지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제13권 제4호
- 발행연도
- 2020.1
- 수록면
- 376 - 380 (5page)
이용수
초록· 키워드
오류제보하기
Objectives. Canalolithiasis of the posterior semicircular canal (PC) is the most common reason for benign paroxysmal positional vertigo (BPPV). If a patient is diagnosed with PC-BPPV through the Dix-Hallpike test, the modified Epley maneuver (mEpley) is used as the gold standard treatment. To reduce the discomfort of the standard mEpley, we proposed placing a pillow under the shoulders during this therapeutic maneuver. The purpose of this study was to determine whether the therapeutic efficacy of the mEpley with a pillow under the shoulders (mEpley-PS) was comparable to that of the standard mEpley. Methods. A randomized controlled study at three academic referral hospitals was conducted in compliance with the CONSORT statement. Patients who were diagnosed with PC-BPPV through the Dix-Hallpike test were randomly assigned to groups A or B. Patients in groups A and B were treated with the standard mEpley and mEpley-PS, respectively. The resolution of vertigo and nystagmus on the Dix-Hallpike test at a 1-week follow-up after treatment was the main outcome measurement to assess the efficacy of treatment. Results. Forty-one patients diagnosed with PC-BPPV were enrolled in this study. Twenty-one patients were assigned to group A and 20 were assigned to group B. The success rate at 1 week after treatment was 85.7% in group A and 80.0% in group B. There was no statistically significant difference between the two groups (P=0.697). Conclusion. The therapeutic efficacy of the mEpley-PS was comparable to that of the standard mEpley. The use of the pillow modification may be an excellent alternative if a patient cannot tolerate the head-hanging position, and it is helpful for patients who have anxiety about the head-hanging position. The mEpley-PS can be performed on a bed with or without a headboard. It is both a patient-friendly and a clinician-friendly maneuver.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
von Brevern M / 2017 / Benign paroxysmal positional vertigo : diagnostic criteria consensus document of the Committee for the Classification of Vestibular Disorders of the Barany Society / Acta Otorrinolaringol Esp 68(6):349~360
Dix MR / 1952 / The pathology symptomatology and diagnosis of certain common disorders of the vestibular system / Proc R Soc Med 45(6):341~354
Bhattacharyya N / 2017 / Clinical practice guideline: benign paroxysmal positional vertigo (update) / Otolaryngol Head Neck Surg 156(3_suppl):S1~S47
Furman JM / 1999 / Benign paroxysmal positional vertigo / N Engl J Med 341(21):1590~1596
Fife TD / 2008 / Practice parameter : therapies for benign paroxysmal positional vertigo(an evidence-based review) : report of the Quality Standards Subcommittee of the American Academy of Neurology / Neurology 70(22):2067~2074
Dix MR / 1952 / The pathology symptomatology and diagnosis of certain common disorders of the vestibular system / Proc R Soc Med 45(6):341~354
Bhattacharyya N / 2017 / Clinical practice guideline: benign paroxysmal positional vertigo (update) / Otolaryngol Head Neck Surg 156(3_suppl):S1~S47
Furman JM / 1999 / Benign paroxysmal positional vertigo / N Engl J Med 341(21):1590~1596
Fife TD / 2008 / Practice parameter : therapies for benign paroxysmal positional vertigo(an evidence-based review) : report of the Quality Standards Subcommittee of the American Academy of Neurology / Neurology 70(22):2067~2074
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