Effect of body mass index on efficacy of the repositioning procedure for horizontal canal benign paroxysmal positional vertigo

Abstract

Objective:To evaluate the effect of body mass index （BMI） on efficacy of the repositioning procedure for horizontal canal benign paroxysmal positional vertigo （HC-BPPV）. Methods:A total of 172 patients diagnosed with HC-BPPV in the First Affiliated Hospital of Xi'an Jiaotong University School of Medicine from Jan 2021 to Oct 2021 were enrolled. The patients were divided into low BMI group（BMI<24 kg/m² ） and high BMI group（BMI≥24 kg/m²）. The two groups underwent manual repositioning procedure and vertigo treatment system procedure by Barbecue method according to their orders of visits. After two circles of repositioning, the influencing factors of repositioning were analyzed according to efficiency. Results:The effective rate of manual repositioning in HC-BPPV patients was 33.64%, and the effective rate of vertigo treatment system was 63.08%,the effective rate of vertigo treatment system repositioning was higher than that of manual repositioning （P<0.05）. The effective rate of manual repositioning in the low BMI group （58.70%） was higher than that in the high BMI group （14.75%）, P<0.05. The effective rate of vertigo treatment system repositioning was higher in the low BMI group （75.00%） than that in the high BMI group （54.05%）, but there was no statistically significant difference between the two BMI groups （P>0.05）. Logistic regression analysis suggested that BMI was the influencing factor of HC-BPPV repositioning efficacy （P<0.05）. Conclusion:BMI can affect the efficacy of HC-BPPV manual repositioning. Vertigo treatment system for HC-BPPV reduction is better than manual reduction, and the efficacy is not affected by BMI.