Investigation into dizziness before and after Epley's maneuver for benign paroxysmal positional vertigo using stabilometry

To investigate the cause of dizziness after Epley's maneuver using stabilometry. Subjects were 35 patients with posterior canal type BPPV. First we performed stabilometry, next Epley's maneuver, then stabilometry was performed again. The enveloped area and the locus length per second of st...

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Veröffentlicht in:Auris, nasus, larynx nasus, larynx, 2007-03, Vol.34 (1), p.15-17
Hauptverfasser: Inukai, Kenya, Koizuka, Izumi, Takahashi, Sugata
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creator Inukai, Kenya
Koizuka, Izumi
Takahashi, Sugata
description To investigate the cause of dizziness after Epley's maneuver using stabilometry. Subjects were 35 patients with posterior canal type BPPV. First we performed stabilometry, next Epley's maneuver, then stabilometry was performed again. The enveloped area and the locus length per second of stabilometry were compared. Seventeen patients reported a feeling of dizziness after the treatment, whereas the other 18 patients did not. The patients were divided into two groups: 17 patients with dizziness (WD) and 18 patients without dizziness (WOD) after the treatment. In the WD group, the enveloped area ( P = 0.0495) and the locus length per second ( P = 0.0099) before Epley's maneuver were significantly lower than those after Epley's maneuver. In the WOD group, there was no significant difference in the stabilometry parameter between values obtained before and after Epley's maneuver. There were no significant differences found in either parameter between these two groups either before or after applying Epley's maneuver. Epley's maneuver is a treatment for the posterior semicircular canal. Malfunction of the otolith organ remains. It is considered that the cause of dizziness after Epley's maneuver comes from otolith dysfunction.
doi_str_mv 10.1016/j.anl.2006.09.018
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Subjects were 35 patients with posterior canal type BPPV. First we performed stabilometry, next Epley's maneuver, then stabilometry was performed again. The enveloped area and the locus length per second of stabilometry were compared. Seventeen patients reported a feeling of dizziness after the treatment, whereas the other 18 patients did not. The patients were divided into two groups: 17 patients with dizziness (WD) and 18 patients without dizziness (WOD) after the treatment. In the WD group, the enveloped area ( P = 0.0495) and the locus length per second ( P = 0.0099) before Epley's maneuver were significantly lower than those after Epley's maneuver. In the WOD group, there was no significant difference in the stabilometry parameter between values obtained before and after Epley's maneuver. There were no significant differences found in either parameter between these two groups either before or after applying Epley's maneuver. Epley's maneuver is a treatment for the posterior semicircular canal. Malfunction of the otolith organ remains. 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Subjects were 35 patients with posterior canal type BPPV. First we performed stabilometry, next Epley's maneuver, then stabilometry was performed again. The enveloped area and the locus length per second of stabilometry were compared. Seventeen patients reported a feeling of dizziness after the treatment, whereas the other 18 patients did not. The patients were divided into two groups: 17 patients with dizziness (WD) and 18 patients without dizziness (WOD) after the treatment. In the WD group, the enveloped area ( P = 0.0495) and the locus length per second ( P = 0.0099) before Epley's maneuver were significantly lower than those after Epley's maneuver. In the WOD group, there was no significant difference in the stabilometry parameter between values obtained before and after Epley's maneuver. There were no significant differences found in either parameter between these two groups either before or after applying Epley's maneuver. Epley's maneuver is a treatment for the posterior semicircular canal. Malfunction of the otolith organ remains. It is considered that the cause of dizziness after Epley's maneuver comes from otolith dysfunction.