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首页> 外文期刊>Journal of neurology >Treatment of apogeotropic benign positional vertigo: comparison of therapeutic head-shaking and modified Semont maneuver.
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Treatment of apogeotropic benign positional vertigo: comparison of therapeutic head-shaking and modified Semont maneuver.

机译：良性良性位置性眩晕的治疗：摇摇头治疗和改良的Semont动作的比较。

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Several methods of physiotherapy have been advanced for apogeotropic type benign positional vertigo involving the horizontal semicircular canal (HC-BPV). The aim of this study was to determine the therapeutic efficacies of the proposed maneuvers in apogeotropic HC-BPV. Using a prospective randomized trial involving seven nationwide dizziness clinics in Korea, we compared the immediate efficacies of head-shaking and modified Semont maneuvers in 103 consecutive patients with apogeotropic HC-BPV. We also determined an additional therapeutic benefit of mastoid oscillation while the patients without response to both maneuvers were performing the Brandt-Daroff exercise. Successful treatment was defined as resolution of positional vertigo and nystagmus, or as transition into geotropic HC-BPV. Results showed that head shaking was more effective than the modified Semont maneuver (37.3 vs. 17.3%, P = 0.02). However, therapeutic efficacy did not differ between the maneuvers after the initial non-responders switched over to the other maneuver (23.3 vs. 25.0%, P = 0.861). Mastoid oscillation provided no additional benefit while the patients without response to both maneuvers were performing the Brandt-Daroff exercise. Most positional vertigos resolved within a week (89.4%) irrespective of the treatment modalities applied and all showed resolution within 28 days. The head-shaking maneuver described here proved more effective than the modified Semont maneuver in treating apogeotropic HC-BPV. Mastoid vibration conferred no additional benefit during the Brandt-Daroff exercise.
机译：对于涉及水平半规管（HC-BPV）的高营养型良性位置性眩晕，已经提出了几种物理疗法。这项研究的目的是确定拟议的做法在apogeotropic HC-BPV中的治疗效果。我们使用一项涉及韩国7个全国头晕诊所的前瞻性随机试验，比较了103名连续的均质性HC-BPV患者的摇头和改良的Semont动作的即时疗效。我们还确定了对两种操作均无反应的患者进行Brandt-Daroff锻炼时乳突振荡的其他治疗益处。成功的治疗定义为解决位置性眩晕和眼球震颤，或转变为嗜地性HC-BPV。结果显示，摇头比改良的Semont动作更有效（37.3比17.3％，P = 0.02）。但是，在最初的无反应者切换到另一种操作后，各操作之间的疗效没有差异（23.3％对25.0％，P = 0.861）。当对两种动作均无反应的患者进行Brandt-Daroff锻炼时，乳突振荡没有其他好处。不论采用何种治疗方式，大多数位置性眩晕在一周之内即可消失（占89.4％），并且均在28天内表现出消退。事实证明，这里描述的摇头动作比改良的Semont动作更有效地治疗了地磁HC-BPV。乳突振动在Brandt-Daroff锻炼期间没有带来任何其他好处。

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