The vertigo is usually triggered by a change in head position. It then goes away completely if you keep your head still. The vertigo lasts just a short time - typically just for 20-30 seconds and usually no longer than a minute. What are the symptoms of benign paroxysmal positional vertigo? Women are affected about twice as often as men. Sometimes it occurs in younger people for no apparent reason. However, some younger people develop BPPV following an injury to the ear, or following a previous infection in the inner ear.
BPPV is one of the most common causes of vertigo in older people. Most cases of BPPV occur in people over the age of 40 years. It is not clear why these otoconia form or drop off from the inside lining of the labyrinth. The brain becomes very confused and reacts with vertigo. The extra nerve messages sent from the affected ear conflict with the normal messages sent from the other unaffected ear and from the eyes and the rest of the body. The fragment brushes along the delicate hairs that line the semicircular canal and this bombards messages down the vestibular nerve. But when the head moves in certain directions the fragment gets carried along with the flow of fluid. In this situation, when your head is still, the fragment sits at the bottom of the posterior canal.
2021 17(5): 417-421.The posterior canal is the one that is affected 8 or 9 times out of 10. The efficacy of the half somersault maneuver in comparison to the epley maneuver in patients with benign paroxysmal positional vertigo. There were significant differences between the 2 groups for VAS, the total VSS and vertigo subscale scores, and the VRBQ anxiety subscale scores.ĬONCLUSION: Even though both maneuvers are significantly effective in the treatment of PC-BPPV, subjects in the HSM group reported more improvement in terms of psychometric symptoms and residual dizziness compared to the EM group.Ĭite this article as: Dehghani Khaftari M, Ahadi M, Maarefvand M, Jalaei B. However, the differences were not significant between the 2 groups for the DHI scores, the total, dizziness, motion-provoked dizziness, and symptom subscale scores of the VRBQ, and the anxiety subscale scores of the VSS. RESULTS: The differences between the results of pretreatment and post-treatment questionnaires for both groups were significant. The success rate and the recurrence rate were assessed after the 3-month follow-up. All participants were asked to fill in the Vestibular Rehabilitation Benefit Questionnaire (VRBQ), Dizziness Handicap Inventory (DHI), and Vertigo Symptom Scale (VSS) questionnaires at pretreatment and at 48 hours, 1 week, and 1 month posttreatment. The severity of residual dizziness was determined by the visual analog scale (VAS) weekly for up to 4 weeks after treatment. The experimental group received the HSM, whereas the control group received the EM. METHODS: In this randomized study, 43 participants with unilateral posterior canal BPPV were recruited. This study aimed to compare the effectiveness of the half somersault maneuver (HSM) as a treatment to that of the Epley maneuver (EM) as a clinical-based treatment in subjects with PC-BPPV.
OBJECTIVE: Benign Paroxysmal Positional Vertigo (BPPV) as the most common vestibular disorder can affect the quality of life.