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Vertigolu Hastalarda Epley Manevrası Öncesi Ve Sonrasında Denge Değişimi:

Yıl 2023, Cilt: 45 Sayı: 1, 118 - 124, 23.01.2023
https://doi.org/10.20515/otd.1172469

Öz

Benign paroksismal pozisyonel vertigo (BPPV), periferik vertigonun en sık nedenidir. Epley manevrası ile hastaların dengesinin düzeldiği literatürde desteklenmiştir. Çalışmanın amacı, BPPV'li hastalarda Epley manevrasının denge üzerine etkisini denge cihazı ile değerlendirmektir. Prospektif klinik çalışma 104 hasta ile tamamlandı. Epley manevrası öncesi ve sonrasında, statik ve dinamik denge değişiklikleri gözler açık ve kapalı halde denge cihazı ile değerlendirildi. Hastaların yaş ortalaması 45,8±16,34 (dağılım, 18-83) idi. 75 hasta (%72,1) kadın ve 29 hasta (%27,9) erkek idi. Gözler açık stabil alan (p=0.137), 'gözler açık stabil uzunluk, (p=0.184), 'gözler açık stabil açı (p=0.155), 'gözler açık stabil hız (p=0.100), 'gözler kapalı stabil alan' (p=0.06) ve 'gözler kapalı stabil açı' (p=0.310) değerlerinde Epley öncesi ve sonrası ölçümler arasında anlamlı fark yoktu. Epley manevrası öncesi ve sonrası, gözler kapalı stabil uzunluk" (p=0,00) ve "gözler kapalı stabil hız" (p=0.007) değerleri arasında anlamlı fark vardı. Epley manevrası ile daha iyi statik denge, Epley manevrasından sonra vücut stabilitesinin ve postüral dengenin daha iyi kontrol edilebileceğini gösterdi. Dinamik dengede düzelme saptanmadı. Bu durum BPPV'li hastaların proprioseptif ve görsel uyaranlardaki değişikliklere uyum sağlayamadığını düşündürdü. Epley testi, vertigolu hastalarda önemli bir sorun olan denge bozukluğunu iyileştirmede ve buna bağlı komplikasyonların önlenmesinde etkili bir yöntemdir.

