Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo

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 studyMethods 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.

Epley’s maneuver versus brandt-daroff exercise for treatment of unilateral idiopathic BPPV of posterior semicircular canal: a comparative study

“…In a study by Karanjai et al patients were treated with Epley's maneuver, Semont maneuver and Brandt-Daroff exercises and the success rate after 2 weeks was 87% in the Epley group, 75% in the Semont group and 56% in Brandt Daroff exercise. 15 In the current study resolution rates of group A treated with Eplye's maneuver after one week was 70% which was similar to the study by Epley who reported an 80% success rate for the Epley's maneuver, following one week review. 8 Parnes and Price-Jones reported a 79% success rate after three to four weeks review.…”

Comparison of the effectiveness of Brandt-Daroff Vestibular training and Epley Canalith repositioning maneuver in benign Paroxysmal positional vertigo long term result: A randomized prospective clinical trial

“…It has been proposed that Brandt-Daroff exercises could be used effectively instead of canalith repositioning maneuvers. Karanjai et al 19 randomized 48 patients to the Epley maneuver, Semont maneuver, or Brandt-Daroff exercises. Patients were evaluated during the second week and monitored for three months.…”

Rapid Systematic Review of the Epley Maneuver versus Vestibular Rehabilitation for Benign Paroxysmal Positional Vertigo

“…The relevance was found to be high for all 9 included studies 11‐19 (see Table 2 ). The risk of bias was low in only 1 study, 11 moderate in 4 studies, 12‐15 and high in the remaining 4 studies 16‐19 . Randomization, concealed treatment allocation, and blinding were either not achieved, inadequate, or no information was provided regarding these criteria in most of the included studies 13‐19 .…”

“…The relevance was found to be high for all 9 included studies [11][12][13][14][15][16][17][18][19] (see Table 2). The risk of bias was low in only 1 study, 11 moderate in 4 studies, [12][13][14][15] and high in the remaining 4 studies.…”