良性発作性頭位めまい症に対するSemont 法の手技

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1 Equilibrium Res Vol. (6) Semont Semont s maneuver for treatment of benign paroxysmal positional vertigo Takanobu Kunihiro 1), Meiho Nakayama 2) 1) Department of Otolaryngology, School of Medicine, Keio University 2) Good Sleep Center, Nagoya City Hospital Along with Epley s canalith repositioning maneuver, the Semont maneuver is also recognized as an effective physical therapy for benign paroxysmal positional vertigo. However, the details of this maneuver are not well known, presumably because of the obscurity of the original description by Semont et al. In Japan, the Semont liberatory maneuver, as described by Brandt, is accepted as the original Semont maneuver. However, the two maneuvers are not identical. The aim of this paper was to reproduce the original procedure of Semont s as presented by A. Semont himself at the 10 th Nagoya Otorhinolaryngological Forum held in Nagoya, Japan, in This lecture clarified some obscure points in the original paper; however, the procedure described at the forum was not a detailed reproduction of the original Semont maneuver, but was somewhat more complicated. Also of note, Semont decisively denied the cupulolithiasis theory and explained the usefulness of his maneuver according to the canalolithiasis theory. Key words: benign paroxysmal positional vertigo, physical therapy, Semont maneuver, cupulolithiasis, canalolithiasis p- BPPV Epley p-bppv Semont Thomas Brandt Epley Semont Epley Semont Semont Semont Brandt Vertigo. Its Multisensory Disorder 2nd Edition Semont Brandt ( 465 )

2 Equilibrium Res Vol. (6) a d b e c f Brandt Semont Brandt Semont Brandt modified Semont ( 466 )

3 Equilibrium Res Vol. (6) Semont Brandt maneuver Semont Semont maneuver Semont Semont Semont Semont Vertigo. Its Multisensory Disorder 2 nd Edition Semont Semont Brandt Epley Semont Semont Brandt ( 467 )

4 Equilibrium Res Vol. (6) a d b e c f Semont Semont ( 468 )

5 Equilibrium Res Vol. (6) g j h k Semont i Semont Semont Semont Semont ( 469 )

6 Equilibrium Res Vol. (6) Semont Brandt Semont Semont Brandt Semont Semont Semont Semont One of us A. Semont suggested a maneuver that would free the cupula using the addition of the pressure of the endolymph and the inertia of the heavy materials The results confirm the hypothesis of the cupula being modified in its density but this result cannot discriminate between cupulolithiasis and floating substance Hall Semont Semont Semont Brandt Semont Brandt Semont Brandt Semont Semont Semont Semont Semont Semont Semont Epley Epley BPPV p-bppv Hall p-bppv Semont p-bppv ( 470 )

7 Equilibrium Res Vol. (6) debris debris p-bppv p-bppv p-bppv Semont clot Semont Epley Semont Epley Semont Head tilt Hopping Epley p- BPPV Semont Epey Semont p-bppv Epley Semont Semont Semont Epley JM: The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 107: ,1992 Brandt T: Benign paroxysmal positioning vertigo, in Vertigo. Its Multisensory Syndrome. 2 nd ed. Springer-Verlag, London, 1999 Semont A, Freyss G, Vitte E: Curing the BPPV with a liberatory maneuver. Adv Otorhinolaryngol 42: , 1988 Cohen HS, Jerabek J: Efficacy of treatments for posterior canal benign paroxysmal positional vertigo. Laryngoscope 109: , 1999 Radtke A, von Brevern M, Tiel-Wilck K, et al.: Self-treatment of benign paroxysmal positional vertigo: Semont maneuver vs Epley procedure. Neurology 63: , 2004 Soto Varela A, Bartual Magro J, Santos Perez S, et al.: Benign paroxysmal vertigo: a comparative prospective study of the efficacy of Brandt and Daroff exercises, Semont and Epley maneuver. Rev Laryngol Otol Rhinol (Bord) 122: , 2001 Schuknecht HF: Cupulolithiasis. Arch Otolaryngol 90: , 1969 Schuknecht HF, Ruby RR: Cupulolithiasis. Adv Otorhinolaryngol 20: , 1973 Hall SF, Ruby RR, McClure JA: The mechanics of benign paroxysmal vertigo. J Otolaryngol 8: , 1979 Herdman SJ, Tusa RJ, Zee DS, et al.: Single treatment approaches to benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg 119: , 1993 Semont A, Freyss G, Vitte E: Vertige positionnel paroxystique benin et manoeuvre liberatoire. Ann Otolaryngol Chir Cervicofac 106: , 1989 Epley JM: New Dimensions of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 88: , 1980 ( 471 )

8 Equilibrium Res Vol. (6) BPPV Equilibrium Res 65: , 2006 BPPV Semont liberatory maneuver Equilibrium Res 56: , 1997 Semont Semont ( 472 )

良性発作性頭位めまい症（BPPV）に関する質疑応答集

良性発作性頭位めまい症（BPPV）に関する質疑応答集 Equilibrium Res Vol. (4) BPPV BPPV BPPV EBM BPPV Agency for Health Care Policy and Research, 1993 Abstract Table Pub Med Web ver. 4 Pub Med BPPV AND 1997: 2007 [dp] AND English[la] AND BPPV BPPV Web ver.