{"id":19647,"date":"2026-10-23T11:09:58","date_gmt":"2026-10-23T09:09:58","guid":{"rendered":"https:\/\/ivrt.de\/?p=19647"},"modified":"2026-10-23T11:10:04","modified_gmt":"2026-10-23T09:10:04","slug":"3d-sandalye-mi-yoksa-manuel-manevra-mi-daha-iyi-bpls-icin","status":"publish","type":"post","link":"https:\/\/ivrt.de\/tr\/studien-evidenz\/3d-drehstuhl-oder-manuelle-manoever-was-wirkt-bei-bpls-besser\/","title":{"rendered":"3 Boyutlu sandalye mi yoksa manuel manevralar m\u0131? BPLS'de hangisi daha iyi i\u015fe yar\u0131yor?"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Uzman personel i\u00e7in:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Makineye ba\u011fl\u0131 rotasyonlu sandalyeler kontroll\u00fc hareketler ve standart bir depolama olana\u011f\u0131 sunar.<\/strong> Ancak bu zahmetli teknik, basit bir durumda neden i\u015fe yaram\u0131yor? <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/iyi-huylu-paroksismal-pozisyonel-vertigo\/\" data-type=\"post\" data-id=\"5936\" target=\"_blank\" rel=\"noopener\">Benign paroxysmal storage dizziness<\/a> (BPLS), asl\u0131nda profesyonelce uygulanan manuel i\u015flemlerden daha iyi sonu\u00e7lar elde ediyor. <a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/pozisyonel-vertigo-egzersizleri-epley-semont\/\" data-type=\"page\" data-id=\"112\" target=\"_blank\" rel=\"noopener\">Manevra<\/a>? Yeni bir prospektif randomize \u00e7al\u0131\u015fma buna dair nadir bir do\u011frudan kar\u015f\u0131la\u015ft\u0131rma sunuyor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\ud83d\udd17 <strong><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/42267460\/\" data-type=\"link\" data-id=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40494622\/\" target=\"_blank\" rel=\"noopener\">PubMed'deki Orijinal \u00c7al\u0131\u015fma<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ara\u015ft\u0131rma \u00f6zeti<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Marta Chaure-Cordero ve Eduardo Martin-Sanz, basit BPLS tan\u0131s\u0131 olan 102 yeti\u015fkin \u00fczerinde \u00e7al\u0131\u015ft\u0131. Kat\u0131l\u0131mc\u0131lar mekanik TRV rotasyon koltu\u011fu veya manuel ta\u015f\u0131ma ve gev\u015fetme manevralar\u0131 ile tedaviye tabi tutuldu. 89 ki\u015fi 12 ayl\u0131k takip s\u00fcrecini tamamlad\u0131: 44 ki\u015fi rotasyon koltu\u011fu grubunda ve 45 ki\u015fi manuel grup i\u00e7inde.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara\u015ft\u0131r\u0131lanlar aras\u0131nda \u015funlar yer ald\u0131:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ba\u015far\u0131l\u0131 tedaviye kadar ger\u00e7ekle\u015ftirilen operasyonlar\u0131n say\u0131s\u0131<\/li>\n\n\n\n<li>Dizziness Handicap Inventory'deki de\u011fi\u015fiklik<\/li>\n\n\n\n<li>Bir g\u00f6rsel analog \u00f6l\u00e7ekte subjektif ba\u015f d\u00f6nmesi yo\u011funlu\u011fu<\/li>\n\n\n\n<li>On iki ayl\u0131k takip s\u0131ras\u0131nda tekrarlayan ataklar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u00fck\u00fclebilen sandalye i\u00e7in istatistiksel olarak kan\u0131tlanm\u0131\u015f bir avantaj bulunmuyor<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eikayet \u00e7\u00f6z\u00fclene kadar, d\u00f6ner sandalye grubunda ortalama 2,25 manevra, manuel tedavi edilen grup ise 1,82 manevra gerekiyordu. Bu fark istatistiksel olarak anlaml\u0131 de\u011fildi (p = 0,190). Ayr\u0131ca hasta taraf\u0131ndan bildirilen \u015fikayetlerde de her iki y\u00f6ntemin birinden herhangi bir avantaj g\u00f6r\u00fclmedi.