Trends in Clinical and Medical Sciences
Special issue: Recent developments of medical and surgical research (2023), pp. 534 – 538
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-rdmsr074
ISSN: 2791-0814 (online) 2791-0806 (Print)
DOI: 10.30538/psrp-tmcs2023.si-rdmsr074
Compare the effectiveness of Epley’s Manouvre and Brandt Daroff’s exercise in relieving vertigo in patients with BPPV
Nirmala Maruthi\(^{1,*}\) and Jagannatha Bisanna\(^{1}\)
\(^{1}\) Department of ENT, Kempegowda Institute of Medical Sciences, Bangalore, India.
Correspondence should be addressed to Nirmala Maruthi at nimmi.santy@gmail.com
Copyright © 2023 Nirmala Maruthi and Jagannatha Bisanna. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Received: March 18, 2023 – Accepted: May 20, 2023 – Published: May 28, 2023
Abstract
Background: Benign Paroxysmal Positional Vertigo is the most frequent vestibular disorder characterized by brief episodes of vertigo caused by changes in the position of a person’s head. It significantly affects the quality of life of elderly patients by interrupting their daily activities.
Methodology: The study was conducted at the Department of E.N.T, Kempegowda Institute of Medical Sciences. Sixty patients who fulfilled the inclusion criteria were included in the study. Patients were evaluated through proper history taking using a proforma and clinical examination. The Dizziness Handicap Inventory scoring system was used, and baseline (pre-treatment) scores were recorded. Patients were asked to come back after 3 weeks for follow-up (post-treatment) and then after 3 months for further follow-up.
Results: The mean age of subjects in the Epley’s manoeuvre group was 43.60 years, while it was 40.97 years in the Brandt Daroff’s exercise group. Among skilled workers in this study, tailors were most often affected, and the vibration associated with their work may be considered as one of the etiologies. The mean total symptom scores decreased in both treatment groups after the study period. There was a considerable reduction in the scores of physical, emotional, and functional symptoms in both groups. A marked reduction in emotional scores was observed in group I compared to group II in the post-treatment and follow-up assessments.
Conclusion: Epley’s manoeuvre is superior in relieving vertigo in patients with BPPV compared to Brandt Daroff’s exercise.
Methodology: The study was conducted at the Department of E.N.T, Kempegowda Institute of Medical Sciences. Sixty patients who fulfilled the inclusion criteria were included in the study. Patients were evaluated through proper history taking using a proforma and clinical examination. The Dizziness Handicap Inventory scoring system was used, and baseline (pre-treatment) scores were recorded. Patients were asked to come back after 3 weeks for follow-up (post-treatment) and then after 3 months for further follow-up.
Results: The mean age of subjects in the Epley’s manoeuvre group was 43.60 years, while it was 40.97 years in the Brandt Daroff’s exercise group. Among skilled workers in this study, tailors were most often affected, and the vibration associated with their work may be considered as one of the etiologies. The mean total symptom scores decreased in both treatment groups after the study period. There was a considerable reduction in the scores of physical, emotional, and functional symptoms in both groups. A marked reduction in emotional scores was observed in group I compared to group II in the post-treatment and follow-up assessments.
Conclusion: Epley’s manoeuvre is superior in relieving vertigo in patients with BPPV compared to Brandt Daroff’s exercise.
Keywords:
Epley’s; Brandt Daroff’s; Vertigo; BPPV.