The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 101-59-87
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2024
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Pal’chun V.T.

Pirogov Russian National Research Medical University;
Sverzhevsky Research Institute of Clinical Otorhinolaryngology

Guseva A.L.

Pirogov Russian National Research Medical University

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Kunelskaya N.L.

L. I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Repositioning maneuver for self-performing by patients in cupulolithiasis of horizontal canal BPPV

Authors:

Pal’chun V.T., Guseva A.L., Kryukov A.I., Kunelskaya N.L.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2020;85(6): 6‑12

DOI: 10.17116/otorino2020850616

Views: 2960

Downloaded: 147

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Pal’chun VT, Guseva AL, Kryukov AI, Kunelskaya NL. Repositioning maneuver for self-performing by patients in cupulolithiasis of horizontal canal BPPV. Russian Bulletin of Otorhinolaryngology. 2020;85(6):6‑12. (In Russ.)
https://doi.org/10.17116/otorino2020850616

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)
 
МСФ на ЯМ
Close metadata

OBJECTIVE

The aim of the study is to evaluate the efficiency of the new repositioning maneuver for patients with horizontal canal cupulolithiasis benign paroxysmal positional vertigo (BPPV) to perform independently at home between doctor’s sessions.

MATERIALS AND METHODS

28 patients with isolated horizontal canal cupulolithiasis BPPV were enrolled. In all of them treatment with Gufoni maneuver was not successful after first session. They were divided in M«–» group (17 patients), M«–» group (11 patients). M«–» group performed forced prolong prositionig on the side with less dizziness between sessions. M«–» group performed forced prolong prositionig on the side with less dizziness and 3—5 repetitions of new repositioning maneuver 2—3 times a day between sessions. Repositioning maneuver consists of head shaking, then moving to one side-lying position with maintaining it until dizziness stops and resuming the upright sitting position, then without a pause performing head shaking and moving to the other side-lying position with maintaining it until dizziness stops and resuming the upright sitting position. The patients visited doctor once a week. Before treatment and 1 week after treatment dizziness handicap inventory (DHI) was administrated.

RESULTS

After 2 and 3 weeks of treatment more patients in M«–» group than in M«–» group were cured (p<0.05). After 4 weeks of treatment the number of recovered patients did not significantly differ in both groups. After 1 week of treatment according to DHI scores in M«–» group there were less patients with mild dizziness and more patients with moderate dizziness than in M«–» group (p<0.05).

CONCLUSION

Recovery from horizontal canal cupulolithisis BPPV could be achieved at an early date with self-performing of new repositioning maneuver. Patient-perceived disability in persisting horizontal canal cupulolithiasis could be less if the new repositioning maneuver is performed.

Keywords:

benign paroxysmal positional vertigo
cupulolithiasis
horizontal canal
repostitioning maneuvers

Authors:

Pal’chun V.T.

Pirogov Russian National Research Medical University;
Sverzhevsky Research Institute of Clinical Otorhinolaryngology

Guseva A.L.

Pirogov Russian National Research Medical University

Kryukov A.I.

Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Kunelskaya N.L.

L. I. Sverzhevsky Research Clinical Institute of Otorhinolaryngology;
Pirogov Russian National Research Medical University

Received:

05.07.2019

Accepted:

25.04.2020

List of references:

  1. Bisdorff AR, Staab JP, Newman-Toker DE. Overview of the International Classification of Vestibular Disorders. Neurol Clin. 2015;33(3):541-550.  https://doi.org/10.1016/j.ncl.2015.04.010
  2. Neuhauser HK. The epidemiology of dizziness and vertigo. Handb Clin Neurol. 2016;137:67-82.  https://doi.org/10.1016/B978-0-444-63437-5.00005-4
  3. Lebedeva NV, Zamergrad MV, Parfenov VA, Antonenko LM. Diagnosis and treatment of benign paroxysmal positional vertigo in common clinical practice. Ter Arkh. 2017;89(1):57-61. (In Russ.). https://doi.org/10.17116/terarkh201789157-61
  4. Zaytseva OV. Benign paroxysmal positional vertigo: modern approach to clinical presentation, diagnostics and treatment. Consilium Medicum. 2018;20(9):47-50. (In Russ.). https://doi.org/10.26442/2075-1753_2018.9.47-50
  5. Zamergrad MV. Characteristics of dizziness in elderly. Zhurnal Nevrol i Psihiatr im. S.S. Korsakova. 2015;115(Special Issue 6):3-8. (In Russ.). https://doi.org/10.17116/jnevro2015115623-8
  6. Kunel’skaya NL, Mokrysheva NG, Guseva AL, Baibakova EV, Manaenkova EA. Benign paroxysmal positional vertigo: modern concepts of its etiology and pathogenesis. Vestn Otorinolaringol. 2017;82(3):75-79. (In Russ.). https://doi.org/10.17116/otorino201782375-79
  7. Jozefowicz-Korczynska M, Pajor A, Skóra W. Benign paroxysmal positional vertigo in patients after mild traumatic brain injury. Adv Clin Exp Med. 2018;27(10):1355-1359. https://doi.org/10.17219/acem/69708
  8. Karatas A, Acar Yuceant G, Yuce T, Haci C, Taylan Cebi I, Salviz M. Association of Benign Paroxysmal Positional Vertigo with Osteoporosis and Vitamin D Deficiency: A Case Controlled Study. J Int Adv Otol. 2017;13(2):259-265.  https://doi.org/10.5152/iao.2016.2640
  9. Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El-Kashlan H, Fife T, Holmberg JM, Mahoney K, Hollingsworth DB, Roberts R, Seidman MD, Steiner RW, Do BT, Voelker CC, Waguespack RW, Corrigan MD. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update). Otolaryngol Head Neck Surg. 2017;156(3 suppl):1-47.  https://doi.org/10.1177/0194599816689667
  10. Kunelskaya NL, Guseva AL, Baybakova EV. Treatment of benign paroxysmal positional vertigo. Zhurnal Nevrol i Psihiatr im. S.S. Korsakova. 2016;116(6):98-103. (In Russ.). https://doi.org/10.17116/jnevro20161166198-103
  11. Oron Y, Cohen-Atsmoni S, Len A, Roth Y. Treatment of horizontal canal BPPV: Pathophysiology, available maneuvers, and recommended treatment. Laryngoscope. 2015;125(8):1959-1964. https://doi.org/10.1002/lary.25138
  12. Casani AP, Nacci A, Dallan I, Panicucci E, Gufoni M, Sellari-Franceschini S. Horizontal Semicircular Canal Benign Paroxysmal Positional Vertigo: Effectiveness of Two Different Methods of Treatment. Audiol Neurotol. 2011;16(3):175-184.  https://doi.org/10.1159/000317113
  13. Ramos BF, Cal R, Brock CM, Mangabeira Albernaz PL, Zuma e Maia F. Apogeotropic variant of horizontal semicircular canal benign paroxysmal positional vertigo: Where are the particles? Audiol Res. 2019;9(2). https://doi.org/10.4081/audiores.2019.228
  14. Kim JS, Oh S-Y, Lee S-H, et al. Randomized clinical trial for geotropic horizontal canal benign paroxysmal positional vertigo. Neurology. 2012;79(7):700-707.  https://doi.org/10.1212/WNL.0b013e3182648b8b
  15. Oh SY, Kim JS, Jeong SH, et al. Treatment of apogeotropic benign positional vertigo: Comparison of therapeutic head-shaking and modified Semont maneuver. J Neurol. 2009;256(8):1330-1336. https://doi.org/10.1007/s00415-009-5122-6
  16. von Brevern M, Bertholon P, Brandt T, Fife T, Imai T, Nuti D, Newman-Toker D. Benign paroxysmal positional vertigo: Diagnostic criteria Consensus document of the Committee for the Classification of Vestibular Disorders of the Bárány Society. Acta Otorrinolaringol Esp. 2017;68(6):349-360.  https://doi.org/10.1016/j.otorri.2017.02.007
  17. Jacobson GP, Newman CW. The development of the Dizziness Handicap Inventory. Arch Otolaryngol Head Neck Surg. 1990;116(4):424-427.  https://doi.org/10.1001/archotol.1990.01870040046011
  18. Whitney SL, Wrisley DM, Brown KE, Furman JM. Is Perception of Handicap Related to Functional Performance in Persons with Vestibular Dysfunction? Otol Neurotol. 2004;25(2):139-143.  https://doi.org/10.1097/00129492-200403000-00010
  19. Appiani GC, Catania G, Gagliardi M. A Liberatory Maneuver for the Treatment of Horizontal Canal Paroxysmal Positional Vertigo. Otol Neurotol. 2001;22(1):66-69.  https://doi.org/10.1097/00129492-200101000-00013
  20. Pagnini P, Nuti D, Vannucchi P. Benign Paroxysmal Vertigo of the Horizontal Canal. ORL. 1989;51(3):161-170.  https://doi.org/10.1159/000276052
  21. Chiou W-Y, Lee H-L, Tsai S-C, Yu T-H, Lee X-X. A Single Therapy for All Subtypes of Horizontal Canal Positional Vertigo. Laryngoscope. 2005;115(8):1432-1435. https://doi.org/10.1097/01.mlg.0000168092.91251.d3
  22. Balatsouras DG, Koukoutsis G, Fassolis A, Moukos A, Apris A. Benign paroxysmal positional vertigo in the elderly: Current insights. Clin Interv Aging. 2018;13:2251-2266. https://doi.org/10.2147/CIA.S144134
  23. Jang YS, Hwang CH, Shin JY, Bae WY, Kim LS. Age-Related Changes on the Morphology of the Otoconia. Laryngoscope. 2006;996-1001. https://doi.org/10.1097/01.mlg.0000217238.84401.03
  24. Tang X, Huang Q, Chen L, Liu P, Feng T, Ou Y, Zheng Y. Clinical Findings in Patients With Persistent Positional Nystagmus: The Designation of «Heavy and Light Cupula». Front Neurol. 2019;10:326.  https://doi.org/10.3389/fneur.2019.00326
  25. Sulway S, Whitney SL. Advances in Vestibular Rehabilitation. Adv Otorhinolaryngol. 2019;82:164-169.  https://doi.org/10.1159/000490285
  26. Nada EH, Ibraheem OA, Hassaan MR. Vestibular Rehabilitation Therapy Outcomes in Patients With Persistent Postural-Perceptual Dizziness. Ann Otol Rhinol Laryngol. 2019;128(4):323-329.  https://doi.org/10.1177/0003489418823017
  27. Vaduva C, Estéban-Sánchez J, Sanz-Fernández R, Martín-Sanz E. Prevalence and management of post-BPPV residual symptoms. Eur Arch Oto-Rhino-Laryngology. 2018;275(6):1429-1437. https://doi.org/10.1007/s00405-018-4980-x

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register


We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.