Daily Exercise Does Not Prevent Recurrence of Benign Paroxysmal Positional Vertigo. Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology [Otol Neurotol] Journal article | | Title | Daily Exercise Does Not Prevent Recurrence of Benign Paroxysmal Positional Vertigo. | | Author(s) | Helminski JO, Janssen I, Hain TC | | Institution | *Department of Physical Therapy, Midwestern University, Downers Grove; daggerDepartment of Preventive Medicine, Rush University Medical Center; Departments of double daggerPhysical Therapy and Human Movement Performance, section signOtolaryngology, and parallelNeurology, Northwestern University Medical School, Chicago, Illinois, U.S.A. | | Source | Otol Neurotol 2008 Aug 8. | | Abstract | OBJECTIVE:: The purpose of this study was to analyze if a daily routine of self-canalith repositioning procedure (CRP) will increase the time to recurrence and reduce the rate of recurrence of benign paroxysmal positional vertigo (BPPV).
STUDY DESIGN:: Prospective study, nonrandomized control group.
SETTING:: Outpatient clinic.
PATIENTS:: Thirty-nine patients diagnosed with posterior canal BPPV successfully treated with the CRP. Based on a convenience sample, 17 (44%) patients were assigned to the treatment group, whereas 22 (56%) were assigned to the no-treatment group. The number of subjects lost at the time of follow-up were 5 (29.4%) of the treatment group and 2 (9%) of the no-treatment group.
INTERVENTIONS:: Patients assigned to the treatment group performed the self-CRP daily, whereas those assigned to the no-treatment group performed no exercises. Patients were followed for up to 2 years.
MAIN OUTCOME MEASURES:: The main outcome measures were the rate of recurrence of BPPV and the time for BPPV to recur.
RESULTS:: Of the 39 subjects, symptoms recurred in 16 (41%) of the total population, 6 (35%) of 17 of the treatment group, and 10 (46%) of 22 of the no-treatment group. There was no difference in the frequency of recurrence (Pearson chi; p = 0.522) or the time to recurrence (survival analysis; log-rank test; p = 0.242).
CONCLUSION:: Our results suggest that a daily routine of the self-CRP does not affect the time to recurrence and the rate of recurrence of posterior canal-BPPV. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 18698271 |
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