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Effectiveness of the Parnes particle repositioning manoeuvre for posterior canal benign paroxysmal positional vertigo

  • B L Kinne (a1) and J S Leafman (a2)

Abstract

Background:

Benign paroxysmal positional vertigo is a common vestibular disorder that negatively affects an individual's health-related quality of life. This study aimed to examine the effectiveness of the Parnes particle repositioning manoeuvre as an intervention for individuals with posterior canal benign paroxysmal positional vertigo.

Methods:

The de-identified records of 155 individuals treated with the Parnes manoeuvre were examined. Descriptive statistics were calculated, including the frequency and valid per cent of participants whose nystagmus was resolved with the Parnes manoeuvre.

Results:

In all, nystagmus was resolved with the Parnes manoeuvre in 145 participants (93.5 per cent). The mean number of manoeuvres needed to resolve the nystagmus was 1.3.

Conclusion:

The Parnes manoeuvre proved to be as effective as the Epley canalith repositioning manoeuvre, currently the most common intervention, in treating individuals with posterior canal benign paroxysmal positional vertigo.

Copyright

Corresponding author

Address for correspondence: Professor B L Kinne, Department of Physical Therapy, Grand Valley State University, 301 Michigan Street NE, Grand Rapids, Michigan 49503, USA Fax: +1 616 331 5654 E-mail: kinneb@gvsu.edu

