Kumar Sanjay, Singh Ran, Dutta Angshuman, Yadav Mukesh Kumar
Dept of ENT-HNS, Command Hospital Air Force, Bangalore, India.
Dept of ENT-HNS, Army College of Medical Science, Delhi Cantt, New Delhi, India.
Indian J Otolaryngol Head Neck Surg. 2024 Aug;76(4):3424-3430. doi: 10.1007/s12070-024-04710-y. Epub 2024 Apr 23.
This study evaluates the effectiveness of combining the Epley Maneuver with the Dizzy-Fix Training Device in treating Benign Paroxysmal Positional Vertigo (BPPV), aiming to enhance treatment outcomes and patient satisfaction.
In this randomized controlled trial, 50 patients diagnosed with posterior canal BPPV were allocated into two groups: one receiving the traditional Epley Maneuver and the other undergoing the Epley Maneuver supplemented with the Dizzy-Fix Training Device. Key measures included the proportion of symptom-free patients at one month, changes in the Visual Analogue Scale (VAS) and Dizziness Handicap Inventory (DHI) scores, the recurrence rate within one month, and patient satisfaction.
The Dizzy-Fix group achieved a significantly higher symptom resolution rate by day 7 (90% vs. 60%) and reported greater patient satisfaction (4.5/5 vs. 3.8/5) compared to the Epley Maneuver alone group. Additionally, this group exhibited a more substantial decrease in DHI scores (from an average of 30 to 5) and a lower recurrence rate (10% vs. 40%) within the first month post-treatment.
Incorporating the Dizzy-Fix Training Device with the Epley Maneuver significantly improves the management of BPPV, evidenced by faster symptom resolution, enhanced patient satisfaction, and reduced symptom recurrence. These findings underscore the value of integrating real-time visual feedback technologies in vestibular rehabilitation, promising better patient outcomes, and advancing the quality of care in BPPV treatment.
本研究评估将Epley手法与眩晕固定训练设备相结合治疗良性阵发性位置性眩晕(BPPV)的有效性,旨在提高治疗效果和患者满意度。
在这项随机对照试验中,50例被诊断为后半规管BPPV的患者被分为两组:一组接受传统的Epley手法,另一组接受Epley手法并辅以眩晕固定训练设备。关键指标包括一个月时无症状患者的比例、视觉模拟量表(VAS)和眩晕障碍量表(DHI)评分的变化、一个月内的复发率以及患者满意度。
与单纯Epley手法组相比,眩晕固定组在第7天时症状缓解率显著更高(90%对60%),患者满意度也更高(4.5/5对3.8/5)。此外,该组在治疗后第一个月内DHI评分下降幅度更大(从平均30降至5),复发率更低(10%对40%)。
将眩晕固定训练设备与Epley手法相结合可显著改善BPPV的治疗效果,表现为症状缓解更快、患者满意度提高以及症状复发减少。这些发现强调了在前庭康复中整合实时视觉反馈技术的价值,有望带来更好的患者治疗效果,并提升BPPV治疗的护理质量。