Efficacy of Postural Restriction in Treating Benign Paroxysmal Positional Vertigo
试验速览
- 阶段
- 不适用
- 入组人数
- 186
- 试验地点
- 1
- 主要终点
- The Dix-Hallpike test
研究概览
简要总结
The standard treatment of posterior semicircular canal benign paroxysmal positional vertigo is the canalith repositioning procedure or the Epley maneuver. Based on the present literature, there is controversy on the efficacy of post-maneuver postural restrictions.The aim of this study was to conduct a randomized controlled trial to compare the treatment efficacy of post-maneuver postural restriction with CRP alone in patients with posterior semicircular canal benign paroxysmal positional vertigo.
详细描述
Benign paroxysmal positional vertigo is the most common cause of vertigo. Based on the present literature, there is controversy on the efficacy of post-maneuver postural restrictions.Some study designs were not randomized controlled trials. The present study offers an alternative way of postural restriction to maintain postural restriction as much as possible.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with unilateral posterior semicircular canal benign paroxysmal positional vertigo and
- •A negative neurologic examination
排除标准
- •Secondary benign paroxysmal positional vertigo caused by trauma head injury, inner ear surgery, viral labyrinthitis or Meniere's disease
- •Patients with central vertigo, cervical spine, neurologic, otologic, psychiatric diseases
- •Patients who used medications that affected the neurologic and otologic systems for less than 48 hours
研究组 & 干预措施
Postural restriction
The patients were instructed to avoid head movements, wear a soft collar during the daytime, wear a supporting pillow and sleep in the semi-upright position at a 45 degree head elevation from the horizontal plane during the nighttime for 48 hours.
干预措施: Postural restriction (Behavioral)
Normal daily activity
The patients did not follow any postural restrictions and were asked to live as normally as possible.
干预措施: Normal daily activity (Behavioral)
结局指标
主要结局
The Dix-Hallpike test
时间窗: 2 weeks
The Dix-Hallpike test results
次要结局
- Recurrent rate(24 weeks)
- Resolution time(24 weeks)
- Medication needed(24 weeks)
- the Dizziness Handicap Inventory (DHI)(24 weeks)
研究者
Yuvatiya Plodpai
Doctor
Prince of Songkla University