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Sonu\u00e7<\/strong><\/td><td><strong>TRV sandalye<\/strong><\/td><td><strong>Manuel manevralar<\/strong><\/td><\/tr><tr><td>Kald\u0131r\u0131lmaya kadar olan manevra<\/td><td>2,25 \u00b1 1,78<\/td><td>1,82 \u00b1 1,23<\/td><\/tr><tr><td>Tedavi \u00f6ncesi ve sonras\u0131 DHI<\/td><td>47,2'den 10,6'ya<\/td><td>41,4'ten 11,6'ya<\/td><\/tr><tr><td>Tedavi \u00f6ncesi ve sonras\u0131 ba\u015f d\u00f6nmesi VAS<\/td><td>5,3'ten 0,86'ya<\/td><td>4,3'ten 0,86'ya<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Her iki grupta DHI ve ba\u015f d\u00f6nmesi yo\u011funlu\u011fu belirgin \u015fekilde azald\u0131. Ancak ara\u015ft\u0131rmac\u0131lar aras\u0131nda gruplar aras\u0131nda istatistiksel olarak anlaml\u0131 bir fark tespit edemediler. Ayr\u0131ca geri d\u00f6n\u00fc\u015f oranlar\u0131 da belirgin bir \u015fekilde farkl\u0131 de\u011fildi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Basit BPLS durumlar\u0131nda manuel tedavi hala etkili olmaya devam ediyor.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bulgular, basit BPLS durumunda mekanik bir rotasyon koltu\u011funun otomatik olarak daha iyi tedavi sonu\u00e7lar\u0131 vermedi\u011fini g\u00f6stermektedir. Profesyonelce uygulanan manuel i\u015flemler, rahats\u0131zl\u0131klar\u0131n ve ya\u015fam kalitesinin benzer bir \u015fekilde iyile\u015fmesine yol a\u00e7m\u0131\u015ft\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu, sandalye hareketli\u011finin gereksizli\u011fini ortadan kald\u0131rm\u0131yor. Yazarlar \u00f6zellikle hareketlili\u011finin manuel depolamay\u0131 zorla\u015ft\u0131ran ki\u015filerde olas\u0131 bir fayda g\u00f6r\u00fcyor. Ayr\u0131ca se\u00e7ili karma\u015f\u0131k veya tedavi edilmesi zor vakalar i\u00e7in mekanik sistemler klinik olarak ilgi \u00e7ekici olabilir. Ancak mevcut \u00e7al\u0131\u015fma bu gruplar\u0131 kapsam\u0131yor \u00e7\u00fcnk\u00fc \u00f6zellikle basit vakalar\u0131 inceledi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ya\u015f, travma, osteoporoz ve \u00f6nceki BPLS epizodlar\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavi y\u00f6ntemine bak\u0131lmaks\u0131z\u0131n, ileri ya\u015fl\u0131 kad\u0131nlar ve ba\u015f travmas\u0131 ge\u00e7mi\u015fi olan ki\u015filer genellikle daha fazla m\u00fcdahale gerektirdi. Osteoporoz ve \u00f6nceki BPLS olaylar\u0131, daha y\u00fcksek bir geri d\u00f6n\u00fc\u015f olas\u0131l\u0131\u011f\u0131 ile ili\u015fkiliydi. Bu bulgular ek analizlerden elde edilmi\u015ftir ve bir neden-sonu\u00e7 ili\u015fkisi olarak kabul edilmemelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ara\u015ft\u0131rma neyi kan\u0131tlam\u0131yor<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rakamlar a\u00e7\u0131s\u0131ndan anlaml\u0131 bir fark bulunmamas\u0131, tam bir e\u015fde\u011ferlik olmad\u0131\u011f\u0131n\u0131 g\u00f6sterir. \u00c7al\u0131\u015fma a\u00e7\u0131k randomize bir ara\u015ft\u0131rma olarak y\u00fcr\u00fct\u00fclm\u00fc\u015f ve formel bir e\u015fde\u011ferlik ya da e\u015fde\u011ferlik ara\u015ft\u0131rmas\u0131 olarak tan\u0131mlanmam\u0131\u015ft\u0131r. 102 randomize kat\u0131l\u0131mc\u0131n\u0131n 13'\u00fc takip s\u00fcrecini tamamlamam\u0131\u015ft\u0131r. Ayr\u0131ca bulgular, karma\u015f\u0131k, \u00e7ok kanall\u0131 veya tedaviye yan\u0131tl\u0131 BPLS formlar\u0131na kolayl\u0131kla uygulanamaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ara\u015ft\u0131rma ayr\u0131ca sadece iki m\u00fcdahaleyi de\u011fil, ayn\u0131 zamanda iki tedavi ortam\u0131n\u0131 da kar\u015f\u0131la\u015ft\u0131r\u0131r. Deneyim, tan\u0131sal do\u011fruluk ve m\u00fcdahalenin do\u011fru se\u00e7imi, kullan\u0131lan ara\u00e7tan ba\u011f\u0131ms\u0131z olarak sonu\u00e7lar\u0131 etkileyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Bu durum pratikte ne anlama geliyor?<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Basit BPLS durumlar\u0131nda manuel depolama ve bo\u015faltma operasyonlar\u0131 etkili bir tedavi se\u00e7ene\u011fi olmaya devam etmektedir.<\/li>\n\n\n\n<li>Teknik donan\u0131m, ilgili e\u011fim y\u00f6n\u00fcn\u00fcn ve taraf\u0131n do\u011fru belirlenmesini ya da profesyonel bir \u015fekilde uygulanmas\u0131n\u0131 de\u011fi\u015ftirmez.<\/li>\n\n\n\n<li>Hareket kabiliyeti s\u0131n\u0131rl\u0131 olan ki\u015filer veya \u00f6zel merkezlerde \u00e7al\u0131\u015fan ki\u015filer i\u00e7in d\u00f6ner sandalye kullanmak faydal\u0131 olabilir. Bu \u00e7al\u0131\u015fma genel bir avantaj ortaya koymaz.