2024, Vol. 5, Issue 1, Part A
Effectiveness of home epley’s Maneuver versus half somersault Maneuver on dizziness in posterior benign Paraxysmal positional vertigo patients
Author(s): Dheenathayalan Subramani, Vibin Senthil Kumaran, Pradeepa Mani and Sivakumar Chinnusamy
Abstract: Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. BPPV is due to the displacement of otoconia in which small crystal of calcium carbonate from the maculae of the inner ear into the fluid filled semicircular canals. The posterior canal is most commonly affected site, but the superior and horizontal canals can be affected as well. Almost 85% to 95% of cases of BPPV arises in the posterior semicircular canal [PC-BPPV]. Benign paroxysmal positional vertigo is the most common vertiginous disorders in the community. It most often occurs spontaneously in 50 to 70 years of age group. In younger individuals it is the commonest cause of vertigo following head injury. The Home Epley’s Maneuver works by allowing free-floating particles, displaced otoconia, from the affected semicircular canal to be relocated by using gravity back into the utricle. The Brandt Daroff exercise was to loosen and disperse particles from the cupula of posterior semicircular canal. Half Somersault Maneuver that can clear the detached particles from the posterior semicircular canal, with fewer side effect.Objectives: The study’s objective was to compare the effectiveness of Home Epley’s Maneuver with Brandt Daroff exercises and Half Somersault Maneuver with Brandt Daroff exercises on dizziness in Posterior Benign Paroxysmal Positional Vertigo patients Subjects and Methods: The study was a comparative study. Benign paroxysmal vertigo patients with dizziness were selected for this study. This study was conducted at Ashwin multispecialty hospital and outpatient department of PPG College of physiotherapy. 30 subjects were selected based on the selection Criteria. The selected adolescents were divided into two groups by using random sampling technique by lot method. GROUP A consisted of 15 subjects and they received home epley’s Maneuver with Brandt Daroff exercises. GROUP B consisted of 15 subjects and they received half somersault Maneuver with Brandt daroff exercises. Both the groups received the interventions for 5 days in a week for 4 weeks, 1 session per day and totally 20 sessions in 4 weeks. The period of study was 6 months. Before starting the session, the instructions were given to the older age group. The Pretest score, score and post score values of dizziness were measured by using Dizziness Handicap inventory scale and the values were recorded. Results: The statistical analysis showed that the calculated ‘t’ value using the paired ‘t’ test for DHI scale in group A and group B was 15.98 and 8.08which was the greater than the table value of 2.145 with p<0.05. when comparing between the group used unpaired ‘t’ test DHI scale showed calculated ‘t’ value of pre comparison of 0.025 and post comparison of 5.24 which was greater than the table value of 2.145 with p<0.05. There is significant difference in each group in pre and post intervention and significant difference in comparison of two groups. Thus, the result showed statistically significant improvement with Home Epley’s Maneuver with Brandt Daroff Exercise and Half somersault Maneuver with Brandt Daroff Exercise when compared to Home Epley’s Maneuver with Brandt Daroff Exercise only to reduce the Dizziness in PC-BPPV subjects.Conclusion: That study concluded that subjects in both the groups A and B shown improvement in reduction of dizziness whereas the subjects in Group A Who received Home Epley’s Maneuver with Brandt daroff exercise showed more significant effect when compared to subjects in Group B who received Half Somersault Maneuver with Brandt Daroff exercise.
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How to cite this article:
Dheenathayalan Subramani, Vibin Senthil Kumaran, Pradeepa Mani and Sivakumar Chinnusamy. Effectiveness of home epley’s Maneuver versus half somersault Maneuver on dizziness in posterior benign Paraxysmal positional vertigo patients. International Journal of Childhood and Development Disorders. 2024; 5(1): 25-29.
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