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Effectiveness of the Parnes particle repositioning manoeuvre for posterior canal benign paroxysmal positional vertigo

Published online by Cambridge University Press:  12 October 2015

B L Kinne  and
J S Leafman
B L Kinne*
Affiliation:
Department of Physical Therapy, Grand Valley State University, Grand Rapids, Michigan, USA
J S Leafman
Affiliation:
College of Graduate Health Studies, A T Still University, Mesa, Arizona, USA
*
Address for correspondence: Professor B L Kinne, Department of Physical Therapy, Grand Valley State University, 301 Michigan Street NE, Grand Rapids, Michigan 49503, USA Fax: +1 616 331 5654 E-mail: kinneb@gvsu.edu
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Abstract

Background:

Benign paroxysmal positional vertigo is a common vestibular disorder that negatively affects an individual's health-related quality of life. This study aimed to examine the effectiveness of the Parnes particle repositioning manoeuvre as an intervention for individuals with posterior canal benign paroxysmal positional vertigo.

Methods:

The de-identified records of 155 individuals treated with the Parnes manoeuvre were examined. Descriptive statistics were calculated, including the frequency and valid per cent of participants whose nystagmus was resolved with the Parnes manoeuvre.

Results:

In all, nystagmus was resolved with the Parnes manoeuvre in 145 participants (93.5 per cent). The mean number of manoeuvres needed to resolve the nystagmus was 1.3.

Conclusion:

The Parnes manoeuvre proved to be as effective as the Epley canalith repositioning manoeuvre, currently the most common intervention, in treating individuals with posterior canal benign paroxysmal positional vertigo.

Keywords

VertigoSemicircular CanalsVestibular Diseases
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 12 , December 2015 , pp. 1188 - 1193
Copyright
Copyright © JLO (1984) Limited 2015 