Kaynakça

  • 1. Sarıkafa Y. Topkan L. Otoloji ve Foniatri Perspektifiyle Odyoloji . Topkan L , editor. 1. baskı, Ankara: Nobel Tıp Kitabevi; 2021.
  • 2. Brandt T, Daroff RB. Physical Therapy for Benign Paroxysmal Positional Vertigo. Arch Otolaryngol - Head Neck Surg. 1980;1;8:484–5.
  • 3. Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;30:681–93.
  • 4. M. von Brevern. Short-term efficacy of Epley’s manoeuvre: a double-blindrandomised trial. J Neurol Neurosurg Psychiatry. 2006;77:980-982.
  • 5. Kearney AK and R. Postural disturbances in paroxysmal positional vertigo. Am J Otol.1990;11:444–6.
  • 6. Sindel D. Denge ve Koordinasyon Egzersizleri. Diniz F KA, editor. Fiziksel Tıp ve Rehabilitasyon. Nobel Tıp Kitabevi; 2000.p: 227–37.
  • 7. L. S. M . Atlas JTMP. Benign paroxysmal positional vertigo: mechanism and management. Otol Neuro-Otology. 2001;9:284–9.
  • 8. Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev. 2014;8:12 doi: 10.1002/14651858.CD003162.pub3
  • 9. Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo Otolaryngol Neck Surg. 2017;3:1–47. doi:10.1177/0194599816689667
  • 10. Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary. Otolaryngol Neck Surg 2017;3:403–16. doi:10.1177/0194599816689660
  • 11. Epley JM. The Canalith Repositioning Procedure: For Treatment of Benign Paroxysmal Positional Vertigo. Otolaryngol Neck Surg. 1992; 107:399–404. doi:10.1177/019459989210700310
  • 12. Vaz DP, Gazzola JM, Lança SM, Dorigueto RS, Kasse CA. Clinical and functional aspects of body balance in elderly subjects with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol. 2013;79:150–7.
  • 13. Pollak L, Davies RA, Luxon LL. Effectiveness of the Particle Repositioning Maneuver in Benign Paroxysmal Positional Vertigo with and without Additional Vestibular Pathology. Otol Neurotol. 2002;23:79–83.
  • 14. Soto-Varela A, Santos-Perez S, Rossi-Izquierdo M, Sanchez-Sellero I. Are the Three Canals Equally Susceptible to Benign Paroxysmal Positional Vertigo? Audiol Neurotol. 2013;:327–34. 15. Silva C, Ribeiro K, Freitas R, Ferreira L, Guerra R. Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver. Int Arch Otorhinolaryngol. 2016;20:061–8. doi: 10.1055/s-0035-1565915
  • 16. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of Balance and Vestibular Function in US Adults. Arch Intern Med. 2009;169:938. doi=10.1001/archinternmed.2009.66
  • 17. Macedo C, Gazzola JM, Caovilla HH, Ricci NA, Doná F, Ganança FF. Posturografia em idosos com distúrbios vestibulares e quedas. ABCS Heal Sci . 2013;38:1.
  • 18. Iwasaki S, Yamasoba T. Dizziness and Imbalance in the Elderly: Age-related Decline in the Vestibular System. Aging Dis. 2015;6:38. doi:10.14336/AD.2014.0128
  • 19. Gazzola JM, Ganança FF, Aratani MC, Perracini MR, Ganança MM. Clinical evaluation of elderly people with chronic vestibular disorder. Braz J Otorhinolaryngol. 2006 ;72:515–22.
  • 20. Bittar RSM, Simoceli L, Pedalini MEB, Bottino MA. The treatment of diseases related to balance disorders in the elderly and the effectiveness of vestibular rehabilitation. Braz J Otorhinolaryngol. 2007;73:295–8.
  • 21. Dorobisz K, Dorobisz T, Zatoński T. The assessment of the balance system in cranial artery stenosis. Brain Behav. 2020;10:9. doi:10.1002/brb3.1695
  • 22. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16:1–14.
  • 23. Zouita S, Zouhal H, Ferchichi H et al. Effects of Combined Balance and Strength Training on Measures of Balance and Muscle Strength in Older Women With a History of Falls. Front Physiol. 2020;11. doi:10.3389/fphys.2020.619016/full
  • 24. Chang W-C, Hsu L-C, Yang Y-R, Wang R-Y. Balance Ability in Patients with Benign Paroxysmal Positional Vertigo. Otolaryngol Neck Surg. 2006;135:534–40. doi:10.1016/j.otohns.2005.10.001
  • 25. Bressi F, Vella P, Casale M, Moffa A et al. Vestibular rehabilitation in benign paroxysmal positional vertigo: Reality or fiction? Int J Immunopathol Pharmacol. 2017;30:113–22. doi:10.1177/0394632017709917
  • 26. Horak FB, Nashner LM, Diener HC. Postural strategies associated with somatosensory and vestibular loss. Exp Brain Res. 1990;82. doi:10.1007/BF00230848
  • 27. Stambolieva K, Angov G. Postural stability in patients with different durations of benign paroxysmal positional vertigo. Eur Arch Oto-Rhino-Laryngology 2006;263:118–22. doi:10.1007/s00405-005-0971-9
  • 28. Chen L, Lo WLA, Mao YR,et al. Effect of Virtual Reality on Postural and Balance Control in Patients with Stroke: A Systematic Literature Review. Biomed Res Int. 2016;2016:7309272 doi: 10.1155/2016/7309272
  • 29. Zhang D, Fan Z, Han Y, Yu G, Wang H. Clinical value of dynamic posturography in the evaluation and rehabilitation of vestibular function of patients with benign paroxysmal positional vertigo. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010;45:732–6.
  • 30. Dannenbaum E, Rappaport JM, Paquet N, Visintin M FJ. Watt D. 2-year review of a novel vestibular rehabilitation program in Montreal and Laval, Quebec. J Otolaryngol. 2004;33:5–9.
  • 31. Shumway-Cook A, Taylor CS, Matsuda PN, Studer MT, Whetten BK. Expanding the Scoring System for the Dynamic Gait Index. Phys Ther. 2013;93:1493–506.
  • 32. KMOB R, Freitas RV de M, Ferreira LM de BM et al. Effects of balance Vestibular Rehabilitation Therapy in elderly with Benign Paroxysmal Positional Vertigo: a randomized controlled trial. Disabil Rehabil. 2017;39:1198–206. doi:10.1080/09638288.2016.1190870
  • 33. Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders. Curr Opin Neurol. 2019;32:137–44.

