Clinical Study on the Treatment of Residual Dizziness in Benign Paroxysmal Positional Vertigo with the Structural Balancing Acupuncture Method
DOI: https://doi.org/10.62517/jmhs.202405206
Author(s)
Weitong Fu*, Zhiguang Zhong, Zhenting Zhong, Hongbiao Zheng
Affiliation(s)
Ninth People's Hospital of Nanhai District, Foshan, Guangdong, China
*Corresponding Author.
Abstract
Benign paroxysmal positional vertigo (BPPV) often has residual dizziness symptoms after manipulative repositioning, and acupuncture is experienced in treating this disease. In this study, 68 cases of BPPV were recruited and randomly divided into 2 groups: acupuncture combined with manipulative reset group and reset group, and acupuncture treatment was performed with empirically prescribed structural balancing acupuncture method. The Dizziness Handicap Inventory (DHI), Dizziness Visual Analog Scale (VAS), and the effective rate were assessed after two treatments. The results showed that the acupuncture combined with manipulative restoration group was able to reduce the DHI scale score significantly, and a trend change was seen in the visual analog scale (VAS) of dizziness and the effective rate between groups after treatment. The results showed that the combination of structural balancing and manipulative repositioning in the treatment of benign paroxysmal positional vertigo could improve the residual dizziness symptoms compared with manipulative repositioning alone, which can be clinically promoted and further validated in a large-sample RCT in the future.
Keywords
Acpuncture; Benign Paroxysmal Positional Vertigo; Residual Dizziness; Tubular Stone Repositioning Method
References
[1] von BREVERN M, RADTKE A, LEZIUS F, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study Neurol Neurosurg Psychiatry, 2007, 78(7): 710-715.
[2] NEWMAN-TOKER D E, HSIEH Y H, CAMARGO C J, et al. Spectrum of dizziness visits to US emergency departments: cross-sectional analysis from a nationally representative sample Mayo Clin Proc, 2008, 83(7): 765-775.
[3] YETISER S. Review of the pathology underlying benign paroxysmal positional vertigo J Int Med Res, 2020, 48(4): 1219691922.
[4] IMAI T, TAKEDA N, IKEZONO T, et al. Classification, diagnostic criteria and management of benign paroxysmal positional vertigo Auris Nasus Larynx, 2017,44(1): 1-6.
[5] LI D, CHENG D, YANG W, et al. Current Therapies in Patients With Posterior Semicircular Canal BPPV, a Systematic Review and Network Meta-analysis Otol Neurotol, 2022,43(4): 421-428.
[6] BHATTACHARYYA N, GUBBELS S P, SCHWARTZ S R, et al. Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo (Update) Executive Summary Otolaryngol Head Neck Surg, 2017, 156(3): 403-416.
[7] SIM E, TAN D, HILL K. Poor Treatment Outcomes Following Repositioning Maneuvers in Younger and Older Adults with Benign Paroxysmal Positional Vertigo: A Systematic Review and Meta-analysis J Am Med Dir Assoc, 2019, 20(2): 221-224.
[8] NEELY P, PATEL H, WELLINGS T. Benign paroxysmal positional vertigo in the emergency department: an observational study of an Australian regional hospital's acute clinical practice Emerg Med Australas, 2021, 33(6): 1082-1087.
[9] LLOYD M, MACKINTOSH A, GRANT C, et al. Evidence-based management of patients with vertigo, dizziness, and imbalance at an Australian metropolitan health service: an observational study of clinical practice Physiother Theory Pract, 2020, 36(7): 818-825.
[10] Xia Yu, Sun Jingchao, Dai Kun, et al. Current status of the study of acupuncture for the treatment of residual dizziness after repositioning of benign Current status of the study of acupuncture for the treatment of residual dizziness after repositioning of benign paroxysmal positional vertigo Henan Traditional Chinese Medicine, 2024, 44(01): 149-155.
[11] CAI Y, ZHANG Q W, LI S, et al. Horizontal semicircular canal benign paroxysmal positional vertigo treated by acupuncture and moxibustion: a case report Medicine (Baltimore), 2023, 102(47): e36032.
[12] INAGAKI T, CUREOGLU S, MORITA N, et al. Vestibular system changes in sudden deafness with and without vertigo: a human temporal bone study Otol Neurotol, 2012, 33(7): 1151-1155.
[13] ZHOU F, YU B, LUO J, et al. Global trends in the research on benign paroxysmal positional vertigo: A 20-year bibliometric and visualization analysis Front Neurol, 2022, 13: 1046257.
[14] DEL R A, CHERCHES A, SMITH S L, et al. Guideline Adherence to Benign Paroxysmal Positional Vertigo Treatment and Management in Primary Care Otolaryngol Head Neck Surg, 2023, 169(4): 865-874.
[15] ÇETIN Y S, ÇAĞAÇ A, DÜZENLI U, et al. Residual Dizziness in Elderly Patients after Benign Paroxysmal Positional Vertigo ORL J Otorhinolaryngol Relat Spec, 2022, 84(2): 122-129.
[16] KE Y, MA X, JING Y, et al. Risk factors for residual dizziness in patients with benign paroxysmal positional vertigo after successful repositioning: a systematic review and meta-analysis Eur Arch Otorhinolaryngol, 2022, 279(7): 3237-3256.
[17] STAAB J P. Persistent Postural-Perceptual Dizziness: Review and Update on Key Mechanisms of the Most Common Functional Neuro-otologic Disorder Neurol Clin, 2023, 41(4): 647-664.
[18] RONG P, ZHU B, LI Y, et al. Mechanism of acupuncture regulating visceral sensation and mobility Front Med, 2011, 5(2): 151-156.
[19] ZHANG Y, LOU H, LU J, et al. Scalp acupuncture alleviates cerebral ischemic stroke-induced motor dysfunction in rats via regulating endoplasmic reticulum stress and ER-phagy Sci Rep, 2023,13(1): 10119.
[20] CHIU C W, LEE T C, HSU P C, et al. Efficacy and safety of acupuncture for dizziness and vertigo in the emergency department: a pilot cohort study BMC Complement Altern Med, 2015, 15: 173.