EVALUATION OF THE EFFECTIVENESS OF THE EPLEY MANEUVER IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO OF THE POSTERIOR SEMICIRCULAR CANAL AT THE GERIATRICS DEPARTMENT OF HA TINH GENERAL HOSPITAL

Văn Dũng Lê, Thị Nhật Linh Đoàn

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Abstract

Objectives: To investigate the clinical characteristics and evaluate the effectiveness of the Epley maneuver in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (PC-BPPV). Subjects and Methods: A total of 70 patients diagnosed with PC-BPPV and treated at the Geriatrics Department of Ha Tinh General Hospital from April to August 2024 were included in the study. Patients were divided into two groups: one group received only pharmacological treatment, while the other group received both medication and the Epley maneuver.Results: The mean EEV (Evaluation of Episodic Vertigo) score significantly decreased from 13 ± 1.1 before treatment to 4 ± 0.77 on day 7, and to 0 ± 0.56 on day 30 (p < 0.05). The Epley maneuver was performed on 37 patients (52.9%), achieving a 100% success rate in controlling vertigo symptoms. The average length of hospital stay in the group treated with both medication and the Epley maneuver was 5 ± 2 days, significantly shorter than the 9.5 ± 2.5 days observed in the group receiving medication alone (p < 0.05). Conclusion: The Epley maneuver is highly effective in relieving vertigo symptoms and reducing hospital stay duration in patients with posterior canal BPPV. Its implementation in clinical practice should be widely encouraged.

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References

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