Effect of Epley Maneuver on Balance Change in Benign Paroxysmal Positional Vertigo

Yıl 2023, Cilt: 45 Sayı: 1, 118 - 124, 23.01.2023
https://doi.org/10.20515/otd.1172469

Öz

Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. It has been supported in the literature that the patients’ balance is getting better with the Epley maneuver. The aim of the study is, to evaluate the effect of the Epley maneuver on balance in patients with BPPV with a balance device. The prospective clinical study was completed with 104 patients. Before and after the Epley maneuver, static and dynamic balance changes were evaluated with a balance device with eyes open and closed. The mean age of the patients was 45.8±16.34 (range, 18-83). 75 patients (72.1%) were female and 29 patients (27.9%) were male. Stable area with eyes open (p= 0.137), 'stable length with eyes open (p=0.184), 'stable angle with eyes open (p= 0.155), 'stable rate with eyes open (p= 0.100), 'stable area with eyes closed' (p=0.06) and 'stable angle with eyes closed' (p= 0.310) values were not significantly different between pre-and post-Epley measurements. There was a significant difference between the values of “stable length with eyes closed” (p=0.00), and “stable speed with eyes closed” (p= 0.007) before and after the Epley maneuver. Better static balance with the Epley maneuver showed that, body stability and postural balance could be better controlled after the Epley maneuver. There was no improvement in dynamic balance. This suggested that, patients with BPPV could not adapt to changes in proprioceptive and visual stimuli. The Epley test is an effective method for getting better balance disorder and the prevention of related complications which is an important problem in patients with vertigo.

