Automated Robotic Maneuvering System (RMS) vs Manual Reposition Maneuver in Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
Benign Paroxysmal Positional Vertigo
About this trial
This is an interventional treatment trial for Benign Paroxysmal Positional Vertigo focused on measuring Automated, Robotic, Vertigo, Epley maneuver, RMS chair, Reposition chair, Dizziness, Vestibular diseases, Multi canal BPPV
Eligibility Criteria
Inclusion Criteria:
- Characteristic positional nystagmus (for BPPV)
- Positive Dix-Hallpike
- Positive supine roll test
- Positive Deep Head Hanging
- Vertigo-Dizziness Imbalance symptom scores compatible with BPPV
Exclusion Criteria:
- Pregnant patients
- Patients who have taken vertigo suppressing agents (Dimenhydrinate) in the last 48 hours
- Patients taller than 200 cm (2.0 m)
- Patients who have had a cardiovascular or neurosurgical operation in the last month
- Patients with retinal detachment and/or glaucoma
- Lack of treatment cooperation
Sites / Locations
- Haseki Sultangazi Training and Research Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Robotic Maneuvering System (RMS)
Canalith Reposition Maneuver
BPPV subtype diagnosis and corresponding treatment will be performed using automated RMS chair and recorded with video frenzel goggle. In cases of posterior canal involvement, Epley's maneuver will be used for canalithiasis and cupulolithiasis. Semont maneuver will be used as a second-line treatment for cupulolithiasis, in cases of initial failure. In cases of horizontal canal involvement, Barbecue (Lempert) maneuver will be used. If canalithiasis or cupulolithiasis is diagnosed, Gufoni's maneuver will be performed. In cases of anterior canal involvement, Yacovino's maneuver will be used.
BPPV subtype diagnosis and corresponding treatment will be performed with manual repositioning maneuvers and recorded with video frenzel goggle. In cases of posterior canal involvement, Epley's maneuver will be used. In cases of horizontal canal involvement, Log roll maneuver will be used. In cases of anterior canal involvement, Yacovino's maneuver will be used.