Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo
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...
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| Published in | Indian Journal of Otolaryngology and Head & Neck Surgery Vol. 62; no. 2; pp. 202 - 207 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | English |
| Published |
India
Springer-Verlag
01.06.2010
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| Subjects | |
| Online Access | Get full text |
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| 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. |
|---|---|
| AbstractList | 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. 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 DESIGNProspective randomised study METHODS AND MATERIALFourty-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. RESULTSThirty-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%). CONCLUSIONSPerformance 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. (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. Prospective randomised study 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. 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%). 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. |
| Author | Saha, Asok K. Karanjai, Subhadeep |
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| References | Lawson, Johnson, Bamiou, Newton (CR6) 2005; 98 Bhattacharyya, Baugh, Orvidas, Barrs (CR1) 2008; 139 Lea, Kushnir, Shpirer, Zomer, Flechter (CR5) 2005; 7 Serafini, Palmieri, Simoncelli (CR15) 1996; 105 Celebisoy, Polat, Akyurekli (CR3) 2008; 59 Herreros Fernández, Beato Martínez, Barja Tur, Moreno Juara, González Laguillo (CR10) 2008; 69 Waleem, Malik, Ullah, ul Hassan (CR11) 2008; 20 Hilton, Pinder (CR14) 2002; 27 Helminski, Janssen, Kotaspouikis, Kovacs, Sheldon, McQueen, Hain (CR17) 2005; 131 CR13 Iorio, Sequino, Chiarella, Cassandro (CR4) 2004; 24 Parnes, Agrawal, Atlas (CR7) 2003; 169 Hong, Yeo, Kim, Cha (CR8) 2008; 128 Korres, Balatsouras, Papouliakos, Ferekidis (CR2) 2007; 13 Teixeira, Machado (CR12) 2006; 72 Cohen, Kimball (CR18) 2005; 26 Häusler, Pampurik (CR16) 1989; 68 Kulcu, Yanik, Boynukalin, Kurtais (CR9) 2008; 37 G. Serafini (36_CR15) 1996; 105 P. Lea (36_CR5) 2005; 7 N. Iorio (36_CR4) 2004; 24 N. Bhattacharyya (36_CR1) 2008; 139 M. Hilton (36_CR14) 2002; 27 R. Häusler (36_CR16) 1989; 68 M.L. Herreros Fernández (36_CR10) 2008; 69 S.S. Waleem (36_CR11) 2008; 20 J.O. Helminski (36_CR17) 2005; 131 36_CR13 S.G. Korres (36_CR2) 2007; 13 J. Lawson (36_CR6) 2005; 98 N. Celebisoy (36_CR3) 2008; 59 D.G. Kulcu (36_CR9) 2008; 37 S.M. Hong (36_CR8) 2008; 128 L.J. Teixeira (36_CR12) 2006; 72 L.S. Parnes (36_CR7) 2003; 169 H.S. Cohen (36_CR18) 2005; 26 |
| References_xml | – volume: 20 start-page: 77 issue: 1 year: 2008 end-page: 79 ident: CR11 article-title: Office management of benign paroxysmal positional vertigo with Epley’s maneuver publication-title: J Ayub Med Coll Abbottabad contributor: fullname: ul Hassan – volume: 68 start-page: 349 issue: 6 year: 1989 end-page: 354 ident: CR16 article-title: Surgical and physical therapy treatment of benign paroxysmal positional vertigo publication-title: Laryngorhinootologie doi: 10.1055/s-2007-998351 contributor: fullname: Pampurik – volume: 72 start-page: 130 issue: 1 year: 2006 end-page: 139 ident: CR12 article-title: Manoeuvres for the treatment of benign positional paroxysmal vertigo: A systematic review publication-title: Braz J Otorhinolaryngol contributor: fullname: Machado – volume: 27 start-page: 440 issue: 6 year: 2002 end-page: 445 ident: CR14 article-title: The Epley manoeuvre for benign paroxysmal positional vertigo — a systematic review publication-title: Clin Otolaryngol Allied Sci doi: 10.1046/j.1365-2273.2002.00613.x contributor: fullname: Pinder – volume: 13 start-page: 275 issue: 6 year: 2007 end-page: 282 ident: CR2 article-title: Benign paroxysmal positional vertigo and its management publication-title: Med Sci Monit contributor: fullname: Ferekidis – ident: CR13 – volume: 131 start-page: 344 issue: 4 year: 2005 end-page: 348 ident: CR17 article-title: Strategies to prevent recurrence of benign paroxysmal positional vertigo publication-title: Arch Otolaryngol Head Neck Surg doi: 10.1001/archotol.131.4.344 contributor: fullname: Hain – volume: 59 start-page: 315 issue: 6 year: 2008 end-page: 319 ident: CR3 article-title: Clinical features of benign paroxysmal positional vertigo in Western Turkey publication-title: Eur Neurol doi: 10.1159/000121422 contributor: fullname: Akyurekli – volume: 128 start-page: 861 issue: 8 year: 2008 end-page: 865 