Comparison of the efficacy of vestibular rehabilitation and pharmacological treatment in benign paroxysmal positional vertigo

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dc.authorid0000-0002-1165-7206
dc.authorid0000-0002-9354-0000
dc.contributor.authorAta, Görkem
dc.contributor.authorŞakul, Ayşe Arzu
dc.contributor.authorKılıç, Gamze
dc.contributor.authorÇelikyurt, Cengiz
dc.date.accessioned2023-05-31T07:54:47Z
dc.date.available2023-05-31T07:54:47Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Sağlık Bilimleri Enstitüsü, Fizyoterapi ve Rehabilitasyon Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Tıbbi Farmakoloji Ana Bilim Dalı
dc.description.abstractAim: The aim of the study is to compare the effects of vestibular rehabilitation and pharmacological treatment in benign paroxysmal positional vertigo (BPPV). Materials and methods: Thirty patients (40.93 ± 8.66 years old) diagnosed with BPPV were recruited. Patients were equally divided into pharmacological control group and vestibular rehabilitation group. The pharmacological control group was further divided into Group A (n = 8, 2 doses/day, 24 mg betahistine) and Group B (n = 7, 1 dose/day, 50 mg dimenhydrinate in addition to betahistine). Patients in the rehabilitation group underwent repeated head and eye movements, and Epley or Barbecue Roll Maneuvers were applied for 4 weeks. Subjective assessment of vertigo was measured with the visual analog scale. Static balance parameters were measured with the tandem, one-legged stance, and Romberg tests. Dynamic visual acuity was measured with a Snellen chart, and vestibular dysfunction was measured with the Unterberger (Fukuda stepping) test. All parameters were evaluated before and after treatment. Results: Vestibular rehabilitation resulted in greater improvement in severity of vertigo, balance parameters except Romberg test, and vestibular dysfunction than pharmacological therapy (p < 0,001). There was no significant difference in dynamic visual acuity between groups (p = 0,24). The effects of medication with the active ingredients betahistine and dimenhydrinate were similar (p > 0,05). Conclusion: The vestibular rehabilitation method can positively change the severity of vertigo, balance ability, and vestibular dysfunction compared to pharmacological therapy. Dimenhydrinate administered in combination with betahistine was not superior to betahistine alone but can be recommended for its antiemetic effect.
dc.identifier.citationAta, G., Şakul, A. A., Kılıç, G. ve Çelikyurt, C. (2023). Comparison of the efficacy of vestibular rehabilitation and pharmacological treatment in benign paroxysmal positional vertigo. Indian Journal of Otolaryngology and Head and Neck Surgery, 75, 483-490. https://doi.org/10.1007/s12070-023-03598-4
dc.identifier.doi10.1007/s12070-023-03598-4
dc.identifier.endpage490
dc.identifier.issn2231-3796
dc.identifier.issn0973-7707
dc.identifier.pmid37206852
dc.identifier.scopus2-s2.0-85148947936
dc.identifier.scopusqualityQ3
dc.identifier.startpage483
dc.identifier.urihttps://doi.org/10.1007/s12070-023-03598-4
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10999
dc.identifier.volume75
dc.identifier.wos000941095000010en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorAta, Görkem
dc.institutionauthorŞakul, Ayşe Arzu
dc.institutionauthorKılıç, Gamze
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofIndian Journal of Otolaryngology and Head and Neck Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBalance
dc.subjectBenign Paroxysmal Positional Vertigo
dc.subjectPharmacological Therapy
dc.subjectVertigo
dc.subjectVestibular Rehabilitation
dc.titleComparison of the efficacy of vestibular rehabilitation and pharmacological treatment in benign paroxysmal positional vertigo
dc.typeArticle

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