Postural Restrictions Following BPPV Treatment
Casqueiro et al (2008) reported their recent double-blind prospective consecutive case study of 391 patients (ranging from 19-93 years old, with an average age of 57) diagnosed with posterior canal benign paroxysmal positional vertigo (BPPV). Two-hundred and seven (207) patients were instructed to follow postural restrictions after receiving modified Epley repositioning maneuvers. One-hundred and eighty-four (184 ) were not instructed to limit their postural motions post treatment. The authors reported the two groups were statistically equivalent with respect to number of treatments and recurrence rates. They concluded that postural restrictions did not impact the outcome for patients diagnosed with posterior canal BPPV and treated with Epley maneuvers. Across the two groups, the success rate of the modified Epley repositioning maneuver for this patient population (posterior canal BPPV) was approximately 98%.
For More Information, References and Recommendations:
Casqueiro, JC., Ayala, A & Monedero, G. (2008): No More Postural Restrictions in Posterior Canal Benign Paroxysmal Positional Vertigo. Otology and Neurotology. Vol 29, No 5. August. Pgs 706-709.
The American Academy of Neurology & Neurology (the journal) Offer Evidence-Based Analysis of BPPV Treatment
Demonstration of canalith repositioning