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后半规管和水平半规管良性阵发性位置性眩晕的物理治疗:长期疗效和复发率:一项系统评价

Physical Therapy for Posterior and Horizontal Canal Benign Paroxysmal Positional Vertigo: Long-term Effect and Recurrence: A Systematic Review.

作者信息

Rodrigues Daniele Leite, Ledesma Alleluia Lima Losno, de Oliveira Carlos Augusto Pires, Bahamad Júnior Fayez

机构信息

Health Science, Universidade de Brasília, Brasília, DF, Brazil.

Neonatology Unit, Hospital Regional de Sobradinho, Secretaria de Estado de Saúde do Distrito Federal, Sobradinho, DF, Brazil.

出版信息

Int Arch Otorhinolaryngol. 2018 Oct;22(4):455-459. doi: 10.1055/s-0037-1604345. Epub 2017 Aug 28.

DOI:10.1055/s-0037-1604345
PMID:30357032
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6197962/
Abstract

Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo, and it is characterized by episodes of vertigo roundabout when the head is moved. A systematic review was performed using the most important scientific databases. This review included studies published in English in the last ten years, performed in adults, with emphasis on the diagnosis and treatment of BPPV.  To investigate the long-term effectiveness of vestibular rehabilitation (VR) in patients with BPPV and the rate of recurrence of symptoms.  A total of 38 studies were identified, of which only 12 met the inclusion criteria. The majority of the studies stated that VR is effective in decreasing the symptoms, with a short-term efficacy of 84.7%, and 89.2% in the long term in the reviewed studies.  Valuable studies show the beneficial effects of the maneuvers for the treatment of BPPV and their long-term effectiveness. This strengthens the conclusion that this treatment is effective in resolving symptoms and decreasing recurrences.

摘要

良性阵发性位置性眩晕(BPPV)是眩晕最常见的病因,其特征是头部移动时出现反复发作的眩晕。使用最重要的科学数据库进行了一项系统综述。该综述纳入了过去十年以英文发表的、针对成年人的研究,重点是BPPV的诊断和治疗。 为了研究前庭康复(VR)对BPPV患者的长期疗效以及症状复发率。 共识别出38项研究,其中只有12项符合纳入标准。大多数研究表明,VR在减轻症状方面有效,在所审查的研究中,短期疗效为84.7%,长期疗效为89.2%。 有价值的研究表明了手法治疗BPPV的有益效果及其长期有效性。这强化了这一治疗在缓解症状和减少复发方面有效的结论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccf/6197962/c3df48925602/10-1055-s-0037-1604345-i0610sr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccf/6197962/c3df48925602/10-1055-s-0037-1604345-i0610sr-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ccf/6197962/c3df48925602/10-1055-s-0037-1604345-i0610sr-1.jpg

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本文引用的文献

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Audiol Neurootol. 2014;19(5):336-41. doi: 10.1159/000365438. Epub 2014 Nov 1.
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Effects of postural restriction after modified Epley maneuver on recurrence of benign paroxysmal positional vertigo.改良Epley手法后体位限制对良性阵发性位置性眩晕复发的影响。
Auris Nasus Larynx. 2014 Oct;41(5):428-31. doi: 10.1016/j.anl.2014.05.007. Epub 2014 May 29.
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沙特阿拉伯医生对物理治疗师在前庭康复中作用的认知、知识和态度:一项横断面调查。
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Aquatic physiotherapy: a vestibular rehabilitation option.水疗:一种前庭康复选择。
Braz J Otorhinolaryngol. 2021 Nov-Dec;87(6):649-654. doi: 10.1016/j.bjorl.2019.12.003. Epub 2020 Jan 13.
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Award-Winning Research - IAO 2019.获奖研究 - 2019年国际眼科理事会(IAO)
Int Arch Otorhinolaryngol. 2019 Oct;23(4):e373-e374. doi: 10.1055/s-0039-1700504. Epub 2019 Oct 22.
Comparative study of the efficacy of the canalith repositioning procedure versus the vertigo treatment and rehabilitation chair.
半规管结石复位法与眩晕治疗及康复椅疗效的对比研究
Acta Otolaryngol. 2014 Jul;134(7):704-8. doi: 10.3109/00016489.2014.899711. Epub 2014 May 7.
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A randomised sham-controlled trial to assess the long-term effect of the Epley manoeuvre for treatment of posterior canal benign paroxysmal positional vertigo.一项随机假手术对照试验,以评估Epley手法治疗后半规管良性阵发性位置性眩晕的长期效果。
Clin Otolaryngol. 2014 Feb;39(1):39-44. doi: 10.1111/coa.12217.
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