THE EFFECT OF POSTURAL RESTRICTIONS IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO: RANDOMIZED CONTROL TRIAL
International Journal of Physiotherapy and Research
and purpose: The Benign Paroxysmal Positional Vertigo (BPPV) is defined as disorder of the inner ear characterized by repeated episodes of positional vertigo. The BPPV can be managed with various office procedures like Epley's maneuver, Samont maneuver and Gans Maneuvers etc. After these maneuvers postural restrictions are generally advised so the aim of study was to determine the effectiveness postural restrictions after Epley's maneuver. Materials and Methods: 30 subjects with BPPV were
... ith BPPV were included in the study after obtaining institutional ethical clearance. After fulfillment of inclusion criteria and exclusion criteria the informed consent was obtained from all the subjects. The convenient sampling design was used. The subjects were assigned in to two groups by envelop method. Group A received Epleys maneuver with postural restrictions and group B received only Epleys maneuver. Dizziness handicap inventory (DHI) measures were taken before the maneuvers and after one week of follow-up. Results: In both Epleys maneuver with postural restriction and in Epleys maneuver group shows statistically significant decrease in DHI scores with p value of .001 by using paired t test. Conclusion: Both Epleys maneuver with postural restrictions and Epleys maneuver group are equally effective in the treatment of BPPV. In routine BPPV treatment we can stop advising the postural restrictions to the subjects so that we can avoid the discomfort to the subjects because of postural restrictions.