Resolution time of vertigo in each stage of epley’s maneuvre – a randomized controlled trial

Author: 
Naziya Jabeen, Naveen Kumar Balne and Laxmana Prasad Gadde

Back ground: Epley’s maneuvreis a proven treatment for posterior canal vertigo. This study is aimed to find the average time required for the resolution of vertigo symptoms while performing each stage of Epley’s maneuvre and its relation to recurrence of symptoms.
Methods: After ethical clearance and informed consent, 297subjects screened and 50 who met inclusion criteria were randomised to control or experimental groups. Group 1: subjects of controlled group (n=25) received Epley’s manoeuvre with 30 sec for each position. Group 2: subjects of Experimental group (n=25) received Epley’s manoeuvre each stage duration extended until the symptoms resolved and time was noted. Outcome measures of this study includes: duration in each step and total time of Epley’s, Visual analogue scale, and Dizziness handicap inventory score and recurrence rate.
Results: Total duration of manoeuvre in control group was 90 seconds, in experimental group it was184.56±68.38 seconds. The recurrence in control was 52% and 12% in experimental group within 6 months.
Conclusion: This study shows reduced recurrence of vertigo and increase in duration of each stage in group 2. This is preliminary evidence to investigate further on Epley’s maneuvre.

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DOI: 
http://dx.doi.org/10.24327/ijcar.2019.19244.3823
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