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CC BY-NC-ND 4.0 · Annals of Otology and Neurotology 2022; 05(01): 028-030
DOI: 10.1055/s-0043-1761405
Original Article

Epley versus Semont Maneuver in the Treatment of Benign Paroxysmal Positional Vertigo

Aravind Karuppan Muthu
1   Department of Otorhinolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
,
Kiran Ravindranath Bongale
1   Department of Otorhinolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
,
Vikram Kemmannu Bhat
1   Department of Otorhinolaryngology, Head and Neck Surgery, Karnataka Institute of Medical Sciences, Hubli, Karnataka, India
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Abstract

Introduction Benign paroxysmal positional vertigo (BPPV) is characterized by brief but violent attacks of paroxysmal vertigo provoked by certain positions of the head. This study aimed to compare the outcomes of Epley and Semont maneuvers for the relief of vertigo in posterior semicircular canal BPPV.

Materials and Methods This was a prospective comparative study conducted in a tertiary referral hospital over 1 year. Among 70 cases of BPPV, 35 were treated with Epley and 35 with Semont maneuver. Follow-up was done at 1 week, 1 month, and 3 months to assess symptomatic improvement using visual analogue scale.

Results Out of 70 patients of BPPV, 62 patients responded very well to the maneuvers and got relief from vertigo. Thirty-two patients (91.4%) in the Epley group and 30 (85.7%) patients in the Semont group had a significant improvement post-therapy and the balance was the same in both groups. At 1 month, there was no significant statistical difference in mean visual analogue score (VAS) score between both groups.

Conclusion Majority of cases showed symptomatic improvement with both maneuvers. However, patients treated with Epley maneuver showed earlier relief from vertigo than those treated with the Semont maneuver.

Keywords

BPPV - maneuver - posterior semicircular canal


Publication History

Article published online:
25 May 2023

© 2023. Indian Society of Otology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 von Brevern M, Radtke A, Lezius F. et al. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry 2007; 78 (07) 710-715
    CrossrefPubMedGoogle Scholar
  • 2 Whitney SL, Alghwiri A, Alghadir A. Physical therapy for persons with vestibular disorders. Curr Opin Neurol 2015; 28 (01) 61-68
    CrossrefPubMedGoogle Scholar
  • 3 Epley JM. The canalith repositioning procedure: for treatment of benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 1992; 107 (03) 399-404 DOI: 10.1177/019459989210700310.
    CrossrefPubMedGoogle Scholar
  • 4 Semont A, Freeys G, Vitte E. Curing the benign paroxysmal vertigo with a liberatory maneuver. Adv Otolaryngol 1988; 42: 290-293
    Google Scholar
  • 5 Hanley K, O’Dowd T, Considine N. A systematic review of vertigo in primary care. Br J Gen Pract 2001; 51 (469) 666-671
    PubMedGoogle Scholar
  • 6 Katsarkas A. Benign paroxysmal positional vertigo (BPPV): idiopathic versus post-traumatic. Acta Otolaryngol 1999; 119 (07) 745-749
    CrossrefPubMedGoogle Scholar
  • 7 Celis-Aguilar EM, Medina-Cabrera CA, Torrontegui-Zazueta LA. et al. Short-term effect of Epley maneuver as treatment for subjective benign paroxysmal positional vertigo. Indian J Otolaryngol Head Neck Surg 2022; 74: 545-549
    CrossrefPubMedGoogle Scholar
  • 8 Cetin YS, Ozmen OA, Demir UL, Kasapoglu F, Basut O, Coskun H. Comparison of the effectiveness of Brandt-Daroff vestibular training and Epley canalith repositioning maneuver in benign Paroxysmal positional vertigo long term result: a randomized prospective clinical trial. Pak J Med Sci 2018; 34 (03) 558-563
    CrossrefPubMedGoogle Scholar
  • 9 Vijayaraj V. A comparison between the effect of Epley’s manoeuvre and Brandt-Daroff exercise in improving the quality of life (QOL) in patients with benign paroxysmal positional vertigo (BPPV). Int J Appl Dent Sci 2018; 4 (02) 228-237
    Google Scholar
  • 10 Karanjai S, Saha AK. Evaluation of vestibular exercises in the management of BPPV. Indian J Otolaryngol Head Neck Surg 2010; 62 (02) 202-207
    CrossrefPubMedGoogle Scholar
  • 11 Acharya S, Biswal S, Dash S, Aparajitha A. Comparative study of Epley’s and Semont’s maneuver in treatment of benign paroxysmal positional vertigo in a tertiary care hospital. Indian J Otol 2020; 26 (04) 211-214
    Google Scholar
  • 12 Gupta AK, Sharma KG, Sharma P. Effect of Epley, Semont Maneuvers and Brandt-Daroff exercise on quality of life in patients with posterior semicircular canal benign paroxysmal positional vertigo (PSCBPPV). Indian J Otolaryngol Head Neck Surg 2019; 71 (01) 99-103
    CrossrefPubMedGoogle Scholar
  • 13 Sen K, Sarkar A, Raghavan A. Comparative efficacy of Epley and Semont manoeuvre in benign paroxysmal positional vertigo: a prospective randomized double-blind study. Astrocyte 2016; 3 (02) 96
    CrossrefGoogle Scholar
  • 14 Gaur S, Awasthi SK, Bhadouriya SK, Saxena R, Pathak VK, Bisht M. Efficacy of Epley’s maneuver in treating BPPV patients: a prospective observational study. Int J Otolaryngol 2015; 2015: 487160
    CrossrefPubMedGoogle Scholar
  • 15 Akula S, Reddy LS, Kiran AS, Suresh AM. Clinical study of BPPV and the effectiveness of canalolith repositioning manoeuvre in subjects of BPPV. Indian J Otolaryngol Head Neck Surg 2022; 74 (01) 96-102
    CrossrefPubMedGoogle Scholar
  • 16 Cohen HS, Sangi-Haghpeykar H. Canalith repositioning variations for benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg 2010; 143 (03) 405-412
    CrossrefPubMedGoogle Scholar
  • 17 Pérez-Vázquez P, Franco-Gutiérrez V. Treatment of benign paroxysmal positional vertigo. A clinical review. J Otol 2017; 12 (04) 165-173
    CrossrefPubMedGoogle Scholar
  • 18 Kader HAA, Halim FNA, Rahman TTA. A comparative study on effectiveness of the rolling-over maneuver in rehabilitation of patients with posterior semicircular canal benign paroxysmal positional vertigo. Egypt J Otolaryngol 2014; 30: 88-93
    CrossrefGoogle Scholar
  • 19 Toupet M, Ferrary E, Grayeli ABozorg. Effect of repositioning maneuver type and postmaneuver restrictions on vertigo and dizziness in benign positional paroxysmal vertigo. ScientificWorldJournal 2012; 2012: 162123
    CrossrefPubMedGoogle Scholar