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Impact of sleep quality on effectiveness of repositioning therapy for patients with posterior canal benign paroxysmal positional vertigo

Published online by Cambridge University Press:  10 September 2025

Wenting Wang ,
Rui Han ,
Sai Zhang ,
Shuangmei Yan ,
Ting Zhang ,
Yongci Hao ,
Dong Li ,
Shaona Liu ,
Peifan Xie  and
Chuangwei Wang
...Show all authors
Wenting Wang
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Neuromedical Technology Innovation Center of Hebei Province, Shijiazhuang, HB, China
Rui Han
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Department of Vertigo Center, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China
Sai Zhang
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Neuromedical Technology Innovation Center of Hebei Province, Shijiazhuang, HB, China
Shuangmei Yan
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Neuromedical Technology Innovation Center of Hebei Province, Shijiazhuang, HB, China
Ting Zhang
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Neuromedical Technology Innovation Center of Hebei Province, Shijiazhuang, HB, China
Yongci Hao
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Neuromedical Technology Innovation Center of Hebei Province, Shijiazhuang, HB, China
Dong Li
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Department of Vertigo Center, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China
Shaona Liu
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Department of Vertigo Center, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China
Peifan Xie
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China
Chuangwei Wang
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China
Xu Yang
Affiliation:
Department of Neurology, Peking University First Hospital, Beijing, China
Ping Gu*
Affiliation:
Department of Neurology, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Department of Neurology, Hebei Hospital of Xuanwu Hospital Capital Medical University, Shijiazhuang, HB, China Neuromedical Technology Innovation Center of Hebei Province, Shijiazhuang, HB, China Department of Vertigo Center, The First Hospital of Hebei Medical University, Shijiazhuang, HB, China Brain Aging and Cognitive Neuroscience Laboratory of Hebei Province, Shijiazhuang, HB, China
*
Corresponding author: Ping Gu; Email: gpwh2000@126.com
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Abstract

Objective

This study aimed to explore clinical characteristics and treatment efficacy in patients with posterior canal benign paroxysmal positional vertigo and different sleep qualities.

Methods

Patients with posterior canal benign paroxysmal positional vertigo were divided into high and low sleep quality groups based on Pittsburgh Sleep Quality Index scores.

Results

No significant baseline differences existed between low (n = 53) and high (n = 39) sleep quality groups. However, the proportion of cupulolithiasis was higher in the low sleep quality group (60.38 per cent vs. 35.90 per cent; p < 0.05). Additionally, the low sleep quality group had a longer median duration of upbeat nystagmus during the Dix-Hallpike test (63.50 seconds vs. 26.80 seconds; p < 0.05) and a lower cured rate in initial repositioning (9.43 per cent vs. 56.41 per cent) compared to high sleep quality group. Repositioning therapy significantly improved depressive and anxiety symptoms in all patients with posterior canal benign paroxysmal positional vertigo, with a more pronounced improvement in depressive symptoms in the low sleep quality group.

Conclusion

Poor sleep quality is associated with higher cupulolithiasis prevalence and treatment resistance, with residual symptoms mainly affecting social functioning.

Keywords

cupulolithiasisPC-BPPVresidual symptomsleep disordervertigo

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 12 , December 2025 , pp. 1181 - 1189
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED.

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Footnotes

Ping Gu takes responsibility for the integrity of the content of the paper

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