Vertigolu Hastalarda Epley Manevrası Öncesi Ve Sonrasında Denge Değişimi:

Year 2023, Volume: 45 Issue: 1, 118 - 124, 23.01.2023

Nevsun Pıhtılı Taş Nihat Susaman

https://doi.org/10.20515/otd.1172469

Abstract

Benign paroksismal pozisyonel vertigo (BPPV), periferik vertigonun en sık nedenidir. Epley manevrası ile hastaların dengesinin düzeldiği literatürde desteklenmiştir. Çalışmanın amacı, BPPV'li hastalarda Epley manevrasının denge üzerine etkisini denge cihazı ile değerlendirmektir. Prospektif klinik çalışma 104 hasta ile tamamlandı. Epley manevrası öncesi ve sonrasında, statik ve dinamik denge değişiklikleri gözler açık ve kapalı halde denge cihazı ile değerlendirildi. Hastaların yaş ortalaması 45,8±16,34 (dağılım, 18-83) idi. 75 hasta (%72,1) kadın ve 29 hasta (%27,9) erkek idi. Gözler açık stabil alan (p=0.137), 'gözler açık stabil uzunluk, (p=0.184), 'gözler açık stabil açı (p=0.155), 'gözler açık stabil hız (p=0.100), 'gözler kapalı stabil alan' (p=0.06) ve 'gözler kapalı stabil açı' (p=0.310) değerlerinde Epley öncesi ve sonrası ölçümler arasında anlamlı fark yoktu. Epley manevrası öncesi ve sonrası, gözler kapalı stabil uzunluk" (p=0,00) ve "gözler kapalı stabil hız" (p=0.007) değerleri arasında anlamlı fark vardı. Epley manevrası ile daha iyi statik denge, Epley manevrasından sonra vücut stabilitesinin ve postüral dengenin daha iyi kontrol edilebileceğini gösterdi. Dinamik dengede düzelme saptanmadı. Bu durum BPPV'li hastaların proprioseptif ve görsel uyaranlardaki değişikliklere uyum sağlayamadığını düşündürdü. Epley testi, vertigolu hastalarda önemli bir sorun olan denge bozukluğunu iyileştirmede ve buna bağlı komplikasyonların önlenmesinde etkili bir yöntemdir.

Keywords

Vertigo, denge, epley

Effect of Epley Maneuver on Balance Change in Benign Paroxysmal Positional Vertigo

Abstract

Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo. It has been supported in the literature that the patients’ balance is getting better with the Epley maneuver. The aim of the study is, to evaluate the effect of the Epley maneuver on balance in patients with BPPV with a balance device. The prospective clinical study was completed with 104 patients. Before and after the Epley maneuver, static and dynamic balance changes were evaluated with a balance device with eyes open and closed. The mean age of the patients was 45.8±16.34 (range, 18-83). 75 patients (72.1%) were female and 29 patients (27.9%) were male. Stable area with eyes open (p= 0.137), 'stable length with eyes open (p=0.184), 'stable angle with eyes open (p= 0.155), 'stable rate with eyes open (p= 0.100), 'stable area with eyes closed' (p=0.06) and 'stable angle with eyes closed' (p= 0.310) values were not significantly different between pre-and post-Epley measurements. There was a significant difference between the values of “stable length with eyes closed” (p=0.00), and “stable speed with eyes closed” (p= 0.007) before and after the Epley maneuver. Better static balance with the Epley maneuver showed that, body stability and postural balance could be better controlled after the Epley maneuver. There was no improvement in dynamic balance. This suggested that, patients with BPPV could not adapt to changes in proprioceptive and visual stimuli. The Epley test is an effective method for getting better balance disorder and the prevention of related complications which is an important problem in patients with vertigo.

Keywords

Vertigo, Balance, Epley, HUR Btg4 Balance Master System

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