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Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine.
J Otolaryngol Head Neck Surg. 2008 Jun; 37(3):373-9.JO

Abstract

OBJECTIVE

To determine the efficacy of a home-based exercise program by comparing it with betahistine in patients with benign paroxysmal positional vertigo (BPPV).

STUDY DESIGN

Prospective, randomized, controlled study.

SETTING

Outpatient clinic of a university hospital.

PATIENTS

Thirty-eight patients (10 males, 28 females; mean age 46 +/- 13 years) diagnosed as having BPPV.

INTERVENTIONS

Patients were randomly assigned to either an exercise or a medication group. In the medication group, betahistine was prescribed at 24 mg/d for 1 month. The exercise group was required to perform Cawthorne-Cooksey exercises six times/day for 4 weeks.

MAIN OUTCOME MEASURES

The Vertigo, Dizziness, Imbalance Questionnaire (VDI), which consists of two subscales, the VDI symptom subscale (VDI-ss) and the VDI health-related quality of life (VDI-HRQoL) subscale, and the Vertigo Symptom Scale (VSS) were used for assessment at the beginning of the study and after 2 months.

RESULTS

The mean scores of the two components of the VDI and the VSS decreased in the exercise group by the fourth week. In the medication group, VSI mean scores, VDIss mean scores, and VSS mean scores decreased in the second week and VDI-HRQoL mean scores decreased in the fourth week. However, there were no significant differences between baseline and week 8. There were significant differences between groups regarding the change in the mean scores of the VDI (p = .001) and the VSS (p = .001) at the end of the study in favour of the exercise group.

CONCLUSIONS

Exercise was found to be a better treatment choice than medication and may be preferable for patients with persistent or chronic vertigo.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Yeditepe University Hospital, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

19128642

Citation

Kulcu, Duygu Geler, et al. "Efficacy of a Home-based Exercise Program On Benign Paroxysmal Positional Vertigo Compared With Betahistine." Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, vol. 37, no. 3, 2008, pp. 373-9.
Kulcu DG, Yanik B, Boynukalin S, et al. Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. J Otolaryngol Head Neck Surg. 2008;37(3):373-9.
Kulcu, D. G., Yanik, B., Boynukalin, S., & Kurtais, Y. (2008). Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale, 37(3), 373-9.
Kulcu DG, et al. Efficacy of a Home-based Exercise Program On Benign Paroxysmal Positional Vertigo Compared With Betahistine. J Otolaryngol Head Neck Surg. 2008;37(3):373-9. PubMed PMID: 19128642.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. AU - Kulcu,Duygu Geler, AU - Yanik,Burcu, AU - Boynukalin,Serife, AU - Kurtais,Yesim, PY - 2009/1/9/entrez PY - 2009/1/9/pubmed PY - 2009/5/1/medline SP - 373 EP - 9 JF - Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale JO - J Otolaryngol Head Neck Surg VL - 37 IS - 3 N2 - OBJECTIVE: To determine the efficacy of a home-based exercise program by comparing it with betahistine in patients with benign paroxysmal positional vertigo (BPPV). STUDY DESIGN: Prospective, randomized, controlled study. SETTING: Outpatient clinic of a university hospital. PATIENTS: Thirty-eight patients (10 males, 28 females; mean age 46 +/- 13 years) diagnosed as having BPPV. INTERVENTIONS: Patients were randomly assigned to either an exercise or a medication group. In the medication group, betahistine was prescribed at 24 mg/d for 1 month. The exercise group was required to perform Cawthorne-Cooksey exercises six times/day for 4 weeks. MAIN OUTCOME MEASURES: The Vertigo, Dizziness, Imbalance Questionnaire (VDI), which consists of two subscales, the VDI symptom subscale (VDI-ss) and the VDI health-related quality of life (VDI-HRQoL) subscale, and the Vertigo Symptom Scale (VSS) were used for assessment at the beginning of the study and after 2 months. RESULTS: The mean scores of the two components of the VDI and the VSS decreased in the exercise group by the fourth week. In the medication group, VSI mean scores, VDIss mean scores, and VSS mean scores decreased in the second week and VDI-HRQoL mean scores decreased in the fourth week. However, there were no significant differences between baseline and week 8. There were significant differences between groups regarding the change in the mean scores of the VDI (p = .001) and the VSS (p = .001) at the end of the study in favour of the exercise group. CONCLUSIONS: Exercise was found to be a better treatment choice than medication and may be preferable for patients with persistent or chronic vertigo. SN - 1916-0216 UR - https://www.unboundmedicine.com/medline/citation/19128642/Efficacy_of_a_home_based_exercise_program_on_benign_paroxysmal_positional_vertigo_compared_with_betahistine_ L2 - http://www.diseaseinfosearch.org/result/799 DB - PRIME DP - Unbound Medicine ER -