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物理治疗对良性阵发性位置性眩晕患者的影响：一例报告

The Impact of Physical Therapy in Individuals With Benign Paroxysmal Positional Vertigo: A Case Report.

作者信息

Wadhokar Om C, Shelar Payal, Kulkarni Chaitanya A

机构信息

Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Musculoskeletal Sciences, Dr. D. Y. Patil College of Physiotherapy, Dr. D. Y. Patil Vidyapeeth, Pune, Pune, IND.

出版信息

Cureus. 2024 Jun 14;16(6):e62353. doi: 10.7759/cureus.62353. eCollection 2024 Jun.

DOI:10.7759/cureus.62353
PMID:39006645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11246761/
Abstract

Benign paroxysmal positional vertigo (BPPV) is a mechanical condition of the peripheral vestibular system. It is characterized by recurrent, short-lived episodes of vertigo caused by calcium carbonate crystals that get dislodged from the utricle and move into the semicircular canals. In this case report, a 33-year-old female presenting with complaints of neck pain and dizziness upon head movement was diagnosed with BPPV following a comprehensive evaluation, which included a thorough history, assessment, and investigations. The Dix-Hallpike maneuver was positive on the right side. The patient was then treated with canalith repositioning manuever (CRM) and conventional physiotherapy. There was a reduction in pain, improvement in range of motion, and reduction in the duration and frequency of vertigo. Therefore, it can be concluded that the application of CRM or Epley's maneuver decreases the duration and frequency of vertigo and improves quality of life.

摘要

良性阵发性位置性眩晕（BPPV）是一种外周前庭系统的机械性病症。其特征为反复发作的短暂性眩晕发作，由从椭圆囊脱落并移入半规管的碳酸钙晶体引起。在本病例报告中，一名33岁女性因头部运动时出现颈部疼痛和头晕前来就诊，经过全面评估（包括详细病史、评估和检查）后被诊断为BPPV。Dix-Hallpike试验右侧呈阳性。随后该患者接受了耳石复位手法（CRM）和传统物理治疗。疼痛减轻，活动范围改善，眩晕的持续时间和频率降低。因此，可以得出结论，应用CRM或Epley手法可减少眩晕的持续时间和频率，并改善生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/ecd10383b484/cureus-0016-00000062353-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/e5b51c7aa38a/cureus-0016-00000062353-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/93846eef135f/cureus-0016-00000062353-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/fdf7c90e6322/cureus-0016-00000062353-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/c2f919f555f8/cureus-0016-00000062353-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/ebdb065137a2/cureus-0016-00000062353-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/ecd10383b484/cureus-0016-00000062353-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/e5b51c7aa38a/cureus-0016-00000062353-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/93846eef135f/cureus-0016-00000062353-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/fdf7c90e6322/cureus-0016-00000062353-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/c2f919f555f8/cureus-0016-00000062353-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/ebdb065137a2/cureus-0016-00000062353-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ff4/11246761/ecd10383b484/cureus-0016-00000062353-i06.jpg

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本文引用的文献

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Physical Therapy Management in a Severe Case of Overlapping of Bone Post Crush Injury: A Case Report.严重挤压伤后骨重叠病例的物理治疗管理：一例报告
Cureus. 2022 Sep 28;14(9):e29708. doi: 10.7759/cureus.29708. eCollection 2022 Sep.
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Characteristics of assessment and treatment in Benign Paroxysmal Positional Vertigo (BPPV).良性阵发性位置性眩晕（BPPV）的评估和治疗特点。
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Otolaryngol Head Neck Surg. 2014 Sep;151(3):399-406. doi: 10.1177/0194599814536530. Epub 2014 May 29.
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