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References

1VonBrevern, 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 Scholar
2Gamiz, MJ, Lopez-Escamez, JA.Health-related quality of life in patients over sixty years old with benign paroxysmal positional vertigo. Gerontology 2004;50:82–6CrossRefGoogle ScholarPubMed
3Handa, PR, Kuhn, AMB, Cunha, F, Schaffleln, R, Gananca, FF.Quality of life in patients with benign paroxysmal positional vertigo and/or Meniere's disease. Braz J Otorhinolaryngol 2005;71:776–82CrossRefGoogle ScholarPubMed
4Lopez-Escamez, JA, Gamiz, MJ, Fernandez-Perez, A, Gomez-Finana, M.Long-term outcome and health-related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507–11CrossRefGoogle ScholarPubMed
5Lopez-Escamez, JA, Gamiz, MJ, Fernandez-Perez, A, Gomez-Finana, M, Sanchez-Canet, I.Impact of treatment on health-related quality of life in patients with posterior canal benign paroxysmal positional vertigo. Otol Neurotol 2003;24:637–41CrossRefGoogle ScholarPubMed
6Lopez-Escamez, JA, Gomez-Finana, M, Fernandez, AJ, Gamiz, MJ, Sanchez-Canet, I.Impact of treatment on benign positional vertigo-related quality of life. Int Congress Series 2003;1240:1329–32CrossRefGoogle Scholar
7Pereira, AB, Santos, JN, Volpe, FM.Effect of Epley's maneuver on the quality of life of paroxismal positional benign vertigo patients. Braz J Otorhinolaryngol 2010;76:704–8CrossRefGoogle ScholarPubMed
8Roberts, RA, Abrams, H, Sembach, MK, Lister, JJ, Gans, RE, Chisholm, TH.Utility measures of health-related quality of life in patients treated for benign paroxysmal positional vertigo. Ear Hear 2009;30:369–76CrossRefGoogle ScholarPubMed
9Celebisoy, N, Bayam, E, Gulec, F, Kose, T, Akyurekli, O.Balance in posterior and horizontal canal type benign paroxysmal positional vertigo before and after canalith repositioning maneuvers. Gait Posture 2009;29:520–3CrossRefGoogle ScholarPubMed
10Chang, WC, Hsu, LC, Yang, YR, Wang, RY.Balance ability in patients with benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2006;135:534–40CrossRefGoogle ScholarPubMed
11Giacomini, PG, Alessandrini, M, Magrini, A.Long-term postural abnormalities in benign paroxysmal positional vertigo. ORL J Otorhinolaryngol Relat Spec 2002;64:237–41CrossRefGoogle ScholarPubMed
12Kasse, CA, Santana, GG, Branco-Barreiro, FCA, Scharlach, RC, Gazzola, JM, Gananca, FF et al. Postural control in older patients with benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2012;146:809–15CrossRefGoogle ScholarPubMed
13Stambolieva, K, Angov, G.Postural stability in patients with different durations of benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2006;263:118–22CrossRefGoogle ScholarPubMed
14Gananca, FF, Gazzola, JM, Gananca, CF, Caovilla, HH, Gananca, MM, Cruz, OLM.Elderly falls associated with benign paroxysmal positional vertigo. Braz J Otorhinolaryngol 2010;76:113–20Google ScholarPubMed
15Oghalai, JS, Manolidis, S, Barth, JL, Stewart, MG, Jenkins, HA.Unrecognized benign paroxysmal positional vertigo in elderly patients. Otolaryngol Head Neck Surg 2000;122:630–4CrossRefGoogle ScholarPubMed
16Hagr, A.Comorbid psychiatric conditions of benign paroxysmal positional vertigo. Int J Health Sci (Qassim) 2009;3:23–8Google ScholarPubMed
17Monzani, D, Genovese, E, Rovatti, V, Malagoli, ML, Rigatelli, M, Guidetti, G.Life events and benign paroxysmal positional vertigo: a case-controlled study. Acta Otolaryngol 2006;126:987–92CrossRefGoogle ScholarPubMed
18Nagarkar, AN, Gupta, AK, Mann, SBS.Psychological findings in benign paroxysmal positional vertigo and psychogenic vertigo. J Otolaryngol 2000;29:154–8Google ScholarPubMed
19Pollak, L, Segal, P, Stryjer, R, Stern, HG.Beliefs and emotional reactions in patients with benign paroxysmal positional vertigo: a longitudinal study. Am J Otolaryngol 2012;33:221–5CrossRefGoogle ScholarPubMed
20Faralli, M, Ricci, G, Molini, E, Bressi, T, Simoncelli, C, Frenguelli, A.Paroxysmal positional vertigo; the role of age as a prognostic factor. Acta Otorhinolaryngol Ital 2006;26:25–31Google ScholarPubMed
21Ahn, SK, Jeon, SY, Kim, JP, Park, JJ, Hur, DG, Kim, DW et al. Clinical characteristics and treatment of benign paroxysmal positional vertigo after traumatic brain injury. J Trauma 2011;70:442–6Google ScholarPubMed
22Lee, NH, Ban, JH, Lee, KC, Kim, SM.Benign paroxysmal positional vertigo secondary to inner ear disease. Otolaryngol Head Neck Surg 2010;143:413–17CrossRefGoogle ScholarPubMed
23Cohen, HS, Kimball, KT, Stewart, MG.Benign paroxysmal positional vertigo and comorbid conditions. ORL J Otorhinolaryngol Relat Spec 2004;66:11–15CrossRefGoogle ScholarPubMed
24Jeong, SH, Choi, SH, Kim, JY, Koo, JW, Kim, HJ, Kim, JS.Osteopenia and osteoporosis in idiopathic benign positional vertigo. Neurology 2009;72:1069–76CrossRefGoogle ScholarPubMed
25Vibert, D, Kompis, M, Hausler, R.Benign paroxysmal positional vertigo in older women may be related to osteoporosis and osteopenia. Ann Otol Rhinol Laryngol 2003;112:885–9CrossRefGoogle ScholarPubMed
26Pollak, L, Kushnir, M, Goldberg, HS.Physical inactivity as a contributing factor for onset of idiopathic benign paroxysmal positional vertigo. Acta Otolaryngol 2011;131:624–7CrossRefGoogle ScholarPubMed
27Buki, B, Ecker, M, Junger, H, Lundberg, YW.Vitamin D deficiency and benign paroxysmal positioning vertigo. Med Hypotheses 2013;80:201–4CrossRefGoogle ScholarPubMed