<\/li>\n\n\n\n<li>Karma\u015f\u0131k veya tekrarlayan vakalar ayr\u0131nt\u0131l\u0131 bir tan\u0131 gerektirir ve bu \u00e7al\u0131\u015fma ile kesin olarak de\u011ferlendirilemezler.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Basit BPLS modunda 3D d\u00f6nd\u00fcr\u00fclebilen sandalye manuel manevralarda \u00fcst\u00fcn de\u011fildi.<\/strong> Her iki y\u00f6ntem de ba\u015f d\u00f6nmesine ve DHI'ye \u00f6nemli \u00f6l\u00e7\u00fcde yard\u0131mc\u0131 oldu. Bu durumun tedavisinde ise ileri teknoloji se\u00e7ilen durumlarda yararl\u0131 olabilir, ancak kalitenin sa\u011flanmas\u0131 konusunda yetersiz kalabilir. <a href=\"https:\/\/ivrt.de\/tr\/bas-doenmesi-hastaliklari\/denge-bozukluklari-ve-bas-doenmesi-semptomlari-icin-tanisal-testler\/\" data-type=\"post\" data-id=\"8955\" target=\"_blank\" rel=\"noopener\">Tan\u0131sal <\/a>Ve uygun manevran\u0131n do\u011fru \u015fekilde uygulanmas\u0131 \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\ud83d\udc49 Kapsaml\u0131 bir ileri e\u011fitime ilgi duyuyorsunuz: <a href=\"https:\/\/ivrt.de\/tr\/hasta-egitimi\/vestibueler-rehabilitasyon-tedavisi-ve-denge-egitimi\/\" data-type=\"post\" data-id=\"8932\" target=\"_blank\" rel=\"noreferrer noopener\">vestib\u00fcler rehabilitasyon tedavisi<\/a><\/strong><strong>?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">G\u00fcncel e\u011fitim tekliflerini ve kurs tarihlerini \u015furada bulabilirsiniz: <strong><a href=\"https:\/\/ivrt.de\/tr\/saglik-personeli-icin\/hizmet-ici-egitim-arama\/\" data-type=\"link\" data-id=\"https:\/\/ivrt.de\/fuer-medizinisches-fachpersonal\/fortbildungssuche\/\" target=\"_blank\" rel=\"noreferrer noopener\">IVRT E\u011fitim Arama<\/a>.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a id=\"_msocom_1\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>F\u00fcr Fachpersonal: Mechanische Rotationsst\u00fchle erm\u00f6glichen kontrollierte Bewegungen und eine standardisierte Lagerung. Doch f\u00fchrt diese aufwendige Technik bei einem unkomplizierten benignen paroxysmalen Lagerungsschwindel (BPLS) tats\u00e4chlich zu besseren Ergebnissen als fachgerecht ausgef\u00fchrte manuelle Man\u00f6ver? Eine neue prospektive randomisierte Studie liefert dazu einen seltenen direkten Vergleich. \ud83d\udd17 Originalstudie auf PubMed Die Studie im \u00dcberblick Marta Chaure-Cordero und Eduardo [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":19648,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_surecart_dashboard_logo_width":"180px","_surecart_dashboard_show_logo":true,"_surecart_dashboard_navigation_orders":true,"_surecart_dashboard_navigation_invoices":true,"_surecart_dashboard_navigation_subscriptions":true,"_surecart_dashboard_navigation_downloads":true,"_surecart_dashboard_navigation_billing":true,"_surecart_dashboard_navigation_account":true,"_jf_save_progress":"","iawp_total_views":26,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[215],"tags":[],"class_list":["post-19647","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-studien-evidenz"],"_links":{"self":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/19647","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/comments?post=19647"}],"version-history":[{"count":1,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/19647\/revisions"}],"predecessor-version":[{"id":19649,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/posts\/19647\/revisions\/19649"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media\/19648"}],"wp:attachment":[{"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/media?parent=19647"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/categories?post=19647"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ivrt.de\/tr\/wp-json\/wp\/v2\/tags?post=19647"}],"curies":[{"name":"Naber","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}