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


  • 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



CRP, Betahistine, DHI, SF-36 QoL


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


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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.



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