PDF(Pubmed)
Abstract：
BACKGROUND: This study evaluates the effectiveness of combining the Epley Maneuver with the Dizzy-Fix Training Device in treating Benign Paroxysmal Positional Vertigo (BPPV), aiming to enhance treatment outcomes and patient satisfaction.
METHODS: In this randomized controlled trial, 50 patients diagnosed with posterior canal BPPV were allocated into two groups: one receiving the traditional Epley Maneuver and the other undergoing the Epley Maneuver supplemented with the Dizzy-Fix Training Device. Key measures included the proportion of symptom-free patients at one month, changes in the Visual Analogue Scale (VAS) and Dizziness Handicap Inventory (DHI) scores, the recurrence rate within one month, and patient satisfaction.
RESULTS: The Dizzy-Fix group achieved a significantly higher symptom resolution rate by day 7 (90% vs. 60%) and reported greater patient satisfaction (4.5/5 vs. 3.8/5) compared to the Epley Maneuver alone group. Additionally, this group exhibited a more substantial decrease in DHI scores (from an average of 30 to 5) and a lower recurrence rate (10% vs. 40%) within the first month post-treatment.
CONCLUSIONS: Incorporating the Dizzy-Fix Training Device with the Epley Maneuver significantly improves the management of BPPV, evidenced by faster symptom resolution, enhanced patient satisfaction, and reduced symptom recurrence. These findings underscore the value of integrating real-time visual feedback technologies in vestibular rehabilitation, promising better patient outcomes, and advancing the quality of care in BPPV treatment.
METHODS: In this randomized controlled trial, 50 patients diagnosed with posterior canal BPPV were allocated into two groups: one receiving the traditional Epley Maneuver and the other undergoing the Epley Maneuver supplemented with the Dizzy-Fix Training Device. Key measures included the proportion of symptom-free patients at one month, changes in the Visual Analogue Scale (VAS) and Dizziness Handicap Inventory (DHI) scores, the recurrence rate within one month, and patient satisfaction.
RESULTS: The Dizzy-Fix group achieved a significantly higher symptom resolution rate by day 7 (90% vs. 60%) and reported greater patient satisfaction (4.5/5 vs. 3.8/5) compared to the Epley Maneuver alone group. Additionally, this group exhibited a more substantial decrease in DHI scores (from an average of 30 to 5) and a lower recurrence rate (10% vs. 40%) within the first month post-treatment.
CONCLUSIONS: Incorporating the Dizzy-Fix Training Device with the Epley Maneuver significantly improves the management of BPPV, evidenced by faster symptom resolution, enhanced patient satisfaction, and reduced symptom recurrence. These findings underscore the value of integrating real-time visual feedback technologies in vestibular rehabilitation, promising better patient outcomes, and advancing the quality of care in BPPV treatment.
摘要：
背景：这项研究评估了Epley机动与Dizzy-Fix训练装置结合治疗良性阵发性位置性眩晕（BPPV）的有效性，旨在提高治疗效果和患者满意度。
方法：在这项随机对照试验中，50例诊断为后管BPPV的患者被分为两组：一组接受传统的Epley机动，另一组接受补充Dizzy-Fix训练装置的Epley机动。主要指标包括一个月无症状患者的比例，视觉模拟量表(VAS)和头晕障碍量表(DHI)评分的变化，一个月内的复发率，患者满意度。
结果：到第7天，Dizzy-Fix组的症状缓解率明显更高（90％vs.60%)，并报告患者满意度更高(4.5/5vs.3.8/5）与单独的Epley机动组相比。此外,该组表现出DHI评分更大幅度的下降（从平均30到5）和较低的复发率（10％vs.40％）在治疗后的第一个月内。
结论：将Dizzy-Fix训练装置与Epley机动相结合可显著改善BPPV的管理，更快的症状解决证明，提高患者满意度，减少症状复发。这些发现强调了在前庭康复中整合实时视觉反馈技术的价值，有希望更好的患者结果，并提高BPPV治疗的护理质量。
方法：在这项随机对照试验中，50例诊断为后管BPPV的患者被分为两组：一组接受传统的Epley机动，另一组接受补充Dizzy-Fix训练装置的Epley机动。主要指标包括一个月无症状患者的比例，视觉模拟量表(VAS)和头晕障碍量表(DHI)评分的变化，一个月内的复发率，患者满意度。
结果：到第7天，Dizzy-Fix组的症状缓解率明显更高（90％vs.60%)，并报告患者满意度更高(4.5/5vs.3.8/5）与单独的Epley机动组相比。此外,该组表现出DHI评分更大幅度的下降（从平均30到5）和较低的复发率（10％vs.40％）在治疗后的第一个月内。
结论：将Dizzy-Fix训练装置与Epley机动相结合可显著改善BPPV的管理，更快的症状解决证明，提高患者满意度，减少症状复发。这些发现强调了在前庭康复中整合实时视觉反馈技术的价值，有希望更好的患者结果，并提高BPPV治疗的护理质量。
