Does vertigo disappear only by rolling over? Rehabilitation for benign paroxysmal positional vertigo.
CONCLUSIONS
We propose that the rolling-over maneuver (ROM) is as effective as the canalith repositioning maneuver (CRP) for the treatment of benign paroxysmal positional vertigo (BPPV). ROM involves easy movements, with only a small load. This therapy is suitable for most BPPV patients, even for those without an indication for CRP.


OBJECTIVE
BPPV is a common vestibular disorder. CRP is known to be an effective therapy for the treatment of BPPV. Because of its various movements of the head and body, it is impossible to perform CRP in BPPV patients with orthopedic impairments or in the elderly. For these patients, we perform a maneuver called ROM, which involves easy movements. In this study, we compared the efficacy of ROM with that of CRP in patients with posterior semicircular canal-type BPPV.


METHODS
The study included 22 patients with BPPV who were randomized and divided into the following 2 groups: 1) those treated by the modified Epley maneuver as CRP; and 2) those treated by ROM.


RESULTS
We found no significant difference between the two groups in the number of days from onset to remission of both nystagmus and vertigo.
Sugita-Kitajima
Akemi
A
Department of Otolaryngology, St Marianna University, School of Medicine, Kawasaki, Kanagawa, Japan. akemiffy@bk2.so-net.ne.jp
Sato
Shigeki
S
Mikami
Koshi
K
Mukaide
Mitsuhiro
M
Koizuka
Izumi
I
D000328:Adult; D000368:Aged; D005260:Female; D019416:Head Movements / Q000502:physiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D026741:Physical Therapy Modalities; D011187:Posture / Q000502:physiology*; D012665:Semicircular Canals / Q000503:physiopathology; D014717:Vertigo / Q000503:physiopathology / Q000534:rehabilitation*