Self treatment after Epley procedure was effective for benign paroxysmal positional vertigo of the posterior semicircular canal
Q In patients with unilateral benign paroxysmal positional vertigo of the posterior semicircular canal (BPPV-PSC), does self treatment after the Epley procedure (EP) improve clinical outcomes more than EP alone?
Clinical impact ratings GP/FP/Primary care ★★★★★★☆ IM/Ambulatory care ★★★★★☆☆ Neurology ★★★★★☆☆
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 …
