Is it important to restrict head movement after Epley maneuver?

Autor:	Ganança FF; Discipline of Otoneurology, UNIFESP - EPM. fgananca@terra.com.br, Simas R, Ganança MM, Korn GP, Dorigueto RS
Jazyk:	angličtina
Zdroj:	Brazilian journal of otorhinolaryngology [Braz J Otorhinolaryngol] 2005 Nov-Dec; Vol. 71 (6), pp. 764-8.
DOI:	10.1016/s1808-8694(15)31246-5
Abstrakt:	Unlabelled: The effectiveness of postmaneuver postural restrictions is controversial in patients with benign paroxysmal positional vertigo. Aim: To verify the role of postural restrictions in patients with benign paroxysmal positional vertigo of posterior canal, submitted to a single Epley maneuver. Study Design: clinical prospective. Material and Method: Fifty eight patients with benign paroxysmal positional vertigo of posterior canal were randomly divided in two groups following the application of a unique Epley maneuver. The patients from group 1 were informed to restrict their head movements and to use a cervical collar and group 2 patients were not informed about these postmaneuver restrictions. The patients from both groups were reevaluated one week after Epley maneuver, regarding the presence of symptoms and positional nystagmus. Results: One week after Epley maneuver 82.1% of the patients from group 1 and 73.3% from group 2 didn't present positional nystagmus (p=0.421). There was a clinical improvement in 96.0% of the patients from group 1 and in 94.0% from group 2 (p=0.781). Conclusion: The use of postural restrictions in patients with benign paroxysmal positional vertigo of posterior canal didn't interfere in their clinical evaluation, one week after a unique Epley maneuver.
Databáze:	MEDLINE
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