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Can yoga cause benign paroxysmal positional vertigo?

Year 2017, Volume: 27 Issue: 4, 159 - 163, 10.09.2017

Abstract

Objectives: This study aims to investigate any correlation between benign paroxysmal positional vertigo BPPV and yoga. Patients and Methods: Two groups were compared in the study: group 1 consisting of volunteers who performed yoga at regular intervals 38 females, 16 males; mean age 32.3 years; range 23 to 50 years and group 2 as the control group 29 females, 25 males; mean age 34.6 years; range 21 to 46 years . All participants have undergone complete audio-vestibular tests and received Dix-Hallpike maneuver for the diagnosis of posterior semicircular canal BPPV and Roll maneuver for the diagnosis of lateral semicircular canal BPPV. The participants with the definitive diagnosis of BPPV were treated with Epley or Lempert maneuver, according to the affected semicircular canal. Results: Benign paroxysmal positional vertigo was diagnosed in one participant in the control group 1.9% while it was seen in eight participants in the yoga group 14.8% . We observed the posterior canal to be affected in seven out of eight BPPV patients and lateral semicircular canal was affected in the remaining one patient. We found the prevalence of BPPV to be significantly higher in the yoga group compared to the control group p=0.031 . Although there is no correlation observed between the years of yoga performance and development of BPPV p>0.05 , a positive correlation is found between weekly practice hours of yoga and development of BPPV p=0.009 . Conclusion: There is a statistically significant correlation between BPPV and yoga. Therefore, performing yoga might be a risk factor for BPPV.

References

  • Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 1987;37:371-8.
  • Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M. Long-term outcome and health- related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507-11.
  • Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341-54.
  • Del Rio M, Arriaga MA. Benign positional vertigo: prognostic factors. Otolaryngol Head Neck Surg 2004;130:426-9.
  • Kansu L, Aydin E, Gulsahi K. Benign paroxysmal positional vertigo after nonotologic surgery: case series. J Maxillofac Oral Surg 2015;14:113-5.
  • Chiarella G, Leopardi G, De Fazio L, Chiarella R, Cassandro E. Benign paroxysmal positional vertigo after dental surgery. Eur Arch Otorhinolaryngol 2008;265:119-22.
  • Giacomini PG, Ferraro S, Di Girolamo S, Villanova I, Ottaviani F. Benign paroxysmal positional vertigo after intense physical activity: a report of nine cases. Eur Arch Otorhinolaryngol 2009;266:1831-5.
  • Aksoy S, Sennaroğlu L. Benign paroxysmal positional vertigo in swimmers. Kulak Burun Bogaz Ihtis Derg 2007;17:307-10.
  • Gordon CR, Levite R, Joffe V, Gadoth N. Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form? Arch Neurol 2004;61:1590-3.
  • Field T, Diego M, Delgado J, Medina L. Tai chi/ yoga reduces prenatal depression, anxiety and sleep disturbances. Complement Ther Clin Pract 2013;19:6-10.
  • Deutsch SB, Krivitsky EL. The impact of yoga on atrial fibrillation: A review of The Yoga My Heart Study. J Arrhythm 2015;31:337-8.
  • Michalsen A, Traitteur H, Lüdtke R, Brunnhuber S, Meier L, Jeitler M, et al. Yoga for chronic neck pain: a pilot randomized controlled clinical trial. J Pain 2012;13:1122-30.
  • Hector R, Jensen JL. Sirsasana (headstand) technique alters head/neck loading: Considerations for safety. J Bodyw Mov Ther 2015;19:434-41.
  • Jasien JV, Jonas JB, de Moraes CG, Ritch R. Intraocular Pressure Rise in Subjects with and without Glaucoma during Four Common Yoga Positions. PLoS One 2015;10:144505.
  • Amir I, Young E, Belloso A. Self-limiting benign paroxysmal positional vertigo following use of whole-body vibration training plate. J Laryngol Otol 2010;124:796-8.
  • Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:47-81.
  • Lempert T, Tiel-Wilck K. A positional maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 1996;106:476-8.
  • Neatherlin JS, Egan J. Benign paroxysmal positional vertigo. J Neurosci Nurs 1994;26:330-5.
  • Hall SF, Ruby RR, McClure JA. The mechanics of benign paroxysmal vertigo. J Otolaryngol 1979;8:151-8.
  • Hancı D, Altun H. Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. Kulak Burun Bogaz Ihtis Derg 2015;25:279-83.
  • Ni M, Mooney K, Balachandran A, Richards L, Harriell K, Signorile JF. Muscle utilization patterns vary by skill levels of the practitioners across specific yoga poses (asanas). Complement Ther Med 2014;22:662-9.
  • Prokopakis E, Vlastos IM, Tsagournisakis M, Christodoulou P, Kawauchi H, Velegrakis G. Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 2013;18:83-8.
  • Su GN, Tai PW, Su PT, Chien HH. Protracted benign paroxysmal positional vertigo following osteotome sinus floor elevation: a case report. Int J Oral Maxillofac Implants 2008;23:955-9.
  • Chiarella G, Leopardi G, De Fazio L, Chiarella R, Cassandro C, Cassandro E. Iatrogenic benign paroxysmal positional vertigo: review and personal experience in dental and maxillo-facial surgery. Acta Otorhinolaryngol Ital 2007;27:126-8.
  • Giacomini PG, Ferraro S, Di Girolamo S, Villanova I, Ottaviani F. Benign paroxysmal positional vertigo after intense physical activity: a report of nine cases. Eur Arch Otorhinolaryngol 2009;266:1831-5.

