Article Sidebar

PDF
Date Published: 29/06/2023
Online Published: 29/06/2023
Abstract Views: 806
Views PDF: 547
DOI: https://doi.org/10.58490/ctump.2023i60.589
Issue
No. 60 (2023)
Section
Article
How to Cite
Ly, N. T., Thach , T. A. P., Lam , T. N. H., Cao , H. T. N., Tran, C. L., Duong , D. T., Luu , T. M., Duong, Y. O., Thach , T. H., & Chau , D. T. (2023). APPLICATION OF THE EPLEY MANEUVER IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO. Cantho Journal of Medicine and Pharmacy, 60, 8-15. https://doi.org/10.58490/ctump.2023i60.589

APPLICATION OF THE EPLEY MANEUVER IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO

Ngoc Tu Ly1,, Thi Ai Phuong Thach 1, Thi Ngoc Hien Lam 1, Huynh Thien Nhi Cao 1, Chi Linh Tran1, Do Trong Duong 1, Tuyet Minh Luu 1, Yen Oanh Duong1, Thi Hanh Thach 1, Diem Trang Chau 1
1 Soc Trang General Hospital

Main Article Content

Abstract

Background: The application of the Epley maneuver in the treatment of Benign Paroxysmal Positional Vertigo (BPPV) is highly effective. Objectives: To describe the clinical characteristics, evaluate the treatment results after performing the Epley maneuver in patients with Benign Paroxysmal Positional Vertigo and finding some related factors to the results of treatment of Benign Paroxysmal Positional Vertigo the treatment results by Epley maneuver. Materials and methods: Case series (30 patients), in 2 Internal Medicine Departmen of Soc Trang Province General Hospital. Results: There are more women than men with the ratio female:male = 2:1. The lowest age in the study was 27 years old; The highest is 72 years old. 46.7% of patients had symptoms of vertigo, accounting for the highest percentage. The most common accompanying symptoms were nausea 56.7%, vomiting (13.3%), tinnitus (26.7%), hearing loss (6.7%). The rate of out of vertigo was 70% (21 cases); The symptom improvement rate was 16.7% (5 cases); The rate of no improvement (failure) accounted for 13.3% (4 cases). 29 patients belonged to the posterior canal; 1 patient belonged to the anterior canal. No relationship was found between the general characteristics of the study sample and the treatment results by Epley's test. Conclusions: The application of the Epley maneuver in the treatment of Benign Paroxysmal Positional Vertigo is highly effective, simple, and inexpensive.

Article Details

Keywords

Benign paroxysmal positional vertigo, Epley maneuver

References

1. Neuhauser H., et al. The interrelations of migraine, vertigo, and migrainous vertigo. Neurology. 2001. 56(4), 436-41, doi: 10.1212/wnl.56.4.436.
2. Brandt T., Daroff R.B., et al. Physical therapy for benign paroxysmal positional vertigo. Arch Otolaryngol. 1980. 106(8), 484-5, doi: 10.1001/archotol.1980.00790320036009.
3. Pérez-Vázquez P., et al. Practice Guidelines for the Diagnosis and Management of Benign Paroxysmal Positional Vertigo Otoneurology Committee of Spanish Otorhinolaryngology and Head and Neck Surgery Consensus Document. Acta Otorrinolaringologica (English Edition). 2018. 69(6), 345-366, doi: 10.1016/j.otorri.2017.05.001.
4. Hồ Vĩnh Phước. Chóng mặt tư thế kịch phát lành tính. Luận văn tốt nghiệp thạc sĩ y khoa. Trường Đại Học Y Dược Thành Phố Hồ Chí Minh. 2009.
5. Cao Phi Phong và Bùi Châu Tuệ. Phân tích 30 trường hợp điều trị tái định vị sỏi ống bán khuyên sau bằng thao tác Epley. 2008.
6. Von Brevern M., et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007. 78(7), 710 –5, doi: 10.1136/jnnp.2006.100420.
7. Ali H.Y. and Shehabi M.H. Effectiveness of Epley's Maneuver in the treatment of Benign Paroxysmal Positional Vertigo (BPPV). Bahrain Medical Bulletin. 2006. 28, 18-22.
8. Korres S.G., Balatsouras D.G. and et al. Benign paroxysmal positional vertigo and its management. Med Sci Monit. 13(6), Cr275-82.
9. Lê Ngọc Như Ý, Nguyễn Thị Như Trúc, Lương Thanh Điền. Nghiên cứu đặc điểm lâm sàng, các yếu tố liên quan và đánh giá kết quả điều trị bệnh nhân chóng mặt tư thế kịch phát lành tính bằng nghiệm pháp Epley tại Cần Thơ 2019-2021. Tạp Chí Y Dược học Cần Thơ. 2021. 38.
10. Moon S.Y., Kim J.S., et al. Clinical characteristics of benign paroxysmal positional vertigo in Korea: a multicenter study. J Korean Med Sci. 2006. 21(3), 539-43.
11. Wen-Ching Ch., Yea-Ru Y., et al. Balance improvement in patients with benign paroxysmal positional vertigo, Clin Rehabil. 2008. 22(4), 338-47, doi: 10.1177/0269215507082741.
12. Von Brevern M., et al. Benign paroxysmal positional vertigo: Diagnostic criteria. Journal of Vestibular Research: Equilibrium and Orientation. 2015. 25(3-4), 105-117, doi: 10.3233/VES-150553.
13. Shim D.B., Ko K.M., et al. Can the affected semicircular canal be predicted by the initial provoking position in benign paroxysmal positional vertigo?. Laryngoscope. 2013. 123(9), 2259-63, doi: 10.1002/lary.23898.
14. Bhattacharyya N., Gubbels S.P., et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngol Head Neck Surg. 2017. 156(3_suppl), S1-s47, doi: 10.1177/0194599816689667.
15. Epley J.M., et al. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 1992. 107(3), 399–404.
16. Weider D.J., Ryder C.J. and Stram J.R. Benign paroxysmal positional vertigo: analysis of 44 cases treated by the canalith repositioning procedure of Epley. Am J Otol. 1994. 15(3), 321-6.
17. Power L., Murray K. and Szmulewicz D.J. Characteristics of assessment and treatment in Benign Paroxysmal Positional Vertigo (BPPV). J Vestib Res. 2020. 30(1), 55-62, doi: 10.3233/VES-190687.