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

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

http://dx.doi.org/10.1136/ebm.11.3.78

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    Tanimoto H, Doi K, Katata K, et al. Self-treatment for benign paroxysmal positional vertigo of the posterior semicircular canal. Neurology 2005;65:1299–300.
    OpenUrlAbstract/FREE Full Text

    
 
 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

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    unconcealed.*

    Embedded ImageBlinding:

    unblinded.*

    Embedded ImageFollow up period:

    1 week.

    Embedded ImageSetting:

    Kobe, Japan.

    Embedded ImagePatients:

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

    Embedded ImageIntervention:

    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 …

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    Footnotes

    • ↵* See glossary

    • For correspondence: Dr H Tanimoto, Kobe University Graduate School of Medicine, Kobe, Japan. hitoshi{at}tc4.so-net.ne.jp

    • Source of funding: not stated.

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      BMJ Publishing Group Ltd
      BMJ Evidence-Based Medicine 2006; 11 95a-95a Published Online First: 30 May 2006. doi: 10.1136/ebm.11.3.95a