Comparison of RPM (Re-positioning Maneuver) & Liberatory maneuvers vs Betahistine on BPPV (Benign Paroxysmal Positional Vertigo) for improving functional ability and quality of life

Comparison of RPM and Liberatory Maneuvers

Authors

  • Muhammad Talha Margalla Institute of Health Sciences, Islamabad, Pakistan
  • Somiya Asif Margalla Institute of Health Sciences, Islamabad, Pakistan
  • Hamza Shahid Margalla Institute of Health Sciences, Islamabad, Pakistan
  • Syeda Maria Nazir Riphah International University, Islamabad, Pakistan
  • Kiran Haq Rawal Institute of Health Sciences, Islamabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i03.601

Keywords:

CRP, Betahistine, DHI, SF-36 QoL

Abstract

BPPV is a vestibular disease which arises due to positional changes of head. Objective: To compare the efficacy of CRP & Liberatory maneuvers collectively in contrast to Betahistine alone for improving quality of life oof BPPV patients. Methods: After getting the approval from ERC of RIHS (Rawal Institute of Health Sciences) Islamabad, this study was conducted at Rawal General & Dental Hospital Islamabad from 20th September 2022 to 19th Jan 2023. 30 patients between age of 20-50 years with first episode of vertigo were included in this study. Two groups were formulated. Group A patients were given CRP (Epley’s maneuver) & Liberatory maneuver (Semont’s) whereas group B patients were given just Betahistine 16mg. Both techniques were used twice a day for one week. Tools used for assessment were DHI & SF-36. SPSS version 21 was employed for analysis. Results: Mean+SD of age was 32.40+10.91 in group A and 29.93+11.67 in group B. The frequency of age between 20-30 years old patients was 07(46.4%) in group A and 11(73.7%) in group B. The frequency in age group 31-40 & 41-50 was 04(26.8%) & 04(26.8%) in group A whereas in group B it was 04(26.3%) & 0(0%) respectively. within group analysis of both groups showed significant improvement (p<0.05) on. Between groups Analysis revealed insignificant difference (p>0.05). Conclusion: Both maneuvers in combination are equally effective as Betahistine is in improving the quality of life of BPPV patients.

Author Biography

Muhammad Talha , Margalla Institute of Health Sciences, Islamabad, Pakistan

DPT department

References

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. Pakistan Journal of Medical Sciences. 2018 May; 34(3): 558-63. doi: 10.12669/pjms.343.14786

Jung I and Kim JS. Approach to dizziness in the emergency department. Clinical and experimental emergency medicine. 2015 Jun; 2(2): 75-88. doi: 10.15441/ceem.15.026

Bhattacharyya N, Gubbels SP, Schwartz SR, Edlow JA, El‐Kashlan H, Fife T, et al. Clinical practice guideline: benign paroxysmal positional vertigo (update). Otolaryngology-Head and Neck Surgery. 2017 Mar; 156: S1-47. doi: 10.1177/0194599816689667

Choi HG, Kim G, Kim BJ, Hong SK, Kim HJ, Lee HJ. How rare is benign paroxysmal positional vertigo in children? A review of 20 cases and their epidemiology. International Journal of Pediatric Otorhinolaryngology. 2020 May; 132: 110008. doi: 10.1016/j.ijporl.2020.110008

Lindell E, Kollén L, Johansson M, Karlsson T, Rydén L, Falk Erhag H, et al. Benign paroxysmal positional vertigo, dizziness, and health-related quality of life among older adults in a population-based setting. European Archives of Oto-Rhino-Laryngology. 2021 May; 278: 1637-44. doi: 10.1007/s00405-020-06357-1

Sinsamutpadung C and Kulthaveesup A. Comparison of outcomes of the Epley and Semont maneuvers in posterior canal BPPV: A randomized controlled trial. Laryngoscope Investig Otolaryngol. 2021 Jul; 6(4): 866-871. doi: 10.1002/lio2.619

Corsino J. Maximizing effectiveness of examination of patients with acute dizziness in the emergency department. Journal of Acute Care Physical Therapy. 2022 Jan; 13(1): 45-53. doi: 10.1097/JAT.0000000000000169

Türk B, Akpinar M, Kaya KS, Korkut AY, Turgut S. Benign paroxysmal positional vertigo: comparison of idiopathic BPPV and BPPV secondary to vestibular neuritis. Ear, Nose & Throat Journal. 2021 Aug; 100(7): 532-5. doi: 10.1177/0145561319871234

Zhang Y, Cao S, Lin B, Chen J, Chen X, Lin S, Zhuang C. A best evidence synthesis in practicing early active movements in ICU patients with mechanical ventilation. American Journal of Translational Research. 2021; 13(10): 11948-957.

