PMID- 37067368 OWN - NLM STAT- MEDLINE DCOM- 20230503 LR - 20230503 IS - 1651-2251 (Electronic) IS - 0001-6489 (Linking) VI - 143 IP - 4 DP - 2023 Apr TI - Efficacy of computer-controlled repositioning maneuvers for post-traumatic benign paroxysmal positional vertigo. PG - 352-357 LID - 10.1080/00016489.2023.2196299 [doi] AB - BACKGROUND: Post-traumatic benign paroxysmal positional vertigo (T-BPPV) is considered to be one of the most common secondary BPPV. But the exact diagnosis and treatment strategy of t-BPPV remains challenging to physicians because of patients(') physical limitations. In this situation, we used computer-controlled repositioning maneuvers (CCRM) to make t-BPPV patients(') diagnosis and treatment easier. OBJECTIVES: This study aims to evaluate the short-term effect of CCRM for treating t-BPPV patients. MATERIAL AND METHODS: A total of 36 patients diagnosed with t-BPPV were treated by CCRM. CCRM was carried out every 48 h until patients were cured and patients were follow-up after treatment for six-month. The results of Dix-Hallpike test and supine roll test were the main outcome measures to assess efficacy of the treatment. RESULTS: Overall, 24(66.7%) patients had involvement of multiple semicircular canals. All patients obtained final resolution of vertigo and nystagmus with a maximum of 18 maneuvers. No significant adverse effect and complication occurred during the treatment process. CONCLUSIONS: T-BPPV is apt to involve multiple canals, and is difficult to treat, with no gender tendency. CCRM is effective and secure for the treatment of t-BPPV, especially for patients with cervical movement limitation. SIGNIFICANCE: With the help of CCRM, we are able to make t-BPPV patients(') diagnosis and treatment more accurate and simple. FAU - Zhang, Guosheng AU - Zhang G AD - Department of Otolaryngology, Linqu People's Hospital, Weifang, Shandong Province, China. FAU - Chang, Bin AU - Chang B AD - Department of Otolaryngology, Changle People's Hospital, Weifang, Shandong Province, China. FAU - Li, Chengwen AU - Li C AD - Department of Otolaryngology, Changle People's Hospital, Weifang, Shandong Province, China. FAU - Xu, Dongqing AU - Xu D AD - Department of Otolaryngology, Changle People's Hospital, Weifang, Shandong Province, China. FAU - Chen, Yuanhua AU - Chen Y AD - Department of Neurology, Linqu People's Hospital, Weifang, Shandong Province, China. LA - eng PT - Journal Article DEP - 20230417 PL - England TA - Acta Otolaryngol JT - Acta oto-laryngologica JID - 0370354 SB - IM MH - Humans MH - *Benign Paroxysmal Positional Vertigo/diagnosis MH - *Patient Positioning/methods MH - Semicircular Canals MH - Movement MH - Computers OTO - NOTNLM OT - Benign paroxysmal positional vertigo OT - computer controlled repositioning maneuvers OT - head injury EDAT- 2023/04/18 06:00 MHDA- 2023/05/03 06:42 CRDT- 2023/04/17 09:34 PHST- 2023/05/03 06:42 [medline] PHST- 2023/04/18 06:00 [pubmed] PHST- 2023/04/17 09:34 [entrez] AID - 10.1080/00016489.2023.2196299 [doi] PST - ppublish SO - Acta Otolaryngol. 2023 Apr;143(4):352-357. doi: 10.1080/00016489.2023.2196299. Epub 2023 Apr 17.