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Assessment of residual dizziness after successful canalith repositioning maneuvre in benign paroxysmal positional vertigo patients: a questionnaire-based study

  • Otology
  • Published:
European Archives of Oto-Rhino-Laryngology Aims and scope Submit manuscript

Abstract

Objective

The purpose of this study was to assess residual dizziness (RD) after successful canalith repositioning maneuvre (CRM) treatment in patients with benign paroxysmal positional vertigo (BPPV) using Dizziness Handicap Inventory (DHI) questionnaire and Visual Analog Scale (VAS).

Methods

One hundred sixty BPPV patients after successful CRM treatment were recruited. All patients were divided into the residual dizziness (RD) group and without RD group. The DHI questionnaire and VAS before CRM and follow-up were asked to complete. For analysis of the improvement in symptom, we defined ∆DHI and ∆VAS as the difference between the baseline score and the follow‐up score.

Results

High incidence of RD was observed in the older patients (p < 0.001). The incidence of hypertension in the RD group was also significantly higher than that of the without RD group (p = 0.022). The ∆DHI-P, ∆DHI-E, ∆DHI-F, ∆DHI-T, and ∆VAS scores in the without RD group were significantly higher than that of the RD group (p < 0.001). When the cutoff point of the ∆DHI total scores was 17, the sensitivity was 64.86% and the specificity was 73.26% for diagnosing RD. When the cutoff point of the ∆VAS scores was 2.5, the sensitivity was 77.03% and the specificity was 81.40% for diagnosing RD.

Conclusions

RD is prone to occur in the older patients and ∆VAS exhibits higher sensitivity and specificity in assessing RD.

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Funding

This study was supported by the Key R&D Program of Shaanxi Province (No. 2022SF-283) and the National Key R&D Program of China (No. 2018YFC2000300).

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Author notes

  1. Wei Fu, Feng He, and Ya Bai have contributed equally to this work.

Authors and Affiliations

  1. Department of Geriatrics, Xijing Hospital, Air Force Medical University, No. 127, Changle West Road, Xi’an, 710032, Shaanxi, China

    Wei Fu & Xiaoming Wang

  2. Department of Neurology, Xijing Hospital, Air Force Medical University, No. 127, Changle West Road, Xi’an, 710032, Shaanxi, China

    Feng He, Ya Bai, Yuanyuan Wang, Dong Wei, Ying Shi, Xinyue An & Junliang Han

Authors
  1. Wei Fu
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  2. Feng He
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  3. Ya Bai
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  5. Dong Wei
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  6. Ying Shi
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  7. Xinyue An
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  8. Junliang Han
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  9. Xiaoming Wang
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Contributions

WF conception and design of the study, data acquisition and analysis, drafting the article, critical revision, and final approval of the manuscript. FH conception and design of the study, data acquisition and analysis, drafting the article, critical revision, and final approval of the manuscript. YB contribution to the study design, drafting the article, critical revision, and final approval of the manuscript. YW contribution to the study design, critical revision, and final approval of the manuscript. DW contribution to the study design, critical revision, and final approval of the manuscript. YS data acquisition, critical revision, and final approval of the manuscript. XA data acquisition, critical revision, and final approval of the manuscript. JH contribution to the study design, critical revision, and final approval of the manuscript. XW Conception and design of the study, evaluation of patients, critical revision, and final approval of the manuscript.

Corresponding author

Correspondence to Xiaoming Wang.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study was approved by institutional Review Board of Xijing Hospital, Air Force Medical University.

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Informed consent was obtained from all individual participants included in the study.

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Informed consent was obtained from all individual participants included in the study.

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Fu, W., He, F., Bai, Y. et al. Assessment of residual dizziness after successful canalith repositioning maneuvre in benign paroxysmal positional vertigo patients: a questionnaire-based study. Eur Arch Otorhinolaryngol 280, 137–141 (2023). https://doi.org/10.1007/s00405-022-07474-9

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  • DOI: https://doi.org/10.1007/s00405-022-07474-9

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