J Korean Neurol Assoc.
2000 May;18(3):281-286.
The Effect of Exercise Therapy for Benign Paroxysmal Positional Vertigo
- Affiliations
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- 1Department of Neurology, Catholic University of Taegu, School of Medicine.
- 2Department of Neurology, Kyungpook National University, School of Medicine.
- 3Department of Neurology, Dong Kang Hospital.
Abstract
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BACKGROUND: Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder that often resolves spontaneously. It was long believed that the condition was caused by inorganic particles in the cupula of the posterior semicircular canal. Management of this condition includes medication, surgery, physical exercise and more recently particle repositioning maneuvers. Among the various therapies, exercise therapy (ET) reported by Brandt-Daroff was based on the theory of cupulolithiasis and is designed to treat BPPV through dispersion of the debris from the cupula.
METHODS
Fifty four patients with BPPV were treated with ET to determine the effectiveness. Fifteen additional patients with BPPV were treated with only medication and served as a control group. RESULT: Forty eight of 54 cases (88.9%) treated with ET showed improvement after 2 weeks. With medication alone, 8 of the 15 cases (53.4%) showed improvement after 2 weeks.
CONCLUSIONS
The most important benefit of this maneuver seemed to be more expedient recovery than that with medication alone.
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