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. 2010 Jun;62(2):202-7.
doi: 10.1007/s12070-010-0036-2. Epub 2010 Sep 24.

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

Subhadeep Karanjai  1 , Asok K Saha
Affiliations

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

Subhadeep Karanjai et al. Indian J Otolaryngol Head Neck Surg. 2010 Jun.

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; Brandt-Daroff exercises; Particle repositioning manoeuvre; Semont’s manoeuvre; Vertigo.

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