Kaynakça

  • 1. Sarıkafa Y. Topkan L. Otoloji ve Foniatri Perspektifiyle Odyoloji . Topkan L , editor. 1. baskı, Ankara: Nobel Tıp Kitabevi; 2021.
  • 2. Brandt T, Daroff RB. Physical Therapy for Benign Paroxysmal Positional Vertigo. Arch Otolaryngol - Head Neck Surg. 1980;1;8:484–5.
  • 3. Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003;30:681–93.
  • 4. M. von Brevern. Short-term efficacy of Epley’s manoeuvre: a double-blindrandomised trial. J Neurol Neurosurg Psychiatry. 2006;77:980-982.
  • 5. Kearney AK and R. Postural disturbances in paroxysmal positional vertigo. Am J Otol.1990;11:444–6.
  • 6. Sindel D. Denge ve Koordinasyon Egzersizleri. Diniz F KA, editor. Fiziksel Tıp ve Rehabilitasyon. Nobel Tıp Kitabevi; 2000.p: 227–37.
  • 7. L. S. M . Atlas JTMP. Benign paroxysmal positional vertigo: mechanism and management. Otol Neuro-Otology. 2001;9:284–9.
  • 8. Hilton MP, Pinder DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev. 2014;8:12 doi: 10.1002/14651858.CD003162.pub3
  • 9. Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo Otolaryngol Neck Surg. 2017;3:1–47. doi:10.1177/0194599816689667
  • 10. Bhattacharyya N, Gubbels SP, Schwartz SR et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary. Otolaryngol Neck Surg 2017;3:403–16. doi:10.1177/0194599816689660
  • 11. Epley JM. The Canalith Repositioning Procedure: For Treatment of Benign Paroxysmal Positional Vertigo. Otolaryngol Neck Surg. 1992; 107:399–404. doi:10.1177/019459989210700310
  • 12. Vaz DP, Gazzola JM, Lança SM, Dorigueto RS, Kasse CA. Clinical and functional aspects of body balance in elderly subjects with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol. 2013;79:150–7.
  • 13. Pollak L, Davies RA, Luxon LL. Effectiveness of the Particle Repositioning Maneuver in Benign Paroxysmal Positional Vertigo with and without Additional Vestibular Pathology. Otol Neurotol. 2002;23:79–83.
  • 14. Soto-Varela A, Santos-Perez S, Rossi-Izquierdo M, Sanchez-Sellero I. Are the Three Canals Equally Susceptible to Benign Paroxysmal Positional Vertigo? Audiol Neurotol. 2013;:327–34. 15. Silva C, Ribeiro K, Freitas R, Ferreira L, Guerra R. Vertiginous Symptoms and Objective Measures of Postural Balance in Elderly People with Benign Paroxysmal Positional Vertigo Submitted to the Epley Maneuver. Int Arch Otorhinolaryngol. 2016;20:061–8. doi: 10.1055/s-0035-1565915
  • 16. Agrawal Y, Carey JP, Della Santina CC, Schubert MC, Minor LB. Disorders of Balance and Vestibular Function in US Adults. Arch Intern Med. 2009;169:938. doi=10.1001/archinternmed.2009.66
  • 17. Macedo C, Gazzola JM, Caovilla HH, Ricci NA, Doná F, Ganança FF. Posturografia em idosos com distúrbios vestibulares e quedas. ABCS Heal Sci . 2013;38:1.
  • 18. Iwasaki S, Yamasoba T. Dizziness and Imbalance in the Elderly: Age-related Decline in the Vestibular System. Aging Dis. 2015;6:38. doi:10.14336/AD.2014.0128
  • 19. Gazzola JM, Ganança FF, Aratani MC, Perracini MR, Ganança MM. Clinical evaluation of elderly people with chronic vestibular disorder. Braz J Otorhinolaryngol. 2006 ;72:515–22.
  • 20. Bittar RSM, Simoceli L, Pedalini MEB, Bottino MA. The treatment of diseases related to balance disorders in the elderly and the effectiveness of vestibular rehabilitation. Braz J Otorhinolaryngol. 2007;73:295–8.
  • 21. Dorobisz K, Dorobisz T, Zatoński T. The assessment of the balance system in cranial artery stenosis. Brain Behav. 2020;10:9. doi:10.1002/brb3.1695
  • 22. Woollacott M, Shumway-Cook A. Attention and the control of posture and gait: a review of an emerging area of research. Gait Posture. 2002;16:1–14.
  • 23. Zouita S, Zouhal H, Ferchichi H et al. Effects of Combined Balance and Strength Training on Measures of Balance and Muscle Strength in Older Women With a History of Falls. Front Physiol. 2020;11. doi:10.3389/fphys.2020.619016/full
  • 24. Chang W-C, Hsu L-C, Yang Y-R, Wang R-Y. Balance Ability in Patients with Benign Paroxysmal Positional Vertigo. Otolaryngol Neck Surg. 2006;135:534–40. doi:10.1016/j.otohns.2005.10.001
  • 25. Bressi F, Vella P, Casale M, Moffa A et al. Vestibular rehabilitation in benign paroxysmal positional vertigo: Reality or fiction? Int J Immunopathol Pharmacol. 2017;30:113–22. doi:10.1177/0394632017709917
  • 26. Horak FB, Nashner LM, Diener HC. Postural strategies associated with somatosensory and vestibular loss. Exp Brain Res. 1990;82. doi:10.1007/BF00230848
  • 27. Stambolieva K, Angov G. Postural stability in patients with different durations of benign paroxysmal positional vertigo. Eur Arch Oto-Rhino-Laryngology 2006;263:118–22. doi:10.1007/s00405-005-0971-9
  • 28. Chen L, Lo WLA, Mao YR,et al. Effect of Virtual Reality on Postural and Balance Control in Patients with Stroke: A Systematic Literature Review. Biomed Res Int. 2016;2016:7309272 doi: 10.1155/2016/7309272
  • 29. Zhang D, Fan Z, Han Y, Yu G, Wang H. Clinical value of dynamic posturography in the evaluation and rehabilitation of vestibular function of patients with benign paroxysmal positional vertigo. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2010;45:732–6.
  • 30. Dannenbaum E, Rappaport JM, Paquet N, Visintin M FJ. Watt D. 2-year review of a novel vestibular rehabilitation program in Montreal and Laval, Quebec. J Otolaryngol. 2004;33:5–9.
  • 31. Shumway-Cook A, Taylor CS, Matsuda PN, Studer MT, Whetten BK. Expanding the Scoring System for the Dynamic Gait Index. Phys Ther. 2013;93:1493–506.
  • 32. KMOB R, Freitas RV de M, Ferreira LM de BM et al. Effects of balance Vestibular Rehabilitation Therapy in elderly with Benign Paroxysmal Positional Vertigo: a randomized controlled trial. Disabil Rehabil. 2017;39:1198–206. doi:10.1080/09638288.2016.1190870
  • 33. Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders. Curr Opin Neurol. 2019;32:137–44.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm ORİJİNAL MAKALELER / ORIGINAL ARTICLES
Yazarlar

Nevsun Pıhtılı Taş 0000-0003-0202-6426

Nihat Susaman 0000-0002-8890-069X

Yayımlanma Tarihi 23 Ocak 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 45 Sayı: 1

Kaynak Göster

Vancouver Pıhtılı Taş N, Susaman N. Effect of Epley Maneuver on Balance Change in Benign Paroxysmal Positional Vertigo. Osmangazi Tıp Dergisi. 2023;45(1):118-24.


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