Temporomandibular Joint and Soft Tissue Mobilisation Techniques on Bening Paroxymal Vertigo

Is the Temporamandibular Joint and Soft Tissue Mobilization Technique Effective in Individuals Diagnosed With Bening Paroxysmal Positional Vertigo?

The purpose of this study was to investigated effectiveness of temporamandibular joint and soft tissue mobilization on patients with Benign Paroxysmal Positional Vertigo (BPPV).

Aim: In this study was aimed to investigated effectiveness of temporamandibular joint and soft tissue mobilization on patients with Benign Paroxysmal Positional Vertigo (BPPV). Material and Methods; Dix Hallpike maneuver was administered to all patients to confirm the diagnosis at the initial evaluation. If the Dix Hallpike test was positive, Epley maneuver was applied The patients were randomly divided into 2 groups as study group (n=) and control groups (n= ). Temporomandibular joint ve soft tissue techniques were applied 30 minutes once a week for 4 weeks by physiotherapist. Routin medication therapy was applied to control group. Both groups were asked to do the home exercise program twice a day consisting of vestibular exercise videos sent over whatss app. It was questioned with a phone call once a week whether the exercises were done or not. Patients were evaluated by Dizziness Disability Inventory (DHI) , Dizziness Assessment- Visual Analogue Scale (VAS), Vertigo Symptom Scale-Short Form (VSS) , Beck Anxiety Inventory (BAI) , Vertigo Dizziness Imbalance Questionnaire (VDI) , Tinnitus Disability Scale (TDS), Romberg Posture Test , Tandem Posture Test, Semitandem Tandem Balance Test, Fonseca's Anamnestic Index (FAI) and amount of mouth opening was measured with goniometer before and after treatment.

Inclusion Criteria:

• Being diagnosed with positional vertigo,
• Being between the ages of 18-65
• Dix Halpike maneuver test (+),
• Those who volunteered to participate in the study
• Able to read and write.

Exclusion Criteria:

• Findings of acute or chronic infection at the end of ENT examination,
• Considered to have a neurological pathology that causes dizziness,
• Head trauma, history of surgical operation,
• Having lower extremity pain that prevents standing and weight bearing,
• Having a history or symptoms of vestibular system diseases other than BPPV,
• Presence of sudden sensory hearing loss and chronic otitis media,
• Pregnancy,
• The presence of serious cognitive impairment detected by the physician at a level that prevents the tests from being performed,
• Not having the mental level to understand and answer the survey questions,
• Cervical pathologies that may cause dizziness.