References

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1VonBrevern, M, Radtke, A, Lezius, F, Feldmann, M, Ziese, T, Lempert, T et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007;78:710–15
2Gamiz, MJ, Lopez-Escamez, JA.Health-related quality of life in patients over sixty years old with benign paroxysmal positional vertigo. Gerontology 2004;50:82–6
3Handa, PR, Kuhn, AMB, Cunha, F, Schaffleln, R, Gananca, FF.Quality of life in patients with benign paroxysmal positional vertigo and/or Meniere's disease. Braz J Otorhinolaryngol 2005;71:776–82
4Lopez-Escamez, JA, Gamiz, MJ, Fernandez-Perez, A, Gomez-Finana, M.Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507–11
5Lopez-Escamez, JA, Gamiz, MJ, Fernandez-Perez, A, Gomez-Finana, M, Sanchez-Canet, I.Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo. Otol Neurotol 2003;24:637–41
6Lopez-Escamez, JA, Gomez-Finana, M, Fernandez, AJ, Gamiz, MJ, Sanchez-Canet, I.Impact of treatment on benign positional vertigo-related quality of life. Int Congress Series 2003;1240:1329–32
7Pereira, AB, Santos, JN, Volpe, FM.Effect of Epley's maneuver on the quality of life of paroxismal positional benign vertigo patients. Braz J Otorhinolaryngol 2010;76:704–8
8Roberts, RA, Abrams, H, Sembach, MK, Lister, JJ, Gans, RE, Chisholm, TH.Utility measures of health-related quality of life in patients treated for benign paroxysmal positional vertigo. Ear Hear 2009;30:369–76
9Celebisoy, N, Bayam, E, Gulec, F, Kose, T, Akyurekli, O.Balance in posterior and horizontal canal type benign paroxysmal positional vertigo before and after canalith repositioning maneuvers. Gait Posture 2009;29:520–3
10Chang, WC, Hsu, LC, Yang, YR, Wang, RY.Balance ability in patients with benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2006;135:534–40
11Giacomini, PG, Alessandrini, M, Magrini, A.Long-term postural abnormalities in benign paroxysmal positional vertigo. ORL J Otorhinolaryngol Relat Spec 2002;64:237–41
12Kasse, CA, Santana, GG, Branco-Barreiro, FCA, Scharlach, RC, Gazzola, JM, Gananca, FF et al. Postural control in older patients with benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2012;146:809–15
13Stambolieva, K, Angov, G.Postural stability in patients with different durations of benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2006;263:118–22
14Gananca, FF, Gazzola, JM, Gananca, CF, Caovilla, HH, Gananca, MM, Cruz, OLM.Elderly falls associated with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2010;76:113–20
15Oghalai, JS, Manolidis, S, Barth, JL, Stewart, MG, Jenkins, HA.Unrecognized benign paroxysmal positional vertigo in elderly patients. Otolaryngol Head Neck Surg 2000;122:630–4
16Hagr, A.Comorbid psychiatric conditions of benign paroxysmal positional vertigo. Int J Health Sci (Qassim) 2009;3:23–8
17Monzani, D, Genovese, E, Rovatti, V, Malagoli, ML, Rigatelli, M, Guidetti, G.Life events and benign paroxysmal positional vertigo: a case-controlled study. Acta Otolaryngol 2006;126:987–92
18Nagarkar, AN, Gupta, AK, Mann, SBS.Psychological findings in benign paroxysmal positional vertigo and psychogenic vertigo. J Otolaryngol 2000;29:154–8
19Pollak, L, Segal, P, Stryjer, R, Stern, HG.Beliefs and emotional reactions in patients with benign paroxysmal positional vertigo: a longitudinal study. Am J Otolaryngol 2012;33:221–5
20Faralli, M, Ricci, G, Molini, E, Bressi, T, Simoncelli, C, Frenguelli, A.Paroxysmal positional vertigo; the role of age as a prognostic factor. Acta Otorhinolaryngol Ital 2006;26:2531
21Ahn, SK, Jeon, SY, Kim, JP, Park, JJ, Hur, DG, Kim, DW et al. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. J Trauma 2011;70:442–6
22Lee, NH, Ban, JH, Lee, KC, Kim, SM.Benign paroxysmal positional vertigo secondary to inner ear disease. Otolaryngol Head Neck Surg 2010;143:413–17
23Cohen, HS, Kimball, KT, Stewart, MG.Benign paroxysmal positional vertigo and comorbid conditions. ORL J Otorhinolaryngol Relat Spec 2004;66:1115
24Jeong, SH, Choi, SH, Kim, JY, Koo, JW, Kim, HJ, Kim, JS.Osteopenia and osteoporosis in idiopathic benign positional vertigo. Neurology 2009;72:1069–76
25Vibert, D, Kompis, M, Hausler, R.Benign paroxysmal positional vertigo in older women may be related to osteoporosis and osteopenia. Ann Otol Rhinol Laryngol 2003;112:885–9
26Pollak, L, Kushnir, M, Goldberg, HS.Physical inactivity as a contributing factor for onset of idiopathic benign paroxysmal positional vertigo. Acta Otolaryngol 2011;131:624–7
