양성 돌발성 체위성 어지러움 치료에서 체위제한의 효용성

문석진; 배순호; 김정현; 조용범; 이상철; 김희대

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자료유형: 학술저널

저자정보: 문석진 배순호 김정현 조용범 이상철 김희대

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제47권 제5호

발행연도: 2004.1

수록면: 409 - 412 (4page)

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연구주제

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연구배경

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연구방법

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연구결과

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Background and Objectives：The treatment of Benign Paroxysmal Positional Vertigo (BPPV) consist of repositioning maneuver in order to remove otolithic debris, and subsequent postural restrictions to prevent debris from rentering into the canal. But, it is d out the efect of postural restrictions when imposed on as one of the treatment methods of BPPV, out-broken due to otolithic debris in the posterior semicircular canal, and to find out the necesity of postural restrictions. Subjects and Method：Seventy cases diagnosed as BPPV of the posterior semicircular canal were studied. Al the patients were treated by modified Epley Maneuver. They were divided into two groups. The first group (group A, 35 patients) was instructed to sleep in a semi-sitting (group B, 35 patients) was not taught to do any specific thing. The gathered information from all the patients was analyzed by age of onset, gender, duration of the disease, and cure rates or recurrence rates. Results：In group A, the average age was 54.5 years and mean duration of symptoms was 116.5 days. On the other hands, in the group B, the average age and the mean duration was 54.8 years and 86.7 days, respectively. A and group B patients, respectively. No statisticaly significant difference was found betwen two groups regarding patient age, duration of symptoms, and cure rates or recurence rates. Conclusion：From the analysis of this study, it can be said that postural restrictions imposed after the repositioning maneuver do not have a significant efect on the final outcomes of BPV, so they are not recommendable.

#양성 돌발성 체위성 어지러움·후반고리관·이석정복술·체위제한. #· Posterior semicircular canal· Repositioning maneuver· Postural restrictions.

참고문헌 (9)

참고문헌 신청

/ 1988 / Curing the BPPV with a liberatory ma-neuver 42 : 290 ~ 293

/ 1992 / The canalith repositioning procedure:For treatment of be-nign paroxysmal positional vertigo 107 : 399 ~ 404

/ 1993 / Singletreatment approaches to benign paroxysmal positional vertigo 119 : 450 ~ 454

/ 1996 / Particle repositioning maneuver:Effective treatmentfor benign paroxysmal positional vertigo 25 : 243 ~ 248

/ 1996 / Post-treatment instructions in the nonsurgicalmanagement of benign paroxysmal positional vertigo 25 : 121 ~ 125

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