Instrum RS and Parnes LS. Benign Paroxysmal Positional Vertigo. Advance Otorhinolaryngol. 2019 Jan; 82: 67-76. doi: 10.1159/000490273

Yeolekar AM, Shinde KJ, Qadri H. Innovative Use of Google Cardboard in Clinical Examination of Patients of Vertigo. Clin Med Insights Ear Nose Throat. 2019 Oct; 12: 1-3. doi: 10.1177/1179550619882012

Bhandari A, Bhandari R, Kingma H, Strupp M. Diagnostic and therapeutic maneuvers for anterior canal BPPV canalithiasis: three-dimensional simulations. Frontiers in neurology. 2021 Sep; 12: 740599. doi: 10.3389/fneur.2021.740599

You P, Agrawal SK, Parnes LS. Medical and Surgical Treatment of BPPV. Diagnosis and Treatment of Vestibular Disorders. 2019: 151-64. doi: 10.1007/978-3-319-97858-1_12

Ramos Alcocer R, Ledezma Rodriguez JG, Navas Romero A, Cardenas Nunez JL, Rodriguez Montoya V, Deschamps JJ, et al. Use of betahistine in the treatment of peripheral vertigo. Acta oto-laryngologica. 2015 Dec; 135(12): 1205-11. doi: 10.3109/00016489.2015.1072873

Cavaliere M, Mottola G, Iemma M. Benign paroxysmal positional vertigo: a study of two manoeuvres with and without betahistine. Acta otorhinolaryngologica italica. 2005 Apr; 25(2): 107-12.

Salman M, Umar M, Badshah M, Naeem A. Effect of modified epley's & semont's maneuvers with or without beta-histine on benign paroxysmal positional vertigo: a randomized control trail. The Rehabilitation Journal. 2022 Jun; 6(02): 346-50. doi: 10.52567/trj.v6i02.124

Stambolieva K and Angov G. Effect of treatment with betahistine dihydrochloride on the postural stability in patients with different duration of benign paroxysmal positional vertigo. International Tinnitus Journal. 2010 Jun; 16(1): 32-6.

Lee JD, Shim DB, Park HJ, Song CI, Kim MB, Kim CH, et al. A multicenter randomized double-blind study: comparison of the Epley, Semont, and sham maneuvers for the treatment of posterior canal benign paroxysmal positional vertigo. Audiol Neurootol. 2014; 19(5): 336-41. doi: 10.1159/000365438

Iqbal KM and Dhanu R. Differences Effects of Additional Betahistine Mesylate and Brandt-Daroff Training After Manuver Epley on Patient Treatment Benign Paroxysmal Positional Vertigo. 2021 May; 8(5): 9-13. doi.org/10.29121/ijrsm.v8.i5.2021.2

Sayin I, Koç RH, Temirbekov D, Gunes S, Cirak M, Yazici ZM. Betahistine add-on therapy for treatment of subjects with posterior benign paroxysmal positional vertigo: a randomized controlled trial. Brazilian Journal of Otorhinolaryngology. 2022 Jun; 88: 421-6. doi: 10.1016/j.bjorl.2020.07.011

Downloads

Published

2023-03-31
CITATION
DOI: 10.54393/pjhs.v4i03.601
Published: 2023-03-31

How to Cite

Talha , M. ., Asif, S. ., Shahid, H. ., Nazir, S. M., & Haq, K. (2023). Comparison of RPM (Re-positioning Maneuver) & Liberatory maneuvers vs Betahistine on BPPV (Benign Paroxysmal Positional Vertigo) for improving functional ability and quality of life: Comparison of RPM and Liberatory Maneuvers. Pakistan Journal of Health Sciences, 4(03), 54–58. https://doi.org/10.54393/pjhs.v4i03.601

Issue

Section

Original Article

Plaudit

Most read articles by the same author(s)