Yoga benign paroksismal pozisyonel vertigoya neden olabilir mi?

Year 2017, Volume: 27 Issue: 4, 159 - 163, 10.09.2017

Abstract

Amaç: Bu çalışmada benign paroksismal pozisyonel vertigo BPPV ile yoga arasındaki ilişki araştırıldı.Hastalar ve Yöntemler: Bu çalışmada iki grup karşılaştırıldı; grup 1 düzenli aralıklarla yoga yapan gönüllü grubu 38 kadın, 16 erkek; ort. yaş 32.3 yıl; dağılım 23-50 yıl ve grup 2 gönüllü kontrol grubu 29 kadın, 25 erkek; ort. yaş 34.6 yıl; dağılım 21-46 yıl . Tüm katılımcılara posterior semisirküler kanal BPPV tanısı için komple odyovestibüler testlerle birlikte Dix-Hallpike manevrası ve lateral semisirküler kanal BPPV tanısı için Roll manevrası yapıldı. Benign paroksismal pozisyonel vertigo tanısı konulan katılımcılar, etkilenen semisirküler kanala göre Epley veya Lempert manevrası ile tedavi edildi.Bulgular: Benign paroksismal pozisyonel vertigo kontrol grubunda bir katılımcıda %1.9 saptanırken, yoga grubunda sekiz katılımcıda %14.8 saptandı. Bu sekiz BPPV hastasının yedisinde posterior kanal tutulumu, birinde ise lateral semisirküler kanal tutulumu izlendi. Yoga yapan grupta BPPV görülme olasılığı kontrol grubuna kıyasla anlamlı olarak yüksek bulundu p=0.031 . Yoga yapma yılı ile BPPV gelişme riski arasında ilişki yokken p>0.05 , haftalık yoga yapma süresi ile BPPV gelişme riski arasında doğru orantılı ilişki saptandı p=0.009 .Sonuç: Yoga ile BPPV arasında istatistiksel olarak anlamlı bir ilişki saptandı. Dolayısıyla yoga yapmak BPPV için bir risk faktörü olabilir

