Effectiveness of Telerehabilitation Exercise for Bening Paroxysmal Positional Vertigo
Condition: Benign Paroxysmal Vertigo
MeSH terms: Vertigo; Dizziness
Study type: Interventional

Summary: 
      In addition to the channelize reposition maneuvers (KRM) that will be applied by the
      physician in patients diagnosed with Benign paroxysmal positional Vertigo (BPPV), the aim of
      the study is to investigate the effect of vestibular rehabilitation exercises that will be
      October based on telerehabilitation by the physiotherapist.
    

Detailed description: 
      Benign paroxysmal positional vertigo (BPPV), the most common form of recurrent vertigo the
      common cause. Short-term, occurring with specific head movements, it is described as
      episodic, transient vertigo attacks.Calcium in the movement of the head autocoids formed from
      carbonate crystals emerge from the places and one or more crystals enter the semicircular
      channel, which affects the endolymphatic flow of the Vertigo leads to the formation. BPPV is
      also characterized by positional nystagmus along side positional vertigo. BPPV often causes a
      person to restrict person's life and weeks or it recovers spontaneously within months.
      Autolytic debrides in the cupula aimed at separating the cupula or removing the clutches from
      the canal vestibular exercises or maneuvers significantly accelerate healing. In the
      treatment of BPPV, vestibular rehabilitation applications are used primarily.As a vestibular
      rehabilitation, the canalith reposition maneuver, developed by Epley and effective, is often
      preferred. Telerehabilitation, rehabilitation by the use of electronic communication systems
      describes the provision of services to patients remotely. Transport to health services to
      provide an effective rehabilitation service to patients when limited it takes advantage of
      telerehabilitation. Some studies show that telerehabilitation can reduce health care costs,
      improve physical and mental function and quality of life, and be presented in a way that
      satisfies patients.The Covid-19 epidemic outbreak has affected health care. To protect
      healthcare workers and patients from the risk of infection, to ensure widespread use of
      telecommunications technology instead of face-to-face clinical visits, rules,
      regulations.With these arrangements, telerehabilitation became of great importance for
      physiotherapists.High levels of evidence on image-based telerehabilitation technologies
      suggest that they can be used for remote diagnosis and patient follow-up and are the most
      effective method for physiotherapists. Pain of exercise through telerehabilitation compared
      to other interventions, it has at least similar effects on physical function and quality of
      life references. As a method of vestibular rehabilitation, mostly when examined in the
      literature it has been observed that manoeuvring has been applied and these practices have
      been compared with drugs. In this study, aim is to support the literature by adding exercise
      practices given according to the levels of telerehabilitation-based patients along with
      maneuver practices.
    

Intervention name(s): Telerehabilitation group (n=21); Control Group (n=21)
Intervention type(s): Other; Other
Intervention description(s): This group was conducted with a physiotherapist for video conference-based vestibular rehabilitation exercises, was called the "telerehabilitation group (TR)". In terms of ease of Use and applicability, the WhatsApp app was preferred. Patients were individually searched for two days a week, 25-30 minutes. The exercises were performed gradually from easy to difficult, initially in a sitting position in accordance with the levels of the patients.; After the home exercise program, which should be applied twice a day for six weeks, was shown in practice, the home exercise program was given, in which the exercises were visual and written, this group was called the "control group". All participants were given a phone number to consult when there were any problems, and were phoned to decry whether they were continuing the exercises.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Randomized controlled study
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Bening paroxysmal vertigo; telerehabilitation; physiotherapy; halpike maneuver; exercise