Tuğba ÖZÜDOĞRU ÇELİK

ANALYSIS OF CERVICAL POSTURE IN PATIENTS WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO Benign Paroksismal Pozisyonel Vertigolu Hastalarda Servikal Postür Analizi

ABSTRACT Objective: Reduced cervical lordosis, frequently seen in benign paroxysmal positional vertigo (BPPV), has recently drawn attention to cervical posture disorder in the etiology. This study aimed to investigate the relationship between BPPV and cervical posture. Material and Methods: Twenty-seven patients with BPPV (mean age 45.5±8.07 years) and 29 healthy volunteers without BPPV (mean age 36.0±9.11 years) were included in our study. Cervical spine range of motion (ROM) measurements, cervical lordosis angle (fleche cervicale) and posture evaluation were performed with DIERS Formetric 4D imaging device. The neck disability index (NDI) and neck pain Visual Analog Scale (VAS) of each patient was recorded. Results: In cervical ROM assessment, all cervical ROMs were significantly lower in the case group (p < 0.05) except extension (p > 0.05). Neck pain VAS (p = 0.004) and NDI (p < 0.01) scores were significantly higher in the case group. There was no statistically significant difference between the groups in comparison of spinal sagittal angle parameters (p > 0.05). There was a significant positive correlation between fleche cervicale and thoracic kyphosis index (r = 0.630, p <0.01). Conclusion: No association was found between BPPV and cervical posture. Decreased cervical lordosis is a consequence of BPPV, not an etiologic cause. Painful cervical pathologies may accompany BPPV.

Anahtar Kelimeler:

ANALYSIS OF CERVICAL POSTURE IN PATIENTS WITH, BENIGN PAROXYSMAL POSITIONAL VERTIGO, Benign Paroksismal Pozisyonel Vertigolu Hastalarda Servikal Postür Analizi

PDF

___

1. Kim HJ, Park J, Kim JS. Update on benign paroxysmal positional vertigo. J Neurol. 2021 May;268(5):1995-2000.
2. Dağkıran M, Sürmelioğlu Ö, Özlem AY. Diagnosis and Treatment Approach in Benign Paroxysmal Positional Vertigo. Arşiv Kaynak Tarama Dergisi 2015;24(4):555-64.
3. Hornibrook J. Benign Paroxysmal Positional Vertigo (BPPV): History, Pathophysiology, Office Treatment and Future Directions. Int J Otolaryngol. 2011;2011:835671.
4. von Brevern M, Radtke A, Lezius F, Feldmann M, Ziese T, Lempert T, et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. 2007 Jul;78(7):710-5.
5. Durmuş B, Fırat Y, Yıldırım T, Kalcıoğlu T, Altay Z. Benign Paroksismal Pozisyonel Vertigo Tedavisinde Semont ve Modifiye Epley Manevralarının Etkinliği ve Brandt-Daroff Egzersizlerinin Nüksleri Önlemedeki Etkisi. Fırat Tıp Dergisi. 2010;15(3): 131-6.
6. Parnes LS, Agrawal SK, Atlas J. Diagnosis and management of benign paroxysmal positional vertigo (BPPV). CMAJ. 2003 Sep 30;169(7):681-93.
7. Selçuk A, Akdoğan Ö, Özcan İ, Dere H. Benign paroksizmal pozisyonel vertigoda patofizyolojiye göre uygun tedavinin belirlenmesi. KBB-Forum. 2008; 7(1):52-8.
8. Burak Öztürk, Münevver Güleç, Teslime Nur Deveci, Meryem Tuğçe Güler. Benign Paroksismal Pozisyonel Vertigo: Patofizyoloji, Değerlendirme veTanılama. TJAHR. 2019;2(1):18−28.
9. Li Y, Yang L, Dai C, Peng B. Proprioceptive Cervicogenic Dizziness: A Narrative Review of Pathogenesis, Diagnosis, and Treatment. J Clin Med. 2022;11(21):6293.
10. Yacovino DA, Hain TC. Clinical characteristics of cervicogenic-related dizziness and vertigo. Semin Neurol. 2013;33(3):244-55.