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Article: New approach for treating benign paroxysmal positional vertigo (BPPV) in primary care settings - A pilot study

TitleNew approach for treating benign paroxysmal positional vertigo (BPPV) in primary care settings - A pilot study
Authors
KeywordsScreening questions
Benign paroxysmal positional vertigo (BPPV)
Epley manoeuvre
Primary care
Protocol
Issue Date2012
Citation
Hong Kong Practitioner, 2012, v. 34, n. 1, p. 6-16 How to Cite?
AbstractObjective: To evaluate the efficacy of a tentative treatment protocol designed for treating benign paroxysmal positional vertigo (BPPV) in primary care settings. Design: Single arm prospective trial. Subjects: The new treatment protocol involves the use of 4 questions to screen for probable cases of BPPV, performs Dix-Hallpike test only to the symptomatic side and incorporates it into the Epley manoeuvre, disregards the nystagmus pattern, performs up to 3 cycles of Epley manoeuvre in one treatment session, and refers all failure cases to ENT specialists. All doctors in a General Outpatient Clinic (GOPC) were invited to identify probable cases of BPPV with the 4 screening questions, and refer to the main author for management. Phone follow-up was performed at 1 week and 4 weeks after treatment. Main outcome measures: Patients' self report of disappearance of positional vertigo at 1 day, 1 week and 4 weeks after treatment. Results: 14 patients with "objective" BPPV and 4 patients with "subjective" BPPV (no nystagmus on positional testing) were identified. In the objective BPPV group, 11 patients completely recovered and 1 patient partially improved in the first week after treatment, giving an overall success rate of 85.7%. There were too few patients in the subjective BPPV group for analysis. Conclusion: The new treatment protocol appears to be highly effective for treating patients with objective BPPV although this is only a small pilot study. Further trial with larger number of patients is required.
Persistent Identifierhttp://hdl.handle.net/10722/205762
ISSN
2015 SCImago Journal Rankings: 0.101

 

DC FieldValueLanguage
dc.contributor.authorChan, TingBong-
dc.contributor.authorKung, Kenny-
dc.contributor.authorLam, Augustine-
dc.date.accessioned2014-10-06T08:02:19Z-
dc.date.available2014-10-06T08:02:19Z-
dc.date.issued2012-
dc.identifier.citationHong Kong Practitioner, 2012, v. 34, n. 1, p. 6-16-
dc.identifier.issn1027-3948-
dc.identifier.urihttp://hdl.handle.net/10722/205762-
dc.description.abstractObjective: To evaluate the efficacy of a tentative treatment protocol designed for treating benign paroxysmal positional vertigo (BPPV) in primary care settings. Design: Single arm prospective trial. Subjects: The new treatment protocol involves the use of 4 questions to screen for probable cases of BPPV, performs Dix-Hallpike test only to the symptomatic side and incorporates it into the Epley manoeuvre, disregards the nystagmus pattern, performs up to 3 cycles of Epley manoeuvre in one treatment session, and refers all failure cases to ENT specialists. All doctors in a General Outpatient Clinic (GOPC) were invited to identify probable cases of BPPV with the 4 screening questions, and refer to the main author for management. Phone follow-up was performed at 1 week and 4 weeks after treatment. Main outcome measures: Patients' self report of disappearance of positional vertigo at 1 day, 1 week and 4 weeks after treatment. Results: 14 patients with "objective" BPPV and 4 patients with "subjective" BPPV (no nystagmus on positional testing) were identified. In the objective BPPV group, 11 patients completely recovered and 1 patient partially improved in the first week after treatment, giving an overall success rate of 85.7%. There were too few patients in the subjective BPPV group for analysis. Conclusion: The new treatment protocol appears to be highly effective for treating patients with objective BPPV although this is only a small pilot study. Further trial with larger number of patients is required.-
dc.languageeng-
dc.relation.ispartofHong Kong Practitioner-
dc.subjectScreening questions-
dc.subjectBenign paroxysmal positional vertigo (BPPV)-
dc.subjectEpley manoeuvre-
dc.subjectPrimary care-
dc.subjectProtocol-
dc.titleNew approach for treating benign paroxysmal positional vertigo (BPPV) in primary care settings - A pilot study-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.scopuseid_2-s2.0-84861918482-
dc.identifier.volume34-
dc.identifier.issue1-
dc.identifier.spage6-
dc.identifier.epage16-

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