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The standard treatment of posterior semicircular canal benign paroxysmal positional vertigo is the canalith repositioning procedure or the Epley maneuver. Based on the present literature, there is controversy on the efficacy of post-maneuver postural restrictions.The aim of this study was to conduct a randomized controlled trial to compare the treatment efficacy of post-maneuver postural restriction with CRP alone in patients with posterior semicircular canal benign paroxysmal positional vertigo.
Benign paroxysmal positional vertigo is the most common cause of vertigo. Based on the present literature, there is controversy on the efficacy of post-maneuver postural restrictions.Some study designs were not randomized controlled trials. The present study offers an alternative way of postural restriction to maintain postural restriction as much as possible.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Postural restriction | Experimental | The patients were instructed to avoid head movements, wear a soft collar during the daytime, wear a supporting pillow and sleep in the semi-upright position at a 45 degree head elevation from the horizontal plane during the nighttime for 48 hours. |
|
| Normal daily activity | Active Comparator | The patients did not follow any postural restrictions and were asked to live as normally as possible. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Postural restriction | Behavioral | The patients were instructed to avoid head movements, wear a soft collar during the daytime, wear a supporting pillow and sleep in the semi-upright position at a 45 degree head elevation from the horizontal plane during the nighttime for 48 hours. |
| Measure | Description | Time Frame |
|---|---|---|
| The Dix-Hallpike test | The Dix-Hallpike test results | 2 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Resolution time | Time interval until the patient report recurrent vertigo confirmed by positive Dix-Hallpike | 24 weeks |
| Medication needed | Need of medication to treat vertigo (in this study, betahistine) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Yuvatiya Plodpai, MD | Contact | 66815988403 | yuvatiya.plodpai@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Yuvatiya Plodpai, MD | Prince of Songkla University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Yuvatiya Plodpoai | Recruiting | Hat Yai | Changwat Songkhla | 90110 | Thailand |
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| ID | Term |
|---|---|
| D065635 | Benign Paroxysmal Positional Vertigo |
| ID | Term |
|---|---|
| D014717 | Vertigo |
| D015837 | Vestibular Diseases |
| D007759 | Labyrinth Diseases |
| D004427 | Ear Diseases |
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|
| Normal daily activity | Behavioral | The patients did not follow any postural restrictions and were asked to live as normally as possible. |
|
| 24 weeks |
| the Dizziness Handicap Inventory (DHI) | 24 weeks |
| Recurrent rate | 24 weeks |
| D010038 |
| Otorhinolaryngologic Diseases |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |