The effect of five points hand free program for benign paroxysmal positional vertigo patients after canalith repositioning procedure in vestibular rehabilitation clinic, physical therapy division, Trang hospitalThe Effect of Five Points Hand Free (FPF) program in BPPV patients after Canalith Repositioning Procedure in Vestibular Rehabilitation Clinic, Physiotherapy Department, Trang Hospital
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Abstract
Background: Modified Cawthorne Cooksey exercise was the standard therapy for vestibular rehabilitation (VR) after canalith repositioning of patients with benign paroxysmal positional vertigo (BPPV) at Trang Hospital. This form of exercise requires use of arm function which can be difficult or painful in some patients. A new five points hands free (FPHP) exercise was invented as an alternative.
Objective: To compare the effectiveness of VR using FPHF versus MCC exercises by means of customized vestibular rehabilitation (CVR).
Methods: Retrospective analysis comparing the improvement of BPPV patients who use FPHF or CVR for their VR. Dizziness severities were assessed with the visual analogue scale (VAS). Gaze stability was assessed with the gaze-evoked nystagmus test (GEN) and head impulse test (HIT).
Results: Both FPHF and CVR groups showed statistically significant improvement of VAS, HIT, and GEN after VR at p<0.01 between before and after VR exercises. However, the FPHF groups showed significantly greater improvement in GEN score than the CVR group with p <0.01.
Conclusion: This retrospective study demonstrated that both FPHF and CVR are effective for VR. The FPHF may be more effective than the CVR to improve gaze stability.
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