Effectiveness of the Epley maneuver versus Cawthorne-Cooksey vestibular exercises in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (BPPV): a randomized controlled trial

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dc.authoridHabibe Serap İnal / 0000-0003-1818-121Xen_US
dc.authorscopusidHabibe Serap İnal / 55471324100en_US
dc.authorwosidHabibe Serap İnal / AAN-8916-2020en_US
dc.contributor.authorTaçalan, Ekin
dc.contributor.authorİnal, Habibe Serap
dc.contributor.authorŞentürk, M. Nafiz
dc.contributor.authorMengi, Erdem
dc.contributor.authorAlemdaroğlu-Gürbüz, İpek
dc.date.accessioned2021-09-28T08:21:39Z
dc.date.available2021-09-28T08:21:39Z
dc.date.issued2021en_US
dc.departmentİstinye Üniversitesi, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümüen_US
dc.description.abstractObjective Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo that mainly affects the posterior semicircular canal. Studies suggest that Epley maneuver could improve balance of patients, but Cawthorne-Cooksey vestibular exercises are still scarce. This study aimed to observe the effects of Cawthorne-Cooksey vestibular exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in posterior semicircular canal BPPV. Methods Thirty-six patients with posterior semicircular canal BPPV were randomly assigned into Epley maneuver (EpleyM) and Epley maneuver and exercise (EpleyM&Exe) groups. All patients were treated with the Epley maneuver, while Cawthorne-Cooksey vestibular exercises were given to the EpleyM&Exe group as home exercises for 6 weeks. Their static and dynamic balance, vertigo symptoms, and quality of life were assessed at pre-, post-intervention (1st, 3rd and 6th weeks). Results Thirty-two patients completed the study (mean age: 46.91 ± 9.78 years). Epley maneuver applied alone and combined with Cawthorne-Cooksey vestibular exercises, was found to be effective in 25 patients (78.1%), 6 patients (18.8%) and 1 patient (3.1%) at the 1st, 3rd and 6th weeks, respectively. After 6 weeks, both groups had gained significant improvements in balance, vertigo symptoms, and quality of life (p < 0.001); however, there were no significant differences between the groups, except for the static dominant leg balance test (p = 0.022). Conclusions The Epley maneuver can be considered as the first option compared to Cawthorne-Cooksey vestibular exercises. Exercises do not appear to have any additional effects in improving posterior semicircular canal BPPV symptoms.en_US
dc.identifier.citationTaçalan, E., İnal, H. S., Şentürk, M. N., Mengi, E., & Alemdaroğlu-Gürbüz, İ. (2021). Effectiveness of the Epley maneuver versus Cawthorne-cooksey vestibular exercises in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (BPPV): A randomized controlled trial. Journal of Bodywork and Movement Therapies.en_US
dc.identifier.doi10.1016/j.jbmt.2021.07.030en_US
dc.identifier.endpage405en_US
dc.identifier.issn1360-8592en_US
dc.identifier.pmid34776169en_US
dc.identifier.scopus2-s2.0-85115762971en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage397en_US
dc.identifier.urihttps://doi.org/10.1016/j.jbmt.2021.07.030
dc.identifier.urihttps://hdl.handle.net/20.500.12713/2103
dc.identifier.volume28en_US
dc.identifier.wosWOS:000706408500026en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorİnal, Habibe Serap
dc.language.isoenen_US
dc.publisherELSEVIERen_US
dc.relation.ispartofJournal of Bodywork and Movement Therapiesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectVertigoen_US
dc.subjectQuality of Lifeen_US
dc.subjectExerciseen_US
dc.titleEffectiveness of the Epley maneuver versus Cawthorne-Cooksey vestibular exercises in the treatment of posterior semicircular canal benign paroxysmal positional vertigo (BPPV): a randomized controlled trialen_US
dc.typeArticleen_US

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