Research Journal of Pharmacy and Technology

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of a Combined Exercise Intervention in the management of Benign Paroxysmal Positional Vertigo- A Single Blinded Randomized Controlled Trial


Affiliations
1 Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095, India
2 School of Physiotherapy, Saveetha University, Chennai, India
     

   Subscribe/Renew Journal


Aim: To find the effect of a combined exercise intervention namely Brandt-Daroff exercise (BDE) combined with Cawthorne Cooksey exercises (CCE) for treatment of vertigo among posterior canal benign paroxysmal positional vertigo (BPPV) subjects. Materials and methods: A total of 20 male and female subjects in the age group of 25-45 years were included if they were diagnosed with posterior canal benign paroxysmal positional vertigo. The recruited subjects were randomly divided into two groups. Group A (Experimental group) n=10 subjects received both BDE and CCE and Group B (Control group) n=10 subjects received only BDE. Results: The statistical analysis shows that both groups have significant improvement in their symptoms. Group A has greater improvement than Group B which is statistically significant. Conclusion: This study concludes that addition of Cawthorne -Cooksey habituation exercises along with Brandt-Daroff exercises is more effective in treatment of vertigo among posterior canal BPPV subjects.

Keywords

Conservative Therapy, Benign Paroxysmal Positional Vertigo, Vestibular Rehabilitation, Brandt-daroff Exercise, Cawthorne Cooksey Exercises.
Subscription Login to verify subscription
User
Notifications
Font Size


  • Furman J, Cass sp. BPPV. N Engl J Med 1999; 341(21):1590-6.

  • Herdman S, Tusa R. Avaliacao E Tratamento Dos pacieentes com vertigem postural paroxistica benigna. IN: reabilitacao vestibular. Barueri: manole; 2002. P.447-71.

  • Barany R. Diagnose Von Krankhe it ser schernugen in bereiche des Otolithen apparatus. Acta otolaryngal 1921; 2:434-7.

  • Katsarkas A. BPPV: idiopathic versus post-traumatic. Acta otolaryngol 1999; 119(7):745-9.

  • Lempert T, Gresty M, Bronstein A. BPPV: recognition and treatment. Br Med J 1995; 311:489-91.

  • Telian, Froeling, et al; Bilateral vestibular paresis: Diagnosis and treatment. Otolaryngol Head Neck Surg 104:67, 1991.

  • Ataca E etal, BPPV after stapedectomy, Laryngioscope 111(7): 1257-9; July 2001.

  • T. Brandt and R.B Daroff BPPV-What you need to know from veda publications R-5, BPPV.

  • Gananca CF, Dias CFG, Gananca MM. Orientaca nutricional e habitos do paciente vertiginous. In: Gananca MM. Estrategias therapeutics em Otoneurologia.2001 :55-66.

  • Lim dj; the development and structure of otoconia. In: I fridman, ultrastructural atlas of inner ear. London: butter orth, (1984) pp 245-269.

  • Hall SF Ruby RR, Mc Clure JA. The mechanics of boov. J otolaryngol 1979; 8(2):151.

  • Parnes LS, MC Clure JA. Free-floating endolymph particles: a new operative finding during posterior semi circular canal occlusion. Laryngoscope 1992; 102(9): 988-992.

  • Schuknecht HF. Cupololithiasis. Arch otolarngol 1969; 90:765

  • Schuknecht HF. Ruby RR. Cupololithiasis. Adv otolarngol 1973; 20:434.

  • Dix MR, Hall pike CS pathology, Symptomatology and diagnosis of certain disorders of the vestibular system. Proc R Soc Med 1952; 45: 341.

  • John Solomon, Efficacy of epleys maneuver along with Brandt- Daroff exercise in patients with BPPV; The journal of Indian association of Physiotherapist 2004 March: Volume (27).

  • T. Brandt and R.B. Daroff, Physical therapy for BPPV. Arch otolaryngol 106; 484-485.

  • Soto Varela A, Bartual Major J, Santos perzzs, perez-carrorios A, treatment of benign paroxysmal positional vertigo: A comparative prospective study of the efficacy of Brandt-Daroff exercises, semont and epley maneuver. Rev Laryngol Oyol Rhinol 2001; 122:179-83.

  • Gordon N. BPPV. Br J Clinpract 1996; 50(4): 208-210.

  • Sztrum T, Ireland DJ, lessing-turner m. Comparison of different exercises programe in the rehabilitation of patients with posterior canal of BPPV. Neurology 1994; 838-44.

  • Norre, ME, and De Weerdt, W: Treatment of vertigo Based on Habituation. J Laryngol Otol 94:971, 1980.

  • Shumway-cook, A, and Horak, FB:vestibular rehabilitation: An exercise approach to managing symptoms of vestibular dysfunction. Semin Hearing 10:196, 1989


Abstract Views: 216

PDF Views: 0




  • Effect of a Combined Exercise Intervention in the management of Benign Paroxysmal Positional Vertigo- A Single Blinded Randomized Controlled Trial

Abstract Views: 216  |  PDF Views: 0

Authors

K. Ramanathan
Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095, India
S. Veena Kirthika
Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095, India
K. Padmanabhan
Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095, India
Selvaraj Sudhakar
Dr. M. G. R. Educational and Research Institute, Maduravoyal, Chennai – 600095, India
S. Senthil Kumar
School of Physiotherapy, Saveetha University, Chennai, India

Abstract


Aim: To find the effect of a combined exercise intervention namely Brandt-Daroff exercise (BDE) combined with Cawthorne Cooksey exercises (CCE) for treatment of vertigo among posterior canal benign paroxysmal positional vertigo (BPPV) subjects. Materials and methods: A total of 20 male and female subjects in the age group of 25-45 years were included if they were diagnosed with posterior canal benign paroxysmal positional vertigo. The recruited subjects were randomly divided into two groups. Group A (Experimental group) n=10 subjects received both BDE and CCE and Group B (Control group) n=10 subjects received only BDE. Results: The statistical analysis shows that both groups have significant improvement in their symptoms. Group A has greater improvement than Group B which is statistically significant. Conclusion: This study concludes that addition of Cawthorne -Cooksey habituation exercises along with Brandt-Daroff exercises is more effective in treatment of vertigo among posterior canal BPPV subjects.

Keywords


Conservative Therapy, Benign Paroxysmal Positional Vertigo, Vestibular Rehabilitation, Brandt-daroff Exercise, Cawthorne Cooksey Exercises.

References