Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial

Introduction Vestibular disorders in multiple sclerosis (MS) could have central or peripheral origin. Although the central aetiology is the most expected in MS, peripheral damage is also significant in this disease. The most prevalent effect of vestibular peripheral damage is benign paroxysmal posit...

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Autores: García Muñoz, Cristina, Cortés Vega, María Dolores, Hernández Rodríguez, Juan Carlos, Palomo-Carrión, Rocio, Martín Valero, Rocío, Casuso-Holgado, María Jesús
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universidad de Sevilla (US)
Repositorio:idUS. Depósito de Investigación de la Universidad de Sevilla
OAI Identifier:oai:idus.us.es:11441/137929
Acceso en línea:https://hdl.handle.net/11441/137929
https://doi.org/10.1136/ bmjopen-2020-046510
Access Level:acceso abierto
Palabra clave:Paroxysmal positional
Vertigo
Sclerosis
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spelling Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trialGarcía Muñoz, CristinaCortés Vega, María DoloresHernández Rodríguez, Juan CarlosPalomo-Carrión, RocioMartín Valero, RocíoCasuso-Holgado, María JesúsParoxysmal positionalVertigoSclerosisIntroduction Vestibular disorders in multiple sclerosis (MS) could have central or peripheral origin. Although the central aetiology is the most expected in MS, peripheral damage is also significant in this disease. The most prevalent effect of vestibular peripheral damage is benign paroxysmal positional vertigo (BPPV). Impairments of the posterior semicircular canals represent 60%–90% of cases of BPPV. The standard gold treatment for this syndrome is the Epley manoeuvre (EM), the effectiveness of which has been poorly studied in patients with MS. Only one retrospective research study and a case study have reported encouraging results for EM with regard to resolution of posterior semicircular canal BPPV. The aim of this future randomised controlled trial (RCT) is to assess the effectiveness of EM for BPPV in participants with MS compared with a sham manoeuvre. Methods and analysis The current protocol describes an RCT with two- arm, parallel- group design. Randomisation, concealed allocation and double- blinding will be conducted to reduce possible bias. Participants and evaluators will be blinded to group allocation. At least 80 participants who meet all eligibility criteria will be recruited. Participants will have the EM or sham manoeuvre performed within the experimental or control group, respectively. The primary outcome of the study is changes in the Dix Hallpike test. The secondary outcome will be changes in self- perceived scales: Dizziness Handicap Inventory and Vestibular Disorders Activities of Daily Living Scale. The sample will be evaluated at baseline, immediately after the intervention and 48 hours postintervention. Ethics and dissemination The study was approved by the Andalusian Review Board and Ethics Committee of Virgen Macarena- Virgen del Rocio Hospitals (ID 0107- N-20, 23 July 2020). The results of the research will be disseminated by the investigators to peer- reviewed journals.BMJ PUBLISHING GROUPFisioterapia2021info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/137929https://doi.org/10.1136/ bmjopen-2020-046510reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésBMJ OPEN, 11 (3).https://bmjopen.bmj.com/content/11/3/e046510info:eu-repo/semantics/openAccessoai:idus.us.es:11441/1379292026-06-17T12:51:07Z
dc.title.none.fl_str_mv Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
title Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
spellingShingle Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
García Muñoz, Cristina
Paroxysmal positional
Vertigo
Sclerosis
title_short Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
title_full Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
title_fullStr Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
title_full_unstemmed Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
title_sort Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial
dc.creator.none.fl_str_mv García Muñoz, Cristina
Cortés Vega, María Dolores
Hernández Rodríguez, Juan Carlos
Palomo-Carrión, Rocio
Martín Valero, Rocío
Casuso-Holgado, María Jesús
author García Muñoz, Cristina
author_facet García Muñoz, Cristina
Cortés Vega, María Dolores
Hernández Rodríguez, Juan Carlos
Palomo-Carrión, Rocio
Martín Valero, Rocío
Casuso-Holgado, María Jesús
author_role author
author2 Cortés Vega, María Dolores
Hernández Rodríguez, Juan Carlos
Palomo-Carrión, Rocio
Martín Valero, Rocío
Casuso-Holgado, María Jesús
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Fisioterapia
dc.subject.none.fl_str_mv Paroxysmal positional
Vertigo
Sclerosis
topic Paroxysmal positional
Vertigo
Sclerosis
description Introduction Vestibular disorders in multiple sclerosis (MS) could have central or peripheral origin. Although the central aetiology is the most expected in MS, peripheral damage is also significant in this disease. The most prevalent effect of vestibular peripheral damage is benign paroxysmal positional vertigo (BPPV). Impairments of the posterior semicircular canals represent 60%–90% of cases of BPPV. The standard gold treatment for this syndrome is the Epley manoeuvre (EM), the effectiveness of which has been poorly studied in patients with MS. Only one retrospective research study and a case study have reported encouraging results for EM with regard to resolution of posterior semicircular canal BPPV. The aim of this future randomised controlled trial (RCT) is to assess the effectiveness of EM for BPPV in participants with MS compared with a sham manoeuvre. Methods and analysis The current protocol describes an RCT with two- arm, parallel- group design. Randomisation, concealed allocation and double- blinding will be conducted to reduce possible bias. Participants and evaluators will be blinded to group allocation. At least 80 participants who meet all eligibility criteria will be recruited. Participants will have the EM or sham manoeuvre performed within the experimental or control group, respectively. The primary outcome of the study is changes in the Dix Hallpike test. The secondary outcome will be changes in self- perceived scales: Dizziness Handicap Inventory and Vestibular Disorders Activities of Daily Living Scale. The sample will be evaluated at baseline, immediately after the intervention and 48 hours postintervention. Ethics and dissemination The study was approved by the Andalusian Review Board and Ethics Committee of Virgen Macarena- Virgen del Rocio Hospitals (ID 0107- N-20, 23 July 2020). The results of the research will be disseminated by the investigators to peer- reviewed journals.
publishDate 2021
dc.date.none.fl_str_mv 2021
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/11441/137929
https://doi.org/10.1136/ bmjopen-2020-046510
url https://hdl.handle.net/11441/137929
https://doi.org/10.1136/ bmjopen-2020-046510
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv BMJ OPEN, 11 (3).
https://bmjopen.bmj.com/content/11/3/e046510
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ PUBLISHING GROUP
publisher.none.fl_str_mv BMJ PUBLISHING GROUP
dc.source.none.fl_str_mv reponame:idUS. Depósito de Investigación de la Universidad de Sevilla
instname:Universidad de Sevilla (US)
instname_str Universidad de Sevilla (US)
reponame_str idUS. Depósito de Investigación de la Universidad de Sevilla
collection idUS. Depósito de Investigación de la Universidad de Sevilla
repository.name.fl_str_mv
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