Sheetal D1, Reena G. V2, Nanjesh Kumar S3
INTRODUCTION: Benign paroxysmal positioning vertigo (BPPV) is a disorder characterized by brief attacks of vertigo, with associated nystagmus, precipitated by certain changes in head position with respect to gravity.1 It is the most common cause of the syndrome of provoked vertigo Our study is to determine the role of the manoeuvres in BPPV and to study the efficacy of the manoeuvres in BPPV. AIM AND OBJECTIVE: The role and efficacy of Epley’s canalith repositioning manoeuvre in the treatment of posterior canal BPPV. METHODOLOGY: this interventional study of 60 patients between age 30-70 years were selected randomly based on symptoms of positional vertigo and positive Dix-Hallpike’s positional test. Patients were divided into two study groups’ first group comprising 30 patients who underwent epley’s manoeuvre alone whereas second group comprising of 30 patients underwent epley’s manoeuvre with betahistidine therapy. The outcome of study was assessed at the end of 4 weeks and 3 months respectively subjectively with Visual Analog Scale (VAS) and Dizziness Handicap Inventory Survey (DHI) and objectively by Dix-Hallpike’s positional test. RESULTS: There is no significant difference between the two scores of the subjects with Beta histidine and without Beta histidine because p-value is 0.794. This shows that Epley’s manoeuvre the best treatment modality for the subjects in relieving vertigo in benign paroxysmal positional vertigo which is noninvasive and inexpensive CONCLUSION: there was no difference in subjective and objective parameters between the two study groups.
