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Updated: Jul 7, 2026

Movement Retraining using Real-time Feedback of Performance
Published on: January 17, 2013
Evaluation of a particle repositioning maneuver Web-based teaching module.
Jason Atkins Beyea1, Eric Wong, Matthew Bromwich
1Div. of Head and Neck Oncology/Reconstructive Surgery, Dept. of Otolaryngology, Schulich School of Medicine and Dentistry, University of Western Ontario, London Health Sciences Centre-Victoria Hospital, 800 Commissioners Road East, London, Ontario, Canada.
A web-based learning module for the Particle Repositioning Maneuver (PRM) was found to be as effective as small-group instruction and superior to classroom instruction, as evaluated by trained observers.
Area of Science:
- Medical Education
- Neurology
- Vestibular Disorders
Background:
- The Particle Repositioning Maneuver (PRM) is a key treatment for benign paroxysmal positional vertigo.
- Effective resident training in PRM is crucial for clinical practice.
Purpose of the Study:
- To compare the efficacy of three different instructional methods for teaching the PRM to residents.
- To evaluate a novel web-based learning module (WM) against small-group (SG) and classroom instruction (CI).
Main Methods:
- A prospective randomized controlled trial was conducted with family medicine residents.
- Residents were randomized into three groups: SG, CI, or WM.
- Performance was assessed using the DizzyFIX test and blinded observer evaluation before and after intervention.
Main Results:
- No significant baseline differences in pass rates were observed between groups.
- Post-intervention, the WM group achieved 100% pass rate on DizzyFIX, compared to 50% (SG) and 60% (CI).
- Observer-rated pass rates were 83.3% for WM, 85.7% for SG, and 28.6% for CI, with WM and SG being statistically comparable (P = .0431).
Conclusions:
- The web-based learning module for PRM is a viable and effective educational tool.
- WM is comparable to SG instruction and superior to CI for teaching the PRM, based on observer assessment.
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