nogi,

Fischer,

Ludwig

et al. 2023

Curr Treat Options Neurol

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Efficacy of Epley’s canalith repositioning procedure according to the number of repetitions in the same session: comparison of three protocols

Cited by 4 publications

References 6 publications

Proposal of an otolith repositioning maneuver for posterior canal Benign Paroxysmal Positional Vertigo: a supine-seated approach

Proposal of an otolith repositioning maneuver for posterior canal Benign Paroxysmal Positional Vertigo: a supine-seated approach

Mechanical rotational chair-assisted multiple canalith repositioning procedures for benign paroxysmal positional vertigo: enhanced vertigo relief, comparable adverse effects, and decreased incidence of residual dizziness

Clinical Practice Update Part II: Considerations for Treatment and Management of Benign Paroxysmal Positional Vertigo

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