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.