Comparison of the effectiveness of Brandt-Daroff Vestibular training and Epley Canalith repositioning maneuver in benign Paroxysmal positional vertigo long term result: A randomized prospective clinical trial

Abstract

Objective:Benign paroxysmal positional vertigo (BPPV) is the most common peripheral cause of vertigo. It can be defined as transient vertigo induced by rapid change in head position, associated with a characteristic paroxysmal positional nystagmus. Posterior canal benign paroxysmal positional vertigo is the most frequent form of BPPV. The aim of our study was to investigate and compare the effectiveness of Epley maneuver and Brand-Daroff home exercises for the treatment of posterior canal BPPV.Methods:A total of 50 patients between 27 and 76 years of age who were diagnosed with unilateral posterior canal into BPPV were randomized prospectively into two groups. In Group-1, modified particle repositioning maneuver and in Group-2 Brandt-Daroff exercises were utilized as treatment. Patients were followed weekly. Cure weeks were recorded. The patients were followed for 12 to 24 months for recurrence.Results:The recovery rates at the first, second and third week controls were 76%, 96% and 100% for Group-1 (modified Epley maneuver) and 64%, 88% and 100% for Group-2 (Brandt-Daroff exercises) respectively. The recovery rates were similar for both groups. The average follow-up duration was 18 months. In Group 1, 7 patients (28%) and in Group 2, 5 patients (20%) had recurrence, which was also similar with no statistical difference.Conclusion:It was concluded that both Brandt-Daroff Exercises and Modified Epley maneuvers were almost equally effective in the treatment of BPPV.

Epley’s maneuver versus brandt-daroff exercise for treatment of unilateral idiopathic BPPV of posterior semicircular canal: a comparative study

“…12 In a patients with posterior canal BPPV, the Dix-Hallpike maneuver results in appearance of vertical or tortional nystagmus after a latent period of few seconds. 7 Nystagmus induced by Dix-Hallpike test showed latency of 2-10sec, and duration of 20 -40 sec in both groups which is in agreement with study by Yaser said cetin et al 13 Right side of the ear was more commonly involved in our study which is same as study by Mee hyun song et al 14 Spontaneous healing is common in the natural history of BPPV, however to address the deterioration in quality of life and discomfort of patients, appropriate treatment for the underlying pathophysiology is required. Reposition maneuvers for the treatment of BPPV include Epley's, Semont, Brandt-Daroff habituation exercises.…”

Epley manoeuvre for posterior semicircular canal benign paroxysmal positional vertigo in people with multiple sclerosis: protocol of a randomised controlled trial

“… 21 27 34 The success of EM has also been proven against other canalith repositioning procedures by Brandt-Daroff. 62 Furthermore, Bruintjes et al 35 revealed that EM has long-term effects after the intervention. The impact of dizziness on activities of daily living was also assessed.…”

Effects of Half-Somersault and Brandt-Daroff exercise on dizziness, fear of fall and quality of life in patients with posterior canal benign paroxysmal positional vertigo: a randomised control trial

“…(11) The results of the study suggested that the Half Somersault Exercise with Brandt-exercise programme might be the treatment of choice for the therapist in reducing self-perceived handicap in patients with pc-BPPV as its results were highly significant. (12) Research carried on the comparison of "Half Somersault versus Epley Manoeuvre for Benign Positional Vertigo indicated that both exercises are effective when used as a home-base exercise for patients, though "Epley manoeuvre" was not as effective as Half Somersault. Another study on comparing effects of Epley, Semont Manoeuvres and Brandt-Daroff Exercise on Quality of Life in Patients with PC-BPPV" reported that there was significant alteration in pre/post VAP scores.…”