Differences in manual and mechanical repositioning treatments for benign paroxysmal positional vertigo patients across different age groups:A randomized controlled study
Objective To investigate the efficacy differences of manual and mechanical repositioning treatments for benign paroxysmal positional vertigo(BPPV)across different age groups.Methods A total of 260 BPPV patients who visited the Vertigo Center of the Neurology Department at Tianchang Tiankang Hospital from June 2022 to September 2023 were collected.Patients were randomly assigned to either the mechanical repositioning group(mechanical group)or the manual repositioning group(manual group)using a random number table,with 130 patients in each group.According to the WHO age stratification standards,the patients were further categorized into young and middle-aged adults(＜60 years)and elderly group(≥60 years).The primary outcome measures included the number of treatment sessions required for cure and the cure rates at 3,7,and 14 days post-treatment.Secondary outcomes included the recurrence rates at 90 and 180 days post-treatment.Results After excluding patients who could not complete the repositioning treatment,108 patients in the mechanical group and 120 patients in the manual group were included in the analysis.Among the 108 patients in the mechanical group,50 were young and middle-aged adults(46.3％),and 58 were elderly(53.7％).Among the 120 patients in the manual group,57 were young and middle-aged adults(47.5％),and 63 were elderly(52.5％).The number of treatment sessions in the mechanical group was significantly lower than that in the manual group(P＜0.05).The number of treatment sessions for the elderly in the mechanical group was significantly lower than that for the elderly in the manual group[(2.93±1.42)sessions vs.(4.13±2.18)sessions,t=-3.529,P＜0.001].The cure rates at 3,7,and 14 days post-treatment were all higher in the mechanical group than those in the manual group(P＜0.05).Furthermore,within 3 days of treatment,the cure rate for older adults in the mechanical group was significantly higher than that in the manual group(48.27％vs.28.57％,x2=4.976,P=0.026).At 14 days post-treatment,the cure rate for the elderlyin the mechanical group was higher than that in the manual group(100％vs.90.47％,X2=5.812,P=0.028).There were no statistically significant differences in the recurrence rates between the two groups at 90 days post-treatment(P＞0.05).However,at 180 days post-treatment,the recurrence rate in the mechanical group was lower than that in the manual group(17.59％vs.30.00％,x2=4.781,P＜0.05),and the recurrence rate for the elderly in the mechanical group was lower than that in the manual group(18.96％vs.38.09％,x2=5.375,P=0.027).Conclusions Mechanical repositioning treatment for BPPV has a higher cure rate and lower recurrence rate compared to manual repositioning,particularly among the elderly.
万方数据
维普
