Hypothesis: The primary goal of this study was to examine how accuracy is affected when we employ a guidance device to assist with the execution of the Epley canalolith repositioning procedure.
Background: Benign paroxysmal positional vertigo is a common cause of vestibular vertigo. Treatment is noninvasive and generally effective when performed correctly. Deficiencies in clinical application result in unnecessary failures in response for those affected.
Methods: Ten participants were each taken through six iterations of the Epley canalolith repositioning procedure. Iterations were divided evenly between those conducted with and without the use of a guidance device. One clinician performed all 60 procedures. Head movements were recorded using motion capture cameras and strategically placed motion tracking markers.
Results: Results showed that the guidance device significantly improved the latter phase maneuver accuracy. Rotation error was significantly reduced for hold3 with-device (M = 20.23°, SD = 12.08°) versus without-device (M = 40.13°, SD = 14.62°, p = 0.001). Maximal rotation error during rotation4 of the maneuver demonstrated a similar reduction of error with-device (M = 24.44°, SD = 10.43°) versus without-device (M = 41.36°, SD = 12.89°, p = 0.002).
Conclusion: A simple visual guidance device can increase the execution accuracy of canalith repositioning procedures. Further research is required to show how such improvements influence treatment efficacy.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/MAO.0000000000003017 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Efficacy of cleaning, disinfection and sterilization modalities for addressing infectious drug-resistant fungi: A review.
J Appl Microbiol
January 2025
Centre for Sustainable Disinfection and Sterilization, Technological University of the Shannon, Athlone Campus, N37 HD68, Ireland.
This is a timely and important review that focuses on the appropriateness of established cleaning, disinfection and sterilization methods to safely and effectively address infectious fungal drug-resistant pathogens that can potentially contaminate reusable medical devices used in healthcare environment in order to mitigate the risk of patient infection. The release of the World Health Organisation (WHO) fungal priority pathogen list (FPPL) in 2022 highlighted the public health crisis of antimicrobial resistance (AMR) in clinically relevant fungal species. Contamination of medical devices with drug-resistant fungal pathogens (including those on the FPPL) in healthcare are rare events that are more likely to occur due to cross-transmission arising from lapses in hand-hygiene practices.
View Article and Find Full Text PDFWearable Technology in Mobility and Falls Health Care: Finding Consensus on Their Clinical Utility and Identifying a Roadmap to Actual Use.
J Geriatr Phys Ther
January 2025
Neuroscience Research Australia, Randwick, New South Wales, Australia (Drs Ambrens and van Schooten and Professors Delbaere and Close).
Background: Despite the promise wearable technology offers through detailed insight into mobility and fall risk, timely identification of high risk, assessment of risk severity, evaluation of clinical interventions, and potential to redefine the assessment of behaviours which influence health, they are not routinely used in clinical practice.
Objective: Establish consensus on how wearable technology can be applied to support clinical care for people aged 50 and over experiencing changes to mobility and/or who are at increased risk of falling.
Methods: A Delphi study was conducted among 17 hospital-based health professionals.
Overview of Wearable Healthcare Devices for Clinical Decision Support in the Prehospital Setting.
Sensors (Basel)
December 2024
Organ Support and Automation Technologies Group, U.S. Army Institute of Surgical Research, JBSA Fort Sam Houston, San Antonio, TX 78234, USA.
Prehospital medical care is a major challenge for both civilian and military situations as resources are limited, yet critical triage and treatment decisions must be rapidly made. Prehospital medicine is further complicated during mass casualty situations or remote applications that require more extensive medical treatments to be monitored. It is anticipated on the future battlefield where air superiority will be contested that prolonged field care will extend to as much 72 h in a prehospital environment.
View Article and Find Full Text PDFAdvancements and Challenges in the Management of Prosthetic Valve Endocarditis: A Review.
Pathogens
November 2024
Department of Cardiac Surgery, Centre Cardiologique du Nord, 93200 Saint-Denis, France.
Prosthetic valve endocarditis (PVE) is the medical term used to describe a focus of infection involving a valvular substitute within the heart. It is a significant concern in the field of cardiology, and the epidemiology of PVE has seen notable developments over the last five decades. The disease currently affects an older demographic and is becoming increasingly prevalent in patients with transcatheter-implanted valves.
View Article and Find Full Text PDFThe Biomechanics of Nickel Titanium Instrument Fracture in Root Canal Therapy: A Narrative Review.
Materials (Basel)
December 2024
School of Dentistry, The University of Queensland, Herston, QLD 4006, Australia.
The use of motorized nickel titanium instruments is an essential component in contemporaneous clinical endodontics. The mechanical properties of nickel titanium are optimal for the cleaning and shaping of root canal systems. However, instrumentation carries risks, particularly instrument fracture, which may become an obstacle to achieving adequate disinfection of the canal system.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!