![]() This is an Open Access (OA) journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. Kavathia K, Bathla M, Doshi H, Patel H, Bhagat P, Comparison between efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in treating BPPV patients. Keywords: BPPV, Epley’s maneuver vertigo, Canalith repositioning maneuver (CRM) It benefits over medical therapy alone in terms of avoiding the delay in vestibular compensation and recurrence. In our study, Epley’s maneuver with medical therapy was found to be more effective than medicine given alone.Ĭonclusion: This study shows that the Epley maneuver with medical therapy provides effective and longterm control of symptoms in patients with BPPV. Vertigo is the most common type of dizziness. It is typically worse when the head is moved. It may be associated with nausea, vomiting, perspiration, or difficulties walking. The Epley and Semont are the two particle-repositioning maneuvers recommended as initial therapy for benign paroxysmal positional vertigo in the American Academy of OtolaryngologyHead and Neck. Often it feels like a spinning or swaying movement. The Epley maneuver takes about 15 minutes to complete. It is also sometimes called the 'canalith repositioning maneuver' or CRP. Results: A total of 50 patients were divided into two groups: 25 to the group A which received Epley’s maneuver with drug therapy and 25 to the group B which received only drug therapy. Vertigo is a condition in which a person has the sensation of movement or of surrounding objects moving when they are not. John Epley, is both intended to move debris or 'ear rocks' out of the sensitive part of the ear (posterior canal) to a less sensitive location. The purpose of the study was to compare the efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in patients of BPPV. Materials and Methods: This study was done in a tertiary care center of Ahmedabad, Gujarat, in patients above age of 20 and with BPPV. Benign paroxysmal positional vertigo(BPPV) is, by far, the most common cause of episodic vertigo. With the head kept turned toward the left shoulder, the patient is brought into the seated position (Panel D). ![]() The patient should be kept in the final, facedown position for about 10 to 15 seconds. The manoeuvre usually provokes brief vertigo. The cause may be otologic, neurologic, cardiovascular, psychiatric, orthopedic or ophthalmologic. The vertex of the head is kept tilted downward throughout the rotation. Dizziness is often used to describe the sensations of vertigo, lightheadedness, imbalance, presyncope, disorientation, and/or gait instability. Comparison between efficacy of Epley’s maneuver with medical therapy versus medical therapy alone in treating BPPV patientsĪuthor Details : Krima Kavathia *, Meeta Bathla, Hiren Doshi, Hemangi Patel, Priyanka Bhagatīackground: Dizziness and disequilibrium are common complaints in both general adult and the geriatric population.
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