28Jeong, SH, Kim, JS, Shin, JW, Kim, S, Lee, H, Lee, AY et al. Decreased serum vitamin D in idiopathic benign paroxysmal positional vertigo. J Neurol 2013;260:832–8CrossRefGoogle ScholarPubMed
29Giacomini, PG, Napolitano, B, Alessandrini, M, DiGirolamo, S, Magrini, A.Recurrent paroxysmal positional vertigo related to oral contraceptive treatment. Gynecol Endocrinol 2006;22:5–8CrossRefGoogle ScholarPubMed
30Schuknecht, HF.Cupulolithiasis. Arch Otolaryngol. 1969;90:765–78CrossRefGoogle ScholarPubMed
31Hall, SF, Ruby, RRF, McClure, JA.The mechanics of benign paroxysmal vertigo. J Otolaryngol 1979;8:151–8Google ScholarPubMed
32Dix, MR, Hallpike, CS.The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341–54Google ScholarPubMed
33Bhattacharyya, N, Baugh, RF, Orvidas, L, Barrs, D, Bronston, LJ, Cass, S et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:S47–81CrossRefGoogle ScholarPubMed
34Parnes, LS, Nabi, S.The diagnosis and management of benign paroxysmal positional vertigo. Semin Hear 2009;30:287–306CrossRefGoogle Scholar
35Katsarkas, A.Nystagmus of paroxysmal positional vertigo: some new insights. Ann Otol Rhinol Laryngol 1987;96:305–8CrossRefGoogle ScholarPubMed
36Korres, S, Riga, M, Balatsouras, D, Sandris, V.Benign paroxysmal positional vertigo of the anterior semicircular canal: atypical clinical findings and possible underlying mechanisms. Int J Audiol 2008;47:276–82CrossRefGoogle ScholarPubMed
37Zapala, DA.Down-beating nystagmus in anterior canal benign paroxysmal positional vertigo. J Am Acad Audiol 2008;19:257–66Google ScholarPubMed
38Jackson, LE, Morgan, B, Fletcher, JC, Krueger, WWO.Anterior canal benign paroxysmal positional vertigo: an underappreciated entity. Otol Neurotol 2007;28:218–22CrossRefGoogle ScholarPubMed
39McClure, JA.Horizontal canal BPV. J Otolaryngol 1985;14:30–5Google ScholarPubMed
40Baloh, RW, Jacobson, K, Honrubia, V.Horizontal semicircular canal variant of benign positional vertigo. Neurology 1993;43:2542–9CrossRefGoogle ScholarPubMed
41Chung, KW, Park, KN, Ko, MH, Jeon, HK, Choi, JY, Cho, YS et al. Incidence of horizontal canal benign paroxysmal positional vertigo as a function of the duration of symptoms. Otol Neurotol 2009;30:202–5CrossRefGoogle ScholarPubMed
42Parnes, LS, Agrawal, SK, Atlas, J.Diagnosis and management of benign paroxysmal positional vertigo (BPPV). Can Med Assoc J 2003;169:681–93Google ScholarPubMed
43Semont, A, Freyss, G, Vitte, E.Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 1988;42:290–3Google ScholarPubMed
44Epley, JM.The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992;107:399–404CrossRefGoogle ScholarPubMed
45Parnes, LS, Price-Jones, R.Particle repositioning maneuver for benign paroxysmal positional vertigo. Ann Otol Rhinol Laryngol 1993;102:325–31CrossRefGoogle ScholarPubMed
46Jose, P, Rupa, V, Job, A.Successful management of benign paroxysmal positional vertigo with the Epley manoeuvre. Indian J Otolaryngol Head Neck Surg 2000;52:49–53CrossRefGoogle Scholar
47Mujeeb, M, Khan, NUH.Epley's manoeuvre: treatment of choice for benign paroxysmal positional vertigo. J Laryngol Otol 2000;114:844–7Google ScholarPubMed
48Nunez, RA, Cass, SP, Furman, JM.Short- and long-term outcomes of canalith repositioning for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2000;122:647–52CrossRefGoogle Scholar
49Smouha, EE.Time course of recovery after Epley maneuvers for benign paroxysmal positional vertigo. Laryngoscope 1997;107:187–91CrossRefGoogle ScholarPubMed
50Froehling, DA, Bowen, JM, Mohr, DN, Brey, RH, Beatty, CW, Wollan, PC et al. The canalith repositioning procedure for the treatment of benign paroxysmal positional vertigo: a randomized controlled trial. Mayo Clin Proc 2000;75:695–700CrossRefGoogle ScholarPubMed
51Lynn, S, Pool, A, Rose, D, Brey, R, Suman, V.Randomized trial of the canalith repositioning procedure. Otolaryngol Head Neck Surg 1995;113:712–20CrossRefGoogle ScholarPubMed
52Von Brevern, M, Seelig, T, Radtke, A, Tiel-Wilck, K, Neuhauser, H, Lempert, T.Short-term efficacy of Epley's manoeuvre: a double-blind randomised trial. J Neurol Neurosurg Psychiatry 2006;77:980–2CrossRefGoogle ScholarPubMed
53Helminski, JO, Zee, DS, Janssen, I, Hain, TC.Effectiveness of particle repositioning maneuvers in the treatment of benign paroxysmal positional vertigo; a systematic review. Phys Ther 2010;90:663–78CrossRefGoogle ScholarPubMed
54Hilton, M, Pinder, D.The Epley manoeuvre for benign paroxysmal positional vertigo: a systematic review. Clin Otolaryngol 2002;27:440–5CrossRefGoogle ScholarPubMed
55Texeira, LJ, Machado, JNP.Maneuvers for the treatment of benign positional paroxysmal vertigo: a systematic review. Braz J Otorhinolaryngol 2006;72:130–8CrossRefGoogle Scholar
56White, J, Savvides, P, Cherian, N, Oas, J.Canalith repositioning for benign paroxysmal positional vertigo. Otol Neurotol 2005;26:704–10CrossRefGoogle ScholarPubMed
57Woodworth, BA, Gillespie, MB, Lambert, PR.The canalith repositioning procedure for benign positional vertigo: a meta-analysis. Laryngoscope 2004;114:1143–6CrossRefGoogle ScholarPubMed
58Fife, TD, Iverson, DJ, Lempert, T, Furman, JM, Baloh, RW, Tusa, RJ et al. Practice parameter: therapies for benign paroxysmal positional vertigo (an evidence-based review). Neurology 2008;70:2067–74CrossRefGoogle ScholarPubMed
59Parnes, LS, Robichaud, J.Further observations during the particle repositioning maneuver for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1997;116:238–43CrossRefGoogle ScholarPubMed