Journal Mobile Options
Table of Contents
Vol. 2, No. 1, 2012
Issue release date: January – December

Open Access Gateway

Audiol Neurotol Extra 2012;2:16–23
(DOI:10.1159/000337947)

A Comparison of Two Home Exercises for Benign Positional Vertigo: Half Somersault versus Epley Maneuver

Foster C.A. · Ponnapan A. · Zaccaro K. · Strong D.
Departments of aOtolaryngology and Audiology, bOtolaryngology, and cAudiology, School of Medicine, University of Colorado Denver, Aurora, Colo., USA

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Abstract

Benign paroxysmal positional vertigo (BPPV) frequently recurs after treatment, so a home exercise would be desirable. We designed a self-administered exercise, the half somersault, for home use. In this randomized single-blind study, we compare the efficacy of our exercise to self-administered Epley maneuvers in patients with BPPV. Subjects performed exercises twice while observed, were re-tested with the Dix Hallpike, and then reported on exercise use for 6 months. Outcome measures were the reduction of nystagmus intensity, tolerability of induced dizziness, and long-term efficacy. Both exercises resulted in a significant reduction in nystagmus after two self-applications. The Epley maneuver was significantly more efficacious in reducing nystagmus initially, but caused significantly more dizziness during application than the half somersault. During the 6-month follow-up, the Epley group had significantly more treatment failures than the half somersault group. We believe that both exercises can be self-applied to control symptoms, but the half somersault is tolerated better and has fewer side effects as a home exercise.



 goto top of outline Author Contacts

Carol A. Foster, MD
12631 E 17th Ave., Mailstop B205
Aurora, CO 80045 (USA)
Tel. +1 303 724 1967, E-Mail carol.foster@ucdenver.edu


 goto top of outline Article Information

Published online: April 20, 2012
Number of Print Pages : 8
Number of Figures : 2, Number of Tables : 0, Number of References : 15


 goto top of outline Publication Details

Audiology and Neurotology Extra

Vol. 2, No. 1, Year 2012 (Cover Date: January - April)

Journal Editor: Harris J.P. (San Diego, Calif.)
ISSN: 1664-5537 (Print), eISSN: 1664-5537 (Online)

For additional information: http://www.karger.com/AUE


Open Access License / Drug Dosage

Open Access License: This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Distribution permitted for non-commercial purposes only.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Appiani GC, Catania G, Gagliardi M: A liberatory maneuver for the treatment of horizontal canal paroxysmal positional vertigo [see comment]. Otol Neurotol 2001;22:66–69.
  2. Beynon GJ, Baguley DM, da Cruz MJ: Recurrence of symptoms following treatment of posterior semicircular canal benign positional paroxysmal vertigo with a particle repositioning manoeuvre. J Otolaryngol 2000;29:2–6.
  3. Casani AP, Cerchiai N, Dallan I, Sellari-Franceschini S: Anterior canal lithiasis: diagnosis and treatment. Otolaryngol Head Neck Surg 2011;144:412–418.

    External Resources

  4. Epley J: Human experience with canalith repositioning maneuvers. Ann N Y Acad Sci 2001;942:179–191.
  5. Epley JM: The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399–404.
  6. Foster C, Zaccaro K, Strong D: Canal conversion and re-entry: a risk of Dix-Hallpike during canalith repositioning procedures. Otol Neurotol 2012;33:199–203.

    External Resources

  7. Furman JM, Hain TC: ‘Do try this at home’: self-treatment of BPPV [see comment]. Neurology 2004;63:8–9.

    External Resources

  8. Lanska DJ, Remler B: Benign paroxysmal positioning vertigo: classic descriptions, origins of the provocative positioning technique, and conceptual developments [see comment]. Neurology 1997;48:1167–1177.
  9. Nunez RA, Cass SP, Furman JM: Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000;122:647–652.
  10. Parnes LS, McClure JA: Free-floating endolymph particles: a new operative finding during posterior semicircular canal occlusion. Laryngoscope 1992;102:988–992.
  11. Radtke A, Neuhauser H, von Brevern M, Lempert T: A modified Epley’s procedure for self-treatment of benign paroxysmal positional vertigo [see comment]. Neurology 1999;53:1358–1360.
  12. Radtke A, von Brevern M, Tiel-Wilck K, Mainz-Perchalla A, Neuhauser H, Lempert T: Self-treatment of benign paroxysmal positional vertigo. Neurology 2004;63:150–152.
  13. Semont A, Freyss G, Vitte E: Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988;42:290–293.
  14. Welling DB, Parnes LS, O’Brien B, Bakaletz LO, Brackmann DE, Hinojosa R: Particulate matter in the posterior semicircular canal. Laryngoscope 1997;107:90–94.
  15. White J, Savvides P, Cherian N, Oas J: Canalith repositioning for benign paroxysmal positional vertigo. Otol Neurotol 2005;26:704–710.

    External Resources



Pay-per-View Options
Direct payment This item at the regular price: USD 0.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 0.00