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Dizziness - diagnosis</subject><subject>Dizziness - physiopathology</subject><subject>Enveloped area</subject><subject>Female</subject><subject>Humans</subject><subject>Locus length per second</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Otolaryngology - methods</subject><subject>Otolith dysfunction</subject><subject>Otolithic Membrane - physiopathology</subject><subject>Posture</subject><subject>Severity of Illness Index</subject><subject>Time Factors</subject><subject>Vertigo - physiopathology</subject><subject>Vertigo - therapy</subject><issn>0385-8146</issn><issn>1879-1476</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kMFq3DAQhkVoSTZpH6CXolNzsquxLFmipxKSNhDopT0L2R4vWmzJleylu08fLbvQW04aNN_88H-EfAJWAgP5dVdaP5YVY7JkumSgrsgGVKMLqBv5jmwYV6JQUMsbcpvSjjHGG66vyQ00AEposSHHZ7_HtLitXVzw1Pkl0N4dj85jSrTFIUSk1vfUDgtG-jiPeLhPdLIe133-yPtMebf1dLYx_DukyY50Dsmd8vKYoZwe6Jqc39K02NaNYcIlHj6Q94MdE368vHfkz9Pj74efxcuvH88P31-KjjdiKdTQcmhr1kPVdq3kdV_VAiWAYHkYWsEbZUEKLgcta1k1p61mUgGvOyU1vyNfzrlzDH_XXNZMLnU4jrlDWJORSouqBpZBOINdDClFHMwc3WTjwQAzJ-FmZ7JwcxJumDZZeL75fAlf2wn7_xcXwxn4dgYwV9w7jCZ1Dn2HvYvYLaYP7o34VyAAkq8</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Inukai, Kenya</creator><creator>Koizuka, Izumi</creator><creator>Takahashi, Sugata</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20070301</creationdate><title>Investigation into dizziness before and after Epley's maneuver for benign paroxysmal positional vertigo using stabilometry</title><author>Inukai, Kenya ; Koizuka, Izumi ; Takahashi, Sugata</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-8fb31b40d12bcb634d245e61150245fb5378a16536f96462745e69068134c8693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Dizziness - diagnosis</topic><topic>Dizziness - physiopathology</topic><topic>Enveloped area</topic><topic>Female</topic><topic>Humans</topic><topic>Locus length per second</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Otolaryngology - methods</topic><topic>Otolith dysfunction</topic><topic>Otolithic Membrane - physiopathology</topic><topic>Posture</topic><topic>Severity of Illness Index</topic><topic>Time Factors</topic><topic>Vertigo - physiopathology</topic><topic>Vertigo - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inukai, Kenya</creatorcontrib><creatorcontrib>Koizuka, Izumi</creatorcontrib><creatorcontrib>Takahashi, Sugata</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Auris, nasus, larynx</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inukai, Kenya</au><au>Koizuka, Izumi</au><au>Takahashi, Sugata</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Investigation into dizziness before and after Epley's maneuver for benign paroxysmal positional vertigo using stabilometry</atitle><jtitle>Auris, nasus, larynx</jtitle><addtitle>Auris Nasus Larynx</addtitle><date>2007-03-01</date><risdate>2007</risdate><volume>34</volume><issue>1</issue><spage>15</spage><epage>17</epage><pages>15-17</pages><issn>0385-8146</issn><eissn>1879-1476</eissn><abstract>To investigate the cause of dizziness after Epley's maneuver using stabilometry. Subjects were 35 patients with posterior canal type BPPV. First we performed stabilometry, next Epley's maneuver, then stabilometry was performed again. The enveloped area and the locus length per second of stabilometry were compared. Seventeen patients reported a feeling of dizziness after the treatment, whereas the other 18 patients did not. The patients were divided into two groups: 17 patients with dizziness (WD) and 18 patients without dizziness (WOD) after the treatment. In the WD group, the enveloped area ( P = 0.0495) and the locus length per second ( P = 0.0099) before Epley's maneuver were significantly lower than those after Epley's maneuver. In the WOD group, there was no significant difference in the stabilometry parameter between values obtained before and after Epley's maneuver. There were no significant differences found in either parameter between these two groups either before or after applying Epley's maneuver. Epley's maneuver is a treatment for the posterior semicircular canal. Malfunction of the otolith organ remains. It is considered that the cause of dizziness after Epley's maneuver comes from otolith dysfunction.</abstract><cop>Netherlands</cop><pub>Elsevier Ireland Ltd</pub><pmid>17118595</pmid><doi>10.1016/j.anl.2006.09.018</doi><tpages>3</tpages></addata></record>
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source MEDLINE; Access via ScienceDirect (Elsevier)
subjects Adult
Aged
Aged, 80 and over
Dizziness - diagnosis
Dizziness - physiopathology
Enveloped area
Female
Humans
Locus length per second
Male
Middle Aged
Otolaryngology - methods
Otolith dysfunction
Otolithic Membrane - physiopathology
Posture
Severity of Illness Index
Time Factors
Vertigo - physiopathology
Vertigo - therapy
title Investigation into dizziness before and after Epley's maneuver for benign paroxysmal positional vertigo using stabilometry
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