Effect of Epley's Maneuver and Brandt-Daroff Exercises on Decreasing Severity and Recurrence of Benign Paroxysmal Positional Vertigo

Abstract

Background The widely prevalent condition of the inner ear's vestibular system, which is essential for preserving balance, is known as Benign Paroxysmal Positional Vertigo (BPPV). Epley's manoeuvre and Brandt-Daroff exercises are the two extremely often used manoeuvres for the management of posterior canal BPPV. These maneuvers primarily serve to move debris from the canal to the utricle and to alleviate discomfort. Objective: To assess the effect of Epley's Maneuver and Brandt-Daroff Exercises on decreasing severity and recurrence of benign paroxysmal positional vertigo. Method: A quasi-experimental research design with a pretest-posttest control group was used. Otolaryngology clinic of Matrouh General Hospital, Egypt was the study setting. Eighty adults were randomized to the experimental group (n = 40) and the control group (n = 40). Results: 80 participants were analyzed; the Epley's maneuver and Brandt-Daroff exercises group showed a significantly greater improvement in on the duration and frequency of BPPV, overall vertigo handicap questionaire in the study group at three weeks (p=0.002 * ,0.014*, 0.000 and 95% CI-5.048 to-1.202,-38.464 to-4.486 and-7.741 to-3.209) and at six weeks (p=0.000*, 0.001*, 0.000; and 95% CI 3.692 to1.658, 31.430 to-8.326 and11.946 to 6.504) respectively. Conclusions: Application of Epley's maneuver and Brandt-Daroff exercises is feasible and effective in alleviating duration, frequency, and severity of BPPV and its impact on physical activity, emotional wellbeing and social activities. Recommendations: To lessen the duration, frequency, and severity of BPPV, Epley's technique and Brandt-Daroff exercises must be incorporated into the therapeutic routine care.