Turkish Journal of Physical Medicine and Rehabilitation 2003 , Vol 49 , Num 5
Selim Paroksismal Pozisyonel Vertigo Tanılı Hastalarda Partikülü Yeniden Yerleştirici Manevraya Habitüasyon Egzersizi İlave Etmenin Tedavi Etkinliği ve Yaşam Kalitesi Üzerine Etkileri
Ayşegül Ellialtıoğlu 1 ,Ayşe Karan 2 ,Burak Erdamar 3 ,Cihan Aksoy 2
1 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul
2 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye
3 İstanbul Üniversitesi İstanbul Tıp Fakültesi, Kulak Burun Boğaz Hastalıkları Anabilim Dalı, İstanbul

Vestibular rehabilitation becomes more popular in patients with persistent vertigo. Particle repositioning maneuver, “Epley maneuver”, which is recommended as an appropriate treatment for patients with Benign Paroxysmal Positional Vertigo (BPPV) is also a part of rehabilitation therapy. The aim of this study was to evaluate the effectivity of additional Cawthorne Cooksey habituation exercises to Epley maneuver in BPPV patients. Forty patients with BPPV which were diagnosed by Dix-Hallpike test were included in the study. Patients were divided into two groups. In the first group, particle repositioning maneuver was the only treatment modality. In the second group, two days after achieving cure with Epley maneuver, additional Cawthorne-Cooksey habituation exercises were given as home program. Epley maneuver was applied once in a week until Dix-Hallpike became negative. In the first group at the end of the first week the success rate was 65%, 30% at  the end of the second week and 5% at the end of the third week. The success rate was 75% and 25% at the end of the first and the second week respectively in the second group. Collar was proposed to the patients just after the maneuver in the first group for one week during the daytime. All patients were evaluated for the severity of vertigo and  difficulty degree of daily living activities by Visual Analogue Scale, Dizziness Handicap Inventory (DHI) quality of life scale on the first, 2nd, 7nd, 30nd, 60nd and 90nd day of their treatment. Although the effectivity of the success rate and quality of life scores were not statistically different in both group (p>0.05), quality of life scores were higher in patients which were in the second group. As a conclusion, after addition of  Cawthorne-Cooksey habituation exercises to the particle repositioning maneuver in patients with BPPV higher quality of life scores may be achieved.

Keywords : Benign paroxysmal positional vertigo, Epley maneuver, Cawthorne-Cooksey exercises