Abstract
Aim
(1) To evaluate the role of vestibular exercises in the management of benign paroxysmal positional vertigo (BPPV). (2) To compare the three vestibular exercises (Semont’s manoeuvre, Epley’s manoeuvre or Brandt-Daroff exercises) in the treatment of BPPV.
Settings and Design
Prospective randomised study
Methods and Material
Fourty-eight patients diagnosed as BPPV in the study period November 2005–2006 were included in the study. They were randomly assigned to one of three groups, and the corresponding manoeuvre was done on them. Follow-up were at 2 weeks and 3 months.
Results
Thirty-five of the 48 patients (72.91%) reported relief of symptoms at 2 weeks and no recurrence of symptoms at 3 months. Result was best for the group which was subjected to the Epley manoeuvre (87.5%).
Conclusions
Performance of any of the three manoeuvres can be expected to give good results in the management of BPPV. The Epley manoeuvre appears to be better than the other two in terms of relief of symptoms and prevention of recurrence.
Keywords: BPPV, Vertigo, Particle repositioning manoeuvre, Semont’s manoeuvre, Brandt-Daroff exercises
Full Text
The Full Text of this article is available as a PDF (542.0 KB).
References
- 1.Bhattacharyya N., Baugh R.F., Orvidas L., Barrs D., et al. Clinical practice guideline: Benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg. 2008;139(54):47–81. doi: 10.1016/j.otohns.2008.08.022. [DOI] [PubMed] [Google Scholar]
- 2.Korres S.G., Balatsouras D.G., Papouliakos S., Ferekidis E. Benign paroxysmal positional vertigo and its management. Med Sci Monit. 2007;13(6):275–282. [PubMed] [Google Scholar]
- 3.Celebisoy N., Polat F., Akyurekli O. Clinical features of benign paroxysmal positional vertigo in Western Turkey. Eur Neurol. 2008;59(6):315–319. doi: 10.1159/000121422. [DOI] [PubMed] [Google Scholar]
- 4.Iorio N., Sequino L., Chiarella G., Cassandro E. Database of benign positional paroxysmal nystagmus. Acta Otorhinolaryngol Ital. 2004;24(3):125–129. [PubMed] [Google Scholar]
- 5.Lea P., Kushnir M., Shpirer Y., Zomer Y., Flechter S. Approach to benign paroxysmal positional vertigo in old age. Isr Med Assoc J. 2005;7(7):447–450. [PubMed] [Google Scholar]
- 6.Lawson J., Johnson I., Bamiou D.E., Newton J.L. Benign paroxysmal positional vertigo: Clinical characteristics of dizzy patients referred to a Falls and Syncope Unit. QJM. 2005;98(5):357–364. doi: 10.1093/qjmed/hci057. [DOI] [PubMed] [Google Scholar]
- 7.Parnes L.S., Agrawal S.K., Atlas J. Diagnosis and management of benign paroxysmal positional vertigo. Can Med Asso J. 2003;169:681–693. [PMC free article] [PubMed] [Google Scholar]
- 8.Hong S.M., Yeo S.G., Kim S.W., Cha C.I. The results of vestibular evoked myogenic potentials, with consideration of age-related changes, in vestibular neuritis, benign paroxysmal positional vertigo, and Meniere’s disease. Acta Otolaryngol. 2008;128(8):861–865. doi: 10.1080/00016480701784981. [DOI] [PubMed] [Google Scholar]
- 9.Kulcu D.G., Yanik B., Boynukalin S., Kurtais Y. Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine. J Otolaryngol Head Neck Surg. 2008;37(3):373–379. [PubMed] [Google Scholar]
- 10.Herreros Fernández M.L., Beato Martínez A., Barja Tur J., Moreno Juara A., González Laguillo A. Benign paroxysmal positional vertigo: Provocation and freeing manoeuvres. Ann Pediatr (Barc) 2008;69(2):167–170. doi: 10.1157/13124898. [DOI] [PubMed] [Google Scholar]
- 11.Waleem S.S., Malik S.M., Ullah S., ul Hassan Z. Office management of benign paroxysmal positional vertigo with Epley’s maneuver. J Ayub Med Coll Abbottabad. 2008;20(1):77–79. [PubMed] [Google Scholar]
- 12.Teixeira L.J., Machado J.N. Manoeuvres for the treatment of benign positional paroxysmal vertigo: A systematic review. Braz J Otorhinolaryngol. 2006;72(1):130–139. doi: 10.1016/S1808-8694(15)30046-X. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Hilton M, Pinder D (2004) The Epley (canalith repositioning) manoeuvre for benign paroxysmal positional vertigo. Cochrane Database Syst Rev (2):CD003162 [DOI] [PubMed]
- 14.Hilton M., Pinder D. The Epley manoeuvre for benign paroxysmal positional vertigo — a systematic review. Clin Otolaryngol Allied Sci. 2002;27(6):440–445. doi: 10.1046/j.1365-2273.2002.00613.x. [DOI] [PubMed] [Google Scholar]
- 15.Serafini G., Palmieri A.M., Simoncelli C. Benign paroxysmal positional vertigo of posterior semicircular canal: results in 160 cases treated with Semont’s maneuver. Ann Otol Rhinol Laryngol. 1996;105(10):770–775. doi: 10.1177/000348949610501003. [DOI] [PubMed] [Google Scholar]
- 16.Häusler R., Pampurik J. Surgical and physical therapy treatment of benign paroxysmal positional vertigo. Laryngorhinootologie. 1989;68(6):349–354. doi: 10.1055/s-2007-998351. [DOI] [PubMed] [Google Scholar]
- 17.Helminski J.O., Janssen I., Kotaspouikis D., Kovacs K., Sheldon P., McQueen K., Hain T.C. Strategies to prevent recurrence of benign paroxysmal positional vertigo. Arch Otolaryngol Head Neck Surg. 2005;131(4):344–348. doi: 10.1001/archotol.131.4.344. [DOI] [PubMed] [Google Scholar]
- 18.Cohen H.S., Kimball K.T. Effectiveness of treatments for benign paroxysmal positional vertigo of the posterior canal. Otol Neurotol. 2005;26(5):1034–1040. doi: 10.1097/01.mao.0000185044.31276.59. [DOI] [PubMed] [Google Scholar]