Hostname: page-component-77f85d65b8-pztms Total loading time: 0 Render date: 2026-03-29T22:35:23.102Z Has data issue: false hasContentIssue false
  • English
  • Français

Efficacy of the automated mechanical repositioning chair treatment for patients with benign paroxysmal positional vertigo

Published online by Cambridge University Press:  21 October 2024

F Xia Open the ORCID record for F Xia [Opens in a new window] ,
K Zhu ,
Y Ren Open the ORCID record for Y Ren [Opens in a new window]  and
N Wang
F Xia
Affiliation:
Department of Otorhinolaryngology Head & Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
K Zhu
Affiliation:
Center for Statistical Science, Department of Industrial Engineering, Tsinghua University, Beijing, China
Y Ren
Affiliation:
Department of Otorhinolaryngology Head & Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
N Wang*
Affiliation:
Department of Otorhinolaryngology Head & Neck Surgery, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China
*
Corresponding author: Ningyu Wang Email: 2460331882@qq.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

This study aimed to examine the efficacy of the automated mechanical repositioning chairs compared to canalith repositioning manoeuvres for elderly patients with benign paroxysmal positional vertigo (BPPV).

Methods:

A retrospective study included 969 patients with BPPV who were first diagnosed at Beijing Chaoyang Hospital, Capital Medical University between 1 January 2020 and 31 December 2020. Patients were followed up for one year. Demographics, disease status, treatment and various outcomes were collected through medical record reviews and follow-up interviews.

Results:

Based on the criteria for evaluating treatment efficacy using objective and subjective indicators, BPPV patients treated with automated mechanical repositioning chair therapy showed a significantly better prognosis and lower recurrence rates.

Conclusion:

Automated mechanical repositioning chair therapy is an effective approach for BPPV treatment, with advantages over conventional manual canalith repositioning procedures.

Keywords

benign paroxysmal positional vertigomedical recordsretrospective studies

Information

Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 139 , Issue 1 , January 2025 , pp. 34 - 39
Copyright
Copyright © The Author(s), 2024. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

Footnotes

Ningyu Wang takes responsibility for the integrity of the content of the paper

References

von Brevern, 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;78:710–15CrossRefGoogle ScholarPubMed
Hilton, MP, Pinder, DK. The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev 2014;12:CD003162Google Scholar
Prokopakis, E, Vlastos, IM, Tsagournisakis, M, Christodoulou, P, Kawauchi, H, Velegrakis, G. Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 2013;18:83–8CrossRefGoogle ScholarPubMed
Kim, JS, Zee, DS. Clinical practice. Benign paroxysmal positional vertigo. N Engl J Med 2014;370:1138–47CrossRefGoogle ScholarPubMed
Bhattacharyya, N, Gubbels, SP, Schwartz, SR, Edlow, JA, El-Kashlan, H, Fife, T, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngol Head Neck Surg 2017;156:S1–S47Google ScholarPubMed
Imai, T, Takeda, N, Ito, M, Inohara, H. Natural course of positional vertigo in patients with apogeotropic variant of horizontal canal benign paroxysmal positional vertigo. Auris Nasus Larynx 2011;38:2–5CrossRefGoogle ScholarPubMed
Imai, T, Takeda, N, Ikezono, T, Shigeno, K, Asai, M, Watanabe, Y, et al. Classification, diagnostic criteria and management of benign paroxysmal positional vertigo. Auris Nasus Larynx 2017;44:1–6CrossRefGoogle ScholarPubMed
Li, JC, Epley, J. The 360-degree maneuver for treatment of benign positional vertigo. Otol Neurotol 2006;27:71––7CrossRefGoogle ScholarPubMed
Hougaard, DD, Valsted, SH, Bruun, NH, Bech, MW, Talebnasab, MH. Seven years of experience with treatment of benign paroxysmal positional vertigo with a mechanical rotational chair. Front Neurol 2022;13:981216CrossRefGoogle ScholarPubMed
Yamout, A K A. Comparison of the Effectiveness of TRV Chair and Canalith Repositioning Procedure (CRP) for the Treatment of Benign Paroxysmal Positional Vertigo (BPPV). Int J Otorhinolaryngol Head Neck Surg 2022;11:143–53Google Scholar
Baydan-Aran, M, Binay-Bolat, K, Hançer-Aslan, G, Avcı-Can, S, Yeğin, S, Öztaş, S, et al. Outcomes of treatment of multicanal benign paroxysmal positional vertigo by means of TRV chair. Audiol Neurootol 2023;28:1–5CrossRefGoogle ScholarPubMed
Schuricht, A, Hougaard, DD. Is a mechanical rotational chair superior to manual treatment maneuvers on an examination bed in the treatment of benign paroxysmal positional vertigo? Otol Neurotol 2022;43:e235–42CrossRefGoogle Scholar
Yacovino, DA, Zanotti, E, Roman, K, Hain, TC. Square wave manoeuvre for apogeotropic variant of horizontal canal benign paroxysmal positional vertigo in neck restricted patients. J Otol 2021;16:65–70CrossRefGoogle ScholarPubMed
Pedersen, MF, Eriksen, HH, Kjaersgaard, JB, Abrahamsen, ER, Hougaard, DD. Treatment of benign paroxysmal positional vertigo with the TRV reposition chair. J Int Adv Otol 2020;16:176–82CrossRefGoogle ScholarPubMed
Power, L, Murray, K, Szmulewicz, D. Early experience with a multi-axial, whole body positioning system in the treatment of Benign Paroxysmal Positional Vertigo (BPPV). J Clin Neurosci 2019;61:186–8CrossRefGoogle ScholarPubMed
Luryi, AL, Lawrence, J, LaRouere, M, Babu, S, Bojrab, DI, Zappia, J, et al. Treatment of patients with benign paroxysmal positional vertigo and severe immobility using the particle repositioning chair: a retrospective cohort study. Ann Otol Rhinol Laryngol 2018;127:390–4CrossRefGoogle ScholarPubMed
Luryi, AL, Wright, D, Lawrence, J, Babu, S, LaRouere, M, Bojrab, DI, et al. Analysis of non-posterior canal benign paroxysmal positional vertigo in patients treated using the particle repositioning chair: a large, single-institution series. Am J Otolaryngol 2018;39:313–16CrossRefGoogle Scholar
Tan, J, Yu, D, Feng, Y, Song, Q, You, J, Shi, H, et al. Comparative study of the efficacy of the canalith repositioning procedure versus the vertigo treatment and rehabilitation chair. Acta Otolaryngol 2014;134:704–8CrossRefGoogle ScholarPubMed
West, N, Hansen, S, Møller, MN, Bloch, SL, Klokker, M. Repositioning chairs in benign paroxysmal positional vertigo: implications and clinical outcome. Eur Arch Otorhinolaryngol 2016;273:573–80CrossRefGoogle ScholarPubMed
Wang, J, Chi, F-L, Jia, X-H, Tian, L, Richard-Vitton, Th. Does benign paroxysmal positional vertigo explain age and gender variation in patients with vertigo by mechanical assistance maneuvers? Neurol Sci 2014;35:1731–6CrossRefGoogle ScholarPubMed
Austin, PC. Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples. Stat Med 2009;28:3083–107CrossRefGoogle ScholarPubMed