27Buki, B, Ecker, M, Junger, H, Lundberg, YW.Vitamin D deficiency and benign paroxysmal positioning vertigo. Med Hypotheses 2013;80:201–4
28Jeong, SH, Kim, JS, Shin, JW, Kim, S, Lee, H, Lee, AY et al. Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo. J Neurol 2013;260:832–8
29Giacomini, PG, Napolitano, B, Alessandrini, M, DiGirolamo, S, Magrini, A.Recurrent paroxysmal positional vertigo related to oral contraceptive treatment. Gynecol Endocrinol 2006;22:58
30Schuknecht, HF.Cupulolithiasis. Arch Otolaryngol. 1969;90:765–78
31Hall, SF, Ruby, RRF, McClure, JA.The mechanics of benign paroxysmal vertigo. J Otolaryngol 1979;8:151–8
32Dix, MR, Hallpike, CS.The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341–54
33Bhattacharyya, N, Baugh, RF, Orvidas, L, Barrs, D, Bronston, LJ, Cass, S et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:S4781
34Parnes, LS, Nabi, S.The diagnosis and management of benign paroxysmal positional vertigo. Semin Hear 2009;30:287306
35Katsarkas, A.Nystagmus of paroxysmal positional vertigo: some new insights. Ann Otol Rhinol Laryngol 1987;96:305–8
36Korres, S, Riga, M, Balatsouras, D, Sandris, V.Benign paroxysmal positional vertigo of the anterior semicircular canal: atypical clinical findings and possible underlying mechanisms. Int J Audiol 2008;47:276–82
37Zapala, DA.Down-beating nystagmus in anterior canal benign paroxysmal positional vertigo. J Am Acad Audiol 2008;19:257–66
38Jackson, LE, Morgan, B, Fletcher, JC, Krueger, WWO.Anterior canal benign paroxysmal positional vertigo: an underappreciated entity. Otol Neurotol 2007;28:218–22
39McClure, JA.Horizontal canal BPV. J Otolaryngol 1985;14:30–5
40Baloh, RW, Jacobson, K, Honrubia, V.Horizontal semicircular canal variant of benign positional vertigo. Neurology 1993;43:2542–9
41Chung, KW, Park, KN, Ko, MH, Jeon, HK, Choi, JY, Cho, YS et al. Incidence of horizontal canal benign paroxysmal positional vertigo as a function of the duration of symptoms. Otol Neurotol 2009;30:202–5
42Parnes, LS, Agrawal, SK, Atlas, J.Diagnosis and management of benign paroxysmal positional vertigo (BPPV). Can Med Assoc J 2003;169:681–93
43Semont, A, Freyss, G, Vitte, E.Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988;42:290–3
44Epley, JM.The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399404
45Parnes, LS, Price-Jones, R.Particle repositioning maneuver for benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 1993;102:325–31
46Jose, P, Rupa, V, Job, A.Successful management of benign paroxysmal positional vertigo with the Epley manoeuvre. Indian J Otolaryngol Head Neck Surg 2000;52:4953
47Mujeeb, M, Khan, NUH.Epley's manoeuvre: treatment of choice for benign paroxysmal positional vertigo. J Laryngol Otol 2000;114:844–7
48Nunez, RA, Cass, SP, Furman, JM.Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000;122:647–52
49Smouha, EE.Time course of recovery after Epley maneuvers for benign paroxysmal positional vertigo. Laryngoscope 1997;107:187–91
50Froehling, DA, Bowen, JM, Mohr, DN, Brey, RH, Beatty, CW, Wollan, PC et al. The canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo: a randomized controlled trial. Mayo Clin Proc 2000;75:695700
51Lynn, S, Pool, A, Rose, D, Brey, R, Suman, V.Randomized trial of the canalith repositioning procedure. Otolaryngol Head Neck Surg 1995;113:712–20
52Von Brevern, M, Seelig, T, Radtke, A, Tiel-Wilck, K, Neuhauser, H, Lempert, T.Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial. J Neurol Neurosurg Psychiatry 2006;77:980–2
53Helminski, JO, Zee, DS, Janssen, I, Hain, TC.Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo; a systematic review. Phys Ther 2010;90:663–78
54Hilton, M, Pinder, D.The Epley manoeuvre for benign paroxysmal positional vertigo: a systematic review. Clin Otolaryngol 2002;27:440–5
55Texeira, LJ, Machado, JNP.Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review. Braz J Otorhinolaryngol 2006;72:130–8
56White, J, Savvides, P, Cherian, N, Oas, J.Canalith repositioning for benign paroxysmal positional vertigo. Otol Neurotol 2005;26:704–10
57Woodworth, BA, Gillespie, MB, Lambert, PR.The canalith repositioning procedure for benign positional vertigo: a meta-analysis. Laryngoscope 2004;114:1143–6
58Fife, TD, Iverson, DJ, Lempert, T, Furman, JM, Baloh, RW, Tusa, RJ et al. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review). Neurology 2008;70:2067–74
59Parnes, LS, Robichaud, J.Further observations during the particle repositioning maneuver for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1997;116:238–43
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