Impact of Canalith Repositioning Maneuver with or Without Vestibular Suppressant Therapy on Anxiety Levels among Patients with Benign Paroxysmal Positional Vertigo
Journal Title: European Archives of Medical Research - Year 2020, Vol 36, Issue 4
Abstract
Objective: Many studies do not recommend vestibular suppressant as an adjunctive therapy to canalith repositioning maneuver (CRM); nevertheless, it has been proven that those treatment regimens may alter the natural course of treatment by lowering both the anxiety effect and an additive placebo effect. Therefore, we aimed to look for and compare the efficacy of CRM therapy alone with maneuver (M) + vestibular suppressant therapy (M + VST). As a novelty, we used the State-Trait Anxiety Inventory (STAI) to express both the current and underlying anxiety level of the susceptible cases. Methods: One hundred cases were included in the study and were randomly assigned to either CRM or M + VST groups. Before the therapy, each participant received a 40-item STAI test, and then the select treatment was applied. On the second week, the participants were reevaluated and filled in another STAI. Results: In CRM, 23 cases were affected from the right side and 27 from the left side. Further, 21 cases received the barbeque M and 29 the Epley maneuver. On the other hand, in M + VST, 19 cases were affected from the right side and 31 from the left side. In addition, 27 cases received the barbeque M and 23 the Epley maneuver. The STAI-State (S) and STAI-Trait (T) results were compared before and after the treatment regimens. Pretreatment scores of STAI-S or STAI-T were not significant between the two groups (p=0.494; p=0.481). STAI-S and STAI-T scores substantially decreased within the groups after the treatment; in other words, both CRM and M + VST had lower scores after the treatment regimens (p<0.05). The posttreatment STAI-S and STAI-T scores were lower in M + VST than that of CRM (p<0.05). Conclusion: VST is not advised in benign paroxysmal positional vertigo; CRMs alone are proven effective. However, there might be of minimal additional therapeutic effects of drug therapy to control the anxiety levels.Conclusion: VST is not advised in benign paroxysmal positional vertigo; CRMs alone are proven effective. However, there might be of minimal additional therapeutic effects of drug therapy to control the anxiety levels.
Authors and Affiliations
Berk Gürpınar, Tolgar Lütfi Kumral, Belgin Tutar, Güler Berkiten, Yavuz Uyar
Keywords
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- EP ID EP693337
- DOI 10.4274/eamr.galenos.2020.21043
- Views 58
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