Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

A Comparative Study on the Effectiveness of Epleys Maneuver over Semont Maneuver in Improving the Quality of Life in Subjects with Benign Paroxysmal Positional Vertigo


Affiliations
1 SVIMS, Tirupati, India
     

   Subscribe/Renew Journal


Objectives of The Study

1. To know the efficacy of Epley's maneuver in improving the QOL in subjects with PC-BPPV using DHI and VADL. 2. To know the efficacy of Semont maneuver in improving the QOL in subjects with PC-BPPV using DHI and VADL. 3. To know the efficacy of Epley's maneuver over Semont maneuver.

Methodology: 50 subjects with BPPV were randomly divided into two groups, group I received Epley's maneuver (n=25), and group II received Semont maneuver (n=25). Both maneuvers were given therapy with respective procedure for three repetitions per session, one session per day and were given for 5 days in a week for 3 weeks. The questionnaire of DHI and VADL were evaluated on day 1, day7and day21 in both the groups.

Results: After 3 weeks of treatment period, the subjects in group I [Epley's maneuver] had shown statistically significant improvement with the outcome measures at 2.18 F-table value compared with subjects in group II [Semont maneuver].

Conclusion: Epley's maneuver was found to be much effective in improving the quality of life in subjects with PC_BPPV than Semont maneuver.


Keywords

Bppv, Dhi, Vadls, Dizziness
Subscription Login to verify subscription
User
Notifications
Font Size


  • Katsarkas A. BPPV: idiopathic versus posttraumatic. Acta otolaryngol. 1999; 119(7):759-9.
  • Von Brevern M, Radtke A, Leizuis F, et al. Epidemiology of benign paroxysmal positionalvertigo: a population based study. J NeurolNeurosurg Psychiatry. 2007; 78: 710-15.
  • Brandt T, daroff’s RB. Physical Therapy for BPPV.Arch otolaryngol 1980 Aug; 106(8):484-5.
  • Oghalai JS, Manolodis S, Barth JL, et al.unrecognized benign paroxysmal positionalvertigo in elderly patients. Otolaryngol HeadNeck Surg. 2000; 122:630-34.
  • Herdman SJ. Phys the 1990; 70: 381.
  • Bhattacharya N, Baugh RF, Orvidas L, et al.Clinical Practice guidline benign paroxysmalpositional vertigo. Otolaryngol Head Neck Surg.2008; 139 (5 supple 4): s47-s81.
  • Fife TD, Iverson DJ, Lempert T, et al. Practiceparameter: therapies for benign paroxysmalpositional vertigo (an evidence based review):report of the quality standards subcommittee ifthe American Academy of Neurology. Neurology.2008; 70: 2067-74.
  • Brandt T, Steddein. Current view of mechanismof BPPV cupulolithiasis or canalithiasis. J.Vestibular Res 1993; 3(4): 373-82.
  • Harada Y. Metabolic disorder, absorption areaand formation area of the statoconia, j clinElectron Microsc. 1982; 18: 1-18.
  • Lim DJ. Formation and fate of the otoconia:Scanning and transmission electron microscopy.Ann Otol Rhinol Laryngol. 1973; 82: 23-35.
  • Baarsma EA. Vestibular testing in Meniere’ssyndrome [in Dutch]. Acta OtorhinolaryngolBelg. 1979; 33: 254-63.
  • Hain TC, Squires TM, Stone HA. Clinicalimplications of a mathematical model of benignparoxysmal positional vertigo. Ann N Y Acad Sci.2005; 1039: 384-94.
  • Von Brevern M, Seeling T, Radtke A, et al. Shortterm efficacy of Epley’s maneuver: a doubleblindrandomized trial. J Neurol NeurosurgPsychiatry. 2006; 77: 980-82.
  • Lopez-Escamez JA, Gamiz MJ, Fernandez PerezA, Gamez-Finana M. Long-term outcome andhealth- related quality of life in benignparoxysmal positional vertigo. Eur ArchOtorhinolaryngol. 2005; 262: 507-11.
  • Helen S. Cohen, EdD, OTR; Kay T. Kimball, PhD,Development of the Vestibular DisordersActivities of Daily Living Scale. Arch OtolaryngolHead Neck Surg, 2000 Jul; 126(7): 881-7.
  • Cohen H. Defining disablement inotolaryngology. Ear Nose Throat J. 1995; 74:233-237.
  • Woodworth BA, Gillespie MP, Lambert PR. Thecanalith repositioning procedure for benignpositional vertigo: a meta-analysis.Laryngoscope. 2004; 114: 1143-46.
  • Dr. P. Banerji. Benign Positional Vertigo. The bestand safest cure. 2010 Aug.
  • Froehling DA, Bowen JM, Mohr DN, et al. thecanalith repositioning procedure for thetreatment of benign paroxysmal positionalvertigo: a randomized controlled trail. Mayo ClinProc. 2000; 75: 695-700.

Abstract Views: 665

PDF Views: 0




  • A Comparative Study on the Effectiveness of Epleys Maneuver over Semont Maneuver in Improving the Quality of Life in Subjects with Benign Paroxysmal Positional Vertigo

Abstract Views: 665  |  PDF Views: 0

Authors

G. Sri Durga
SVIMS, Tirupati, India
V. Sri Kumari
SVIMS, Tirupati, India
K. Madhavi
SVIMS, Tirupati, India

Abstract


Objectives of The Study

1. To know the efficacy of Epley's maneuver in improving the QOL in subjects with PC-BPPV using DHI and VADL. 2. To know the efficacy of Semont maneuver in improving the QOL in subjects with PC-BPPV using DHI and VADL. 3. To know the efficacy of Epley's maneuver over Semont maneuver.

Methodology: 50 subjects with BPPV were randomly divided into two groups, group I received Epley's maneuver (n=25), and group II received Semont maneuver (n=25). Both maneuvers were given therapy with respective procedure for three repetitions per session, one session per day and were given for 5 days in a week for 3 weeks. The questionnaire of DHI and VADL were evaluated on day 1, day7and day21 in both the groups.

Results: After 3 weeks of treatment period, the subjects in group I [Epley's maneuver] had shown statistically significant improvement with the outcome measures at 2.18 F-table value compared with subjects in group II [Semont maneuver].

Conclusion: Epley's maneuver was found to be much effective in improving the quality of life in subjects with PC_BPPV than Semont maneuver.


Keywords


Bppv, Dhi, Vadls, Dizziness

References