CLINICAL COMPARATIVE STUDY OF EFFICACY OF EPLEY MANOEUVRE AND SEMONT MANOEUVRE IN BENIGN PAROXYSMAL POSITIONAL VERTIGO

Benign Paroxysmal Positional Vertigo

Abstract

Objective: To compare the efficacy of Epley manoeuvre and Semont manoeuvre in the management of benign paroxysmal positional vertigo.

Study Design: Randomized controlled trials.

Place & Duration of Study: ENT Department Combined Military Hospital (CMH) Kharian and Gilgit from March 2005 to February 2010.

Material and Methods: Hundred cases of benign paroxysmal positional vertigo (BPPV) were selected on Dix-Hallpike test by non probability convenient sampling technique and randomly divided into two groups of 50 cases each. Patients in group-1 were treated by Epley manoeuvre and patients in group-2 were treated by Semont manoeuvre. The patients were examined on first day, 3rd day, 7th day and after 01 month and clinical results were observed.

Results: In group-1, 68% cases showed immediate resolution of symptoms, 74% cases on 3rd day, 80% cases on 7^th day and total 82% cases recovered completely after one month. In group-2, 62% cases showed immediate resolution of symptoms, 68% cases on 3^rd day, 74% cases on 7^th day and total 78% cases showed complete recovery after 1 month. There was insignificant difference between the two groups regarding recovery at different follow ups.

Conclusion: It was concluded that Epley and Semont manoeuvres are equally effective in the management of BPPV.