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Does cervical range of motion affect the outcomes of canalith repositioning procedures for posterior canal benign positional paroxysmal vertigo?

American Journal of Otolaryngology - Head and Neck Medicine and Surgery Apr 08, 2019

Martellucci S, et al. - In this study, researchers evaluated the consequence of cervical range of motion (C-ROM) on Canalith repositioning procedure (CRP) ability. They observed the first CRP successful in 61.7% of cases, whereas ineffective in 38.3% of subjects expecting multiple repositioning maneuvers. They also reported lower C-ROM in extension and flexion and earlier recurrences in individuals who required 2 or more CRP. They recorded a significant association of lower cervical extension with the failure of the first CRP in the univariate regression analysis. They suggested demand for multiple CRPs in the reduction of C-ROM to successfully treat BPPV and increase the risk of early recurrences.
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