![]() The Semont maneuver has similar limitations. ![]() However, it has limitations, listed below, that may reduce its utility as a home exercise. The Epley maneuver is popular in ENT practices in the U.S. An exercise that successfully relocates the causative particles without causing dizziness would be preferred from a patient standpoint. In order to be used effectively by patients, the ideal exercise should be reasonably simple to learn and apply, and have minimal side effects. These maneuvers have been posted on the internet, depicted in written sources, and are given out by physicians directly to patients who use them to perform exercises at home. Usually patients with recurrences return to clinic for further maneuvers, but home exercises should be more cost-effective. Because particles can again become displaced into the semicircular canals over time, it is possible to have recurrences, which approach 50% over 1–3 years. Ideally a maneuver is applied several times in the course of one treatment session, until no further symptoms can be elicited. Other maneuvers have been described for the horizontal and anterior canal variants, and a number of minor variations of all these maneuvers have been reported. In the 1980’s, two treatments for the posterior canal variant, the Epley and Semont maneuvers, were independently devised, and both have been found to be similar in efficacy, which exceeds 90%. This is usually performed by a clinician or therapist. These can be cleared from the semicircular canals by canalith repositioning (CRP), resolving the dizziness. ![]() We believe that both exercises can be self-applied to control symptoms, but the half somersault is tolerated better and has fewer side effects as a home exercise.īenign paroxysmal positional vertigo (BPPV) is a common vertigo disorder in which otoconia normally adherent to the utricle become displaced into the semicircular canals. During the 6-month follow-up, the Epley group had significantly more treatment failures than the half somersault group. The Epley maneuver was significantly more efficacious in reducing nystagmus initially, but caused significantly more dizziness during application than the half somersault. Both exercises resulted in a significant reduction in nystagmus after two self-applications. Outcome measures were the reduction of nystagmus intensity, tolerability of induced dizziness, and long-term efficacy. Subjects performed exercises twice while observed, were re-tested with the Dix Hallpike, and then reported on exercise use for 6 months. In this randomized single-blind study, we compare the efficacy of our exercise to self-administered Epley maneuvers in patients with BPPV. We designed a self-administered exercise, the half somersault, for home use. Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |