عنوان

"بررسی اثربخشی مانور Epley در توانبخشی مبتلایان به سرگیجه وضعیتی حمله‌ای خوش‌خیم با کاربرد آزمون بالینی تعامل حسی برای تعادل "

متن يادداشت

Objective: Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of vertigo and this is generally results from posterior semicircular canals disorders. Epley maneuver is known as the most efficacious maneuver in treatment of posterior semicircular canals BPPV. In spite of reports about general effectiveness of Epley maneuver in BPPV patient's improvement, now there is no clinically valid, simple assessment method to quick verify effectiveness of maneuver after apply it, in same session. one of the valid, available with simple equipment test that seems facilitate this matter with time saving, is the modified version of Clinical Test of Sensory Interaction on Balance. This study has been done with the aim of use mCTSIB test for assess effectiveness of Epley maneuver in BPPV patient's rehabilitation. Materials and method: VNG test and Dix-Hallpike maneuver to verify BPPV diagnosis and reject other vestibular disorders, mCTSIB test before and after maneuver, Epley manoeuvre and again mCTSIB test after about 3 weeks to assess results reliability were done respectively. Results: the sample contain of 44 BPPV patients in age range between 40-60 years and mean age of 53.11(7.09). Time criteria for balance control in mCTSIB after apply maneuver relative to before apply it, showed no statistically significant change(P>0.05). lateral sway changes in position 2, 3 and 4 in mCTSIB test after apply maneuver showed significant reduction (P =0.04). Anterior-posterior sway changes in position 1 and 2 showed no significant changes(P>0.05), but differences in position 3 and 4 were statistically significant (P=0.00 and 0.03 respectively). In re-test, results were repeated and showed no significant changes relative to results after apply maneuver in same session (P >0.05). Conclusion: with respect to results of this study, mCTSIB test is seems be a valid test with simple and quick apply, for verify the effectiveness of Epley maneuver in BPPV patient's rehabilitation in vestibular rehabilitation clinics. Keywords: BPPV, Epley maneuver, mCTSIB, test-retest.

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