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Rotational Chair vs. Manual Maneuvers for Non-Complex BPPV: A Prospective Randomized Study.

Marta Chaure-Cordero1, Eduardo Martin-Sanz1,2

  • 1Department of Otolaryngology, Getafe University Hospital, Madrid, Spain.

The Laryngoscope
|June 10, 2026
PubMed
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The Thomas Richard Vitton (TRV) chair and manual maneuvers show similar effectiveness for treating Benign Paroxysmal Positional Vertigo (BPPV). The TRV chair is beneficial for patients with mobility issues.

Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular Disorders

Background:

  • Benign Paroxysmal Positional Vertigo (BPPV) is a common cause of vertigo.
  • Conventional manual maneuvers are the standard treatment for BPPV.
  • The Thomas Richard Vitton (TRV) chair offers a mechanical alternative for BPPV treatment.

Purpose of the Study:

  • To compare the clinical efficacy of the TRV chair versus manual maneuvers for uncomplicated BPPV.
  • To assess the impact on patient quality of life.
  • To identify risk factors for BPPV recurrence.

Main Methods:

  • Prospective, randomized, open-label study with 102 patients.
  • Patients assigned to TRV chair or manual maneuvers.
  • 12-month follow-up assessing clinical resolution, maneuver count, recurrence, Dizziness Handicap Inventory (DHI), and Visual Analog Scale (VAS).
Keywords:
TRV chairbenign paroxysmal positional vertigomechanical rotational chairsrepositioning maneuvers

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Main Results:

  • No significant difference in mean maneuvers for resolution between TRV chair and manual groups.
  • Both groups showed significant improvements in DHI and VAS scores.
  • Patients over 65 showed a trend toward faster resolution with the TRV chair.
  • Advanced age, head trauma, osteoporosis, and prior BPPV episodes were associated with increased maneuver requirements or recurrence.

Conclusions:

  • The TRV chair provides comparable efficacy and quality-of-life improvements to manual maneuvers for uncomplicated BPPV.
  • The TRV chair is a valuable alternative for patients with mobility constraints.
  • Risk factors for recurrence include osteoporosis and previous BPPV episodes.