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Comparative Study
. 2005 Nov-Dec;71(6):764-8.
doi: 10.1016/s1808-8694(15)31246-5.

Is it important to restrict head movement after Epley maneuver?

Fernando Freitas Ganança  1 , Ricardo Simas, Maurício M Ganança, Gustavo P Korn, Ricardo S Dorigueto
Affiliations
Comparative Study

Is it important to restrict head movement after Epley maneuver?

Fernando Freitas Ganança et al. Braz J Otorhinolaryngol. 2005 Nov-Dec.

Abstract

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.

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References

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