References

  • Baloh RW, Honrubia V, Jacobson K. Benign positional vertigo: clinical and oculographic features in 240 cases. Neurology 1987;37:371-8.
  • Lopez-Escamez JA, Gamiz MJ, Fernandez-Perez A, Gomez-Fiñana M. Long-term outcome and health- related quality of life in benign paroxysmal positional vertigo. Eur Arch Otorhinolaryngol 2005;262:507-11.
  • Dix MR, Hallpike CS. The pathology symptomatology and diagnosis of certain common disorders of the vestibular system. Proc R Soc Med 1952;45:341-54.
  • Del Rio M, Arriaga MA. Benign positional vertigo: prognostic factors. Otolaryngol Head Neck Surg 2004;130:426-9.
  • Kansu L, Aydin E, Gulsahi K. Benign paroxysmal positional vertigo after nonotologic surgery: case series. J Maxillofac Oral Surg 2015;14:113-5.
  • Chiarella G, Leopardi G, De Fazio L, Chiarella R, Cassandro E. Benign paroxysmal positional vertigo after dental surgery. Eur Arch Otorhinolaryngol 2008;265:119-22.
  • Giacomini PG, Ferraro S, Di Girolamo S, Villanova I, Ottaviani F. Benign paroxysmal positional vertigo after intense physical activity: a report of nine cases. Eur Arch Otorhinolaryngol 2009;266:1831-5.
  • Aksoy S, Sennaroğlu L. Benign paroxysmal positional vertigo in swimmers. Kulak Burun Bogaz Ihtis Derg 2007;17:307-10.
  • Gordon CR, Levite R, Joffe V, Gadoth N. Is posttraumatic benign paroxysmal positional vertigo different from the idiopathic form? Arch Neurol 2004;61:1590-3.
  • Field T, Diego M, Delgado J, Medina L. Tai chi/ yoga reduces prenatal depression, anxiety and sleep disturbances. Complement Ther Clin Pract 2013;19:6-10.
  • Deutsch SB, Krivitsky EL. The impact of yoga on atrial fibrillation: A review of The Yoga My Heart Study. J Arrhythm 2015;31:337-8.
  • Michalsen A, Traitteur H, Lüdtke R, Brunnhuber S, Meier L, Jeitler M, et al. Yoga for chronic neck pain: a pilot randomized controlled clinical trial. J Pain 2012;13:1122-30.
  • Hector R, Jensen JL. Sirsasana (headstand) technique alters head/neck loading: Considerations for safety. J Bodyw Mov Ther 2015;19:434-41.
  • Jasien JV, Jonas JB, de Moraes CG, Ritch R. Intraocular Pressure Rise in Subjects with and without Glaucoma during Four Common Yoga Positions. PLoS One 2015;10:144505.
  • Amir I, Young E, Belloso A. Self-limiting benign paroxysmal positional vertigo following use of whole-body vibration training plate. J Laryngol Otol 2010;124:796-8.
  • Bhattacharyya N, Baugh RF, Orvidas L, Barrs D, Bronston LJ, Cass S, et al. Clinical practice guideline: benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2008;139:47-81.
  • Lempert T, Tiel-Wilck K. A positional maneuver for treatment of horizontal-canal benign positional vertigo. Laryngoscope 1996;106:476-8.
  • Neatherlin JS, Egan J. Benign paroxysmal positional vertigo. J Neurosci Nurs 1994;26:330-5.
  • Hall SF, Ruby RR, McClure JA. The mechanics of benign paroxysmal vertigo. J Otolaryngol 1979;8:151-8.
  • Hancı D, Altun H. Prevalence of benign paroxysmal positional vertigo among motocross racers: a case-control study. Kulak Burun Bogaz Ihtis Derg 2015;25:279-83.
  • Ni M, Mooney K, Balachandran A, Richards L, Harriell K, Signorile JF. Muscle utilization patterns vary by skill levels of the practitioners across specific yoga poses (asanas). Complement Ther Med 2014;22:662-9.
  • Prokopakis E, Vlastos IM, Tsagournisakis M, Christodoulou P, Kawauchi H, Velegrakis G. Canalith repositioning procedures among 965 patients with benign paroxysmal positional vertigo. Audiol Neurootol 2013;18:83-8.
  • Su GN, Tai PW, Su PT, Chien HH. Protracted benign paroxysmal positional vertigo following osteotome sinus floor elevation: a case report. Int J Oral Maxillofac Implants 2008;23:955-9.
  • Chiarella G, Leopardi G, De Fazio L, Chiarella R, Cassandro C, Cassandro E. Iatrogenic benign paroxysmal positional vertigo: review and personal experience in dental and maxillo-facial surgery. Acta Otorhinolaryngol Ital 2007;27:126-8.
  • Giacomini PG, Ferraro S, Di Girolamo S, Villanova I, Ottaviani F. Benign paroxysmal positional vertigo after intense physical activity: a report of nine cases. Eur Arch Otorhinolaryngol 2009;266:1831-5.
There are 25 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

İlker Koçak This is me

Ozan Gökler This is me

Esra Aydoğan This is me

Işıl Karanfil This is me

Ömer Faruk Ünal This is me

Publication Date September 10, 2017
Published in Issue Year 2017 Volume: 27 Issue: 4

Cite

APA Koçak, İ., Gökler, O., Aydoğan, E., Karanfil, I., et al. (2017). Can yoga cause benign paroxysmal positional vertigo?. The Turkish Journal of Ear Nose and Throat, 27(4), 159-163.
AMA Koçak İ, Gökler O, Aydoğan E, Karanfil I, Ünal ÖF. Can yoga cause benign paroxysmal positional vertigo?. Tr-ENT. September 2017;27(4):159-163.
Chicago Koçak, İlker, Ozan Gökler, Esra Aydoğan, Işıl Karanfil, and Ömer Faruk Ünal. “Can Yoga Cause Benign Paroxysmal Positional Vertigo?”. The Turkish Journal of Ear Nose and Throat 27, no. 4 (September 2017): 159-63.
EndNote Koçak İ, Gökler O, Aydoğan E, Karanfil I, Ünal ÖF (September 1, 2017) Can yoga cause benign paroxysmal positional vertigo?. The Turkish Journal of Ear Nose and Throat 27 4 159–163.
IEEE İ. Koçak, O. Gökler, E. Aydoğan, I. Karanfil, and Ö. F. Ünal, “Can yoga cause benign paroxysmal positional vertigo?”, Tr-ENT, vol. 27, no. 4, pp. 159–163, 2017.
ISNAD Koçak, İlker et al. “Can Yoga Cause Benign Paroxysmal Positional Vertigo?”. The Turkish Journal of Ear Nose and Throat 27/4 (September 2017), 159-163.
JAMA Koçak İ, Gökler O, Aydoğan E, Karanfil I, Ünal ÖF. Can yoga cause benign paroxysmal positional vertigo?. Tr-ENT. 2017;27:159–163.
MLA Koçak, İlker et al. “Can Yoga Cause Benign Paroxysmal Positional Vertigo?”. The Turkish Journal of Ear Nose and Throat, vol. 27, no. 4, 2017, pp. 159-63.
Vancouver Koçak İ, Gökler O, Aydoğan E, Karanfil I, Ünal ÖF. Can yoga cause benign paroxysmal positional vertigo?. Tr-ENT. 2017;27(4):159-63.