Treatment of Posterior Benign Paroxysmal Positional Vertigo With Mechanical Rotational Chair.

Treatment of Posterior Benign Paroxysmal Positional Vertigo With Mechanical Rotational Chair: A Randomized Controlled Trial Comparing Epley and 360° Maneuvers.

Comparison of treatment efficacy of Epley maneuver and 360 maneuver in a mechanical rotational chair (TRV chair) in patient with posterior benign paroxysmal positional vertigo (BPPV).

Open-label, randomized controlled trial comparing the Epley maneuver with the 360 maneuver using the TRV chair in both scenarios. Patients diagnosed with posterior BPPV will be randomized to receive treatment with either the Epley maneuver or the 360 maneuver.

Inclusion Criteria:

• Age above 18 years
• Confirmed unilateral p-BPPV (canalithiasis and cupulolithiasis)
• Understand written and spoken Danish

Exclusion Criteria:

• Pregnancy
• Weight ≥ 150 kg and or Height ≥ 2m
• Not possible to attend follow-up visits
• Insufficient cooperation during diagnostic testing or treatment in the mechanical rotational chair
• Have received treatment for BPPV in a mechanical rotational chair within the last 6 months
• Sedative antihistamines are taken within the past 7 days
• Comorbidities: Heart failure (EF<40), known cerebral aneurysm, cerebrovascular events (<3 months), and dissection disease
• Spontaneous or gaze evoked nystagmus.