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International Journal of Otolaryngology
Volume 2012, Article ID 932847, 5 pages
Clinical Study

The Role of Postural Restrictions after BPPV Treatment: Real Effect on Successful Treatment and BPPV’s Recurrence Rates

1ENT Department, Elpis General Hospital, 7 Dimitsanas street, 11528 Athens, Greece
2ENT Department, Lister Hospital, 64 Morecambe Close, Stevenage, Hertfordshire SG1 2BF, UK
31st Department of Otolaryngology Head and Neck Surgery, Hippocrateion General Hospital, University of Athens Medical School, 114 Vas. Sophias Avenue, 11527 Athens, Greece

Received 25 July 2011; Revised 30 October 2011; Accepted 1 November 2011

Academic Editor: P. H. Dejonckere

Copyright © 2012 George X. Papacharalampous et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. Canalith repositioning techniques are adequately established in the literature, as the treatment of choice for benign paroxysmal positional vertigo. However, the role of the posttreatment instructions is still not clearly defined. Patients and Methods. A retrospective chart review of 82 patients was conducted in order to determine the efficacy of postural restrictions, when combined with the classic canalith repositioning techniques, in terms of successful treatment and recurrence rates. Follow-up period reached at least 12 months after the initial treatment. Results. In this study, postural restrictions did not appear to significantly affect the outcomes of repositioning maneuvers, as well as the recurrence rate. Conclusions. Although this study, as well as most recent control studies, states that there is no significant effect of postmaneuver postural restrictions on both treatment and recurrence rates, larger multicentric research projects, adopting improved methodology, are still necessary in order to determine the contribution of such restrictions to both the therapeutic results and the prevention of recurrence. Adequate followup, focusing on the first six months after the initially successful repositioning maneuver, is also of paramount importance.