The Effect of Repositioning Maneuver Applied with the TRV Chair on Residual Dizziness after Benign Paroxysmal Positional Vertigo

Abstract

Objective This study aims to investigate the effect of TRV chair on residual dizziness (RD) after idiopathic posterior semicircular canal benign paroxysmal positional vertigo (BPPV) successfully treated with canalith repositioning maneuver (CRM). Study Design Prospective case–control study. Setting Hospital. Patients Thirty-three patients with posterior canal BPPV were included in the study. These patients were divided into two identical groups. CRM was applied to the first group with a TRV chair (TRV group) and manually to the second group (manual group). Interventions Dizziness Handicap Inventory (DHI), Beck Anxiety Inventory (BAI), and video head impulse test were applied to the patients. Patients in both groups were asked to report the RD developed after successful CRM daily by visual analog scale (VAS). Results The TRV group’s first-day RD rate was 94.1% with VAS, and the RD duration was 2.47 ± 1.77 (0–7) days. The manual group’s first-day RD rate was 100%, and the RD duration was 3.38 ± 1.70 (1–7) days. There was no difference between the groups in terms of RD duration (p > 0.05). Mean RD severity and severity in the first 3 days were lower in the TRV group compared with the manual group (p < 0.05). There was no difference between the groups on other days (p > 0.05). In addition, there was a positive correlation between RD and DHI and BPPV duration (p < 0.05). Conclusion RD is a multifactorial symptom associated with how the repositioning maneuver is performed, BPPV duration, and DHI. Performing the repositioning maneuver with the TRV chair can reduce the severity of RD.

Role of Comprehensive Vestibular Rehabilitation Based on Virtual Reality Technology in Residual Symptoms After Canalith Repositioning Procedure

“… 18 (3) During repositioning, the remaining tiny otolith fragments in the semicircular canal or ampulla of the semicircular canal cannot be restored, resulting in residual symptoms in the majority of patients after changing their postures. 19 (4) The otoliths falling into the vestibular cistern can alter the utriculus sensitivity or lead to neuronal degeneration, thus easily inducing residual symptoms such as dizziness. 20 (5) Mental factors, including stress and anxiety, also increase the risk of residual symptoms.…”