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EFFECT OF THE CHAIR OTOLITH REPOSITION MANOEUVRE ON DAILY ACTIVITIES OF PAROXYSMAL POSITIONAL BENIGN VERTIGO PATIENTS
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Abstract
Patients and methods: 120 patients came to Tam Anh General Hospital in Hanoi for dizziness and imbalance, diagnosed with BPPV and treated from January 2023 to September 2023. All patients were clinically examined by screening vestibular tests and specialized vestibular tests. BPPV was diagnosed based on the international classification of vestibular disorders by the Barany Association. Patients fully answered the DHI dizziness assessment questions at the time of diagnosis and after treatment. Results: There were 92 women (76.7%) and 28 men (23.3%). The average age of patients was 55.7 years (± 11.5). Posterior semicircular canal BPPV was the most common (70.4%), horizontal semicircular canal BPPV was 20.4% and anterior semicircular canal BPPV was 9.2%. After treatment, 91 patients had mild DHI scores, accounting for 75.8%, and only 2 patients had severe DHI scores (accounting for 1.7%). After treatment, in each group, the items scores were mostly classified as mild (70.8% in the physical group, 85% in the emotional group, and 81.7% in the functional group), with very few patients having severe degrees. Conclusion: Otolith repositioning maneuvers on a TRV chair was effective in the treatment of BPPV after three interventions with one-week intervals, significantly improve the DHI scores of BPPV patients in terms of physical, emotional and functional aspects.
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Keywords
Benign paroxysmal positional vertigo (BPPV), Otolith repositioning maneuver (ORM), Dizziness Handicap Inventory (DHI)
References
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