ident: CR8 article-title: The results of vestibular evoked myogenic potentials, with consideration of age-related changes, in vestibular neuritis, benign paroxysmal positional vertigo, and Meniere’s disease publication-title: Acta Otolaryngol. doi: 10.1080/00016480701784981 contributor: fullname: Cha – volume: 37 start-page: 373 issue: 3 year: 2008 end-page: 379 ident: CR9 article-title: Efficacy of a home-based exercise program on benign paroxysmal positional vertigo compared with betahistine publication-title: J Otolaryngol Head Neck Surg contributor: fullname: Kurtais – volume: 169 start-page: 681 year: 2003 end-page: 693 ident: CR7 article-title: Diagnosis and management of benign paroxysmal positional vertigo publication-title: Can Med Asso J contributor: fullname: Atlas – volume: 7 start-page: 447 issue: 7 year: 2005 end-page: 450 ident: CR5 article-title: Approach to benign paroxysmal positional vertigo in old age publication-title: Isr Med Assoc J contributor: fullname: Flechter – volume: 26 start-page: 1034 issue: 5 year: 2005 end-page: 1040 ident: CR18 article-title: Effectiveness of treatments for benign paroxysmal positional vertigo of the posterior canal publication-title: Otol Neurotol doi: 10.1097/01.mao.0000185044.31276.59 contributor: fullname: Kimball – volume: 105 start-page: 770 issue: 10 year: 1996 end-page: 775 ident: CR15 article-title: Benign paroxysmal positional vertigo of posterior semicircular canal: results in 160 cases treated with Semont’s maneuver publication-title: Ann Otol Rhinol Laryngol contributor: fullname: Simoncelli – volume: 24 start-page: 125 issue: 3 year: 2004 end-page: 129 ident: CR4 article-title: Database of benign positional paroxysmal nystagmus publication-title: Acta Otorhinolaryngol Ital contributor: fullname: Cassandro – volume: 139 start-page: 47 issue: 54 year: 2008 end-page: 81 ident: CR1 article-title: Clinical practice guideline: Benign paroxysmal positional vertigo publication-title: Otolaryngol Head Neck Surg doi: 10.1016/j.otohns.2008.08.022 contributor: fullname: Barrs – volume: 69 start-page: 167 issue: 2 year: 2008 end-page: 170 ident: CR10 article-title: Benign paroxysmal positional vertigo: Provocation and freeing manoeuvres publication-title: Ann Pediatr (Barc) doi: 10.1157/13124898 contributor: fullname: González Laguillo – volume: 98 start-page: 357 issue: 5 year: 2005 end-page: 364 ident: CR6 article-title: Benign paroxysmal positional vertigo: Clinical characteristics of dizzy patients referred to a Falls and Syncope Unit publication-title: QJM doi: 10.1093/qjmed/hci057 contributor: fullname: Newton – ident: 36_CR13 doi: 10.1002/14651858.CD003162.pub2 – volume: 98 start-page: 357 issue: 5 year: 2005 ident: 36_CR6 publication-title: QJM doi: 10.1093/qjmed/hci057 contributor: fullname: J. 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Hilton – volume: 59 start-page: 315 issue: 6 year: 2008 ident: 36_CR3 publication-title: Eur Neurol doi: 10.1159/000121422 contributor: fullname: N. Celebisoy – volume: 26 start-page: 1034 issue: 5 year: 2005 ident: 36_CR18 publication-title: Otol Neurotol doi: 10.1097/01.mao.0000185044.31276.59 contributor: fullname: H.S. Cohen – volume: 24 start-page: 125 issue: 3 year: 2004 ident: 36_CR4 publication-title: Acta Otorhinolaryngol Ital contributor: fullname: N. Iorio – volume: 128 start-page: 861 issue: 8 year: 2008 ident: 36_CR8 publication-title: Acta Otolaryngol. doi: 10.1080/00016480701784981 contributor: fullname: S.M. Hong – volume: 72 start-page: 130 issue: 1 year: 2006 ident: 36_CR12 publication-title: Braz J Otorhinolaryngol doi: 10.1016/S1808-8694(15)30046-X contributor: fullname: L.J. Teixeira – volume: 37 start-page: 373 issue: 3 year: 2008 ident: 36_CR9 publication-title: J Otolaryngol Head Neck Surg contributor: fullname: D.G. Kulcu – volume: 68 start-page: 349 issue: 6 year: 1989 ident: 36_CR16 publication-title: Laryngorhinootologie doi: 10.1055/s-2007-998351 contributor: fullname: R. Häusler – volume: 7 start-page: 447 issue: 7 year: 2005 ident: 36_CR5 publication-title: Isr Med Assoc J contributor: fullname: P. Lea – volume: 13 start-page: 275 issue: 6 year: 2007 ident: 36_CR2 publication-title: Med Sci Monit contributor: fullname: S.G. Korres – volume: 139 start-page: 47 issue: 54 year: 2008 ident: 36_CR1 publication-title: Otolaryngol Head Neck Surg doi: 10.1016/j.otohns.2008.08.022 contributor: fullname: N. Bhattacharyya |
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| Title | Evaluation of vestibular exercises in the management of benign paroxysmal positional vertigo |
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