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Fırat Tıp Dergisi
2010, Cilt 15, Sayı 3, Sayfa(lar) 131-136
[ Turkish ] [ Tam Metin ] [ PDF ]
The Efficacy of Semont and Modified Epley Maneuvers in Benign Paroxysmal Positional Vertigo and Preventative Effect of Brandt-Daroff Exercises on Recurrence
Bekir DURMUŞ1, Yezdan FIRAT2, Tülay YILDIRIM3, Tayyar KALCIOĞLU4, Zuhal ALTAY1
1İnönü Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, MALATYA, Türkiye
2Memorial Ataşehir Hastanesi, Kulak Burun Boğaz Birimi, İSTANBUL, Türkiye
3Özel Gözde Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, MALATYA, Türkiye
4İnönü Üniversitesi Tıp Fakültesi, Kulak Burun Boğaz Anabilim Dalı, MALATYA, Türkiye

Objective: The aim of this study is to investigate the efficacy of Semont and Modified Epley maneuvers in patients with benign paroxismal positional vertigo (BPPV) and the preventative effect of Brandt-Daroff exercises performed after the maneuvers on recurrence of BPPV.

Materials and Methods: Fourty-six (17 male and 29 female) patients with a history and positive Dix-Hallpike test consistent with BPPV were entered in the study. Patients were randomly allocated to Semont and Modified Epley maneuvers applied groups. Maneuvers were completed if the patient responded with complete relief of BPPV after one to three sessions. All patients performed Brandt-Daroff vestibular habituation exercises for two weeks after maneuvers. Patients were evaluated with the presence and absence of vertigo and Dix-Hallpike test. For recurrence of BPPV, the patients were followed up for six months.

Results: The recovery ratios for Semont maneuver applied group after first, second and third maneuvers were 65,2%, 78,2% and 87% respectively. The ratios for Modified Epley maneuver applied group were 73,9%, 86,9% and 91,3% respectively. There was no statistically significant difference between groups. After exercises, while the recovery ratio for Semont group reached to 92,3%, all of patients in Modified Epley group got recovered. After 6 months, vertigo was recurred in 19% and 26,1% of patients respectively in Semont and Modified Epley groups.

Conclusion: It was concluded that both Semont and Modified Epley maneuvers are very effective maneuvers in the treatment of BPPV. Although Brandt-Daroff exercises have no preventative effect on recurrence of BPPV.


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