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Self treatment after Epley procedure was effective for benign paroxysmal positional vertigo of the posterior semicircular canal

Clinical impact ratings GP/FP/Primary care IM/Ambulatory care Neurology

Key Words: vertigo • self care • physical therapy modalities • exercise movement techniques

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial.

Allocation: unconcealed.^*

Blinding: unblinded.^*

Follow up period: 1 week.

Setting: Kobe, Japan.

Patients: 80 patients 24–85 years of age (median 64 y, 69% women) with unilateral BPPV-PSC (54% patients with the right side affected).

Intervention: self treatment at home with modified EP after 1 cycle of EP at the outpatient clinic (n = 40) or 1 cycle of EP alone (n = 40). Self treatment included illustrated instructions for the specific manoeuvre on the affected side. The head hanging position was achieved by supporting the shoulder with a pillow, and each head position was held for >30 seconds, 3 times/day, until the relief of positional vertigo for 24 hours.

Outcomes: negative Dix-Hallpike test result, complete resolution of positional vertigo (PV), combined negative Dix-Hallpike test result and complete resolution of PV, and complications.

Patient follow up: 99%.

MAIN RESULTS
The table shows the results.

CONCLUSION
In patients with unilateral benign . . . [Full text of this article]

Doron Sommer, MD

McMaster University, Hamilton, Ontario, Canada

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