TY - JOUR T1 - Effect of applying head-shaking maneuver before Epley maneuver in BPPV JO - Brazilian Journal of Otorhinolaryngology (English Edition) T2 - AU - Bulğurcu,Suphi AU - Baz,Eyup AU - Güleryüz,Selin AU - Erkul,Evren AU - Çekin,Engin SN - 18088694 M3 - 10.1016/j.bjorl.2020.12.015 DO - 10.1016/j.bjorl.2020.12.015 UR - http://www.bjorl.org.br/en-effect-applying-head-shaking-maneuver-before-articulo-S1808869421000136 AB - IntroductionThe Epley maneuver is applied in the treatment of benign paroxysmal positional vertigo, the BPPV. However, dizziness and balance problems do not improve immediately after the treatment. ObjectiveIn this study, the effectiveness of the head-shaking maneuver before the Epley maneuver was investigated in the treatment of BPPV. MethodsBetween March 2020 and August 2020, ninety-six patients with posterior semicircular canal BPPV were analyzed prospectively. The patients were divided into two groups: patients who underwent the Epley maneuver only in the treatment (Group 1) and patients who underwent the Epley maneuver after the head-shaking maneuver (Group 2). The results of the Berg balance scale and dizziness handicap index were evaluated before the treatment and at the first week after the treatment. ResultsThe improvement in functional, emotional, and physical dizziness handicap index and Berg balance scale values after the treatment was found to be statistically significant in both groups. It was determined that the change in functional and physical dizziness handicap index and Berg balance scale values of the patients in Group 2 was statistically higher than those in Group 1. Although, the change in emotional dizziness handicap index values in Group 2 was higher than those in Group 1, no statistical significance was found between the groups. ConclusionAs a result of our hypothesis, we think that in the treatment of posterior semicircular canal BPPV, the otoliths adhered to the canal can be mobilized by the head-shaking maneuver, and this will contribute to the increase of the effectiveness of the Epley maneuver. ER -