Efficacy of epley’s maneuver Versus Brandt and Daroff exercises in benign paroxysmal positional vertigo.

INTRODUCTION : The Benign Paroxysmal Positional Vertigo is most common cause of peripheral vestibular disorder. It was first discovered by Barany in 1921. Later, defined by Dix and Hallpike in 1952. It is characterized by brief period of Vertigo that occurs when subject head moved into specific position usually affected ear down. Frochliry et.al estimated that incidence is as higher as 107 cases per 1,00,000 population per year among adult population 42% reported experience of dizziness or vertigo at same time. It have highly incidence in women. It is most commonly occur between 5th and 7th decade. This condition presents as dizziness or Vertigo of sudden an set in Benign Paroxysmal Positional Vertigo and also include light headedness, imbalance, and nausea during Various activities. The symptoms will vary among persons. These symptoms are always precipitated by a change of position of the head with respect to gravity. Example getting out of bed or rolling over in bed are common problem and bending over and looking upwards present. AIM OF STUDY : To compare the effect of Epley’s Maneuver and Brandt and Daraff exercises is Benign Positional Vertigo. OBJECTIVES OF THE STUDY : 1. To determine the effect of Epley’s maneuver in Benign Paroxysmal Positional Vertigo with Dizziness Handicap Inventory and Motion sensitivity quotient. 2. To determine the effect of Brandt and Daraff Exercise in Benign Paroxysmal Positional vertigo with Dizziness Handicap Inventory and Motion Sensitivity Quotient. 3. To determine the deference between the Epley’s Maneuver Versus Brandt and Daraff Exercise in Benign Paroxysmal Positional Vertigo with Dizziness Handicap Inventory and Motion Sensitivity Quotient. MATERIALS AND METHDOLOGY : The total 30 Benign Paroxysmal Positional Vertigo Patient, diagnosed by Dix-Hallpike test, of age group 45-60 years, who are suitable for Inclusion criteria were recruited by Purposive random sampling technique and informed consents were obtained from subjects individually. They were divided in to two groups. Group A and Group B with 15 subjects each. Epley Maneuver was given to Group A and Brandt-Daroff Exercise was given to Group B. the Epley Maneuver performed once a day, Brandt-Daroff Exercise were performed 2 times a day for four weeks. MATERIALS - Dizziness Handicap inventory, Motion Sensitivity Quotient, Couch, Pillows, Marking tools, Stop Watch. METHODOLOGY: Study Design - Quasi-Experimental Study. Study Setting: The study was conducted in JKK Sampoorani Ammal Trust hospital, Department of Physiotherapy, Komarapalayam, Tamilnadu, India. Study Sampling: A total number of 30 subjects with benign Paroxysmal Positional Vertigo were selected by convenient sampling method with due consideration to inclusive and exclusive criteria and they were divided into two groups namely Group A and group B with 15 subjects in each group. Study Duration - Duration of Study : 1 month. Group A : Epley’s Maneuver – 30 minutes/3day/week. Group B : Brandt and Daroff – 30minutes/3days/week Inclusion Ceiteria: Age group – 45 – 60 years, Sex – male, Unilateral Posterior Semicircular Canal Involvement, Functional to normal ROM to neck and back. Exclusion Criteria: History to prior ear surgery, Orthopedic disorder that impairs functional neck and trunk range of motion, On vestibular suppressant medication, Alcohol intoxication, Meniere’s disease, Perilymphatic fistula, Vestibular neuritis, Bilateral Vestibular disorder, Central Vestibular Disorder, Head trauma. CONCLUSION : The study concluded that there was a statistical significant decrease in score of Dizziness Handicap Inventory and Motion Sensitivity Quotient in Benign Paroxysmal Positional Vertigo after Epley’s maneuver than Brandt-Daroff Exercise. The result of the study concluded that the Epley’s Maneuver was effective treatment for benign – paroxysmal Positional Vertigo than Brandt-Daroff Exercise