Effect of Epleys Maneuver versus Brandt-daroff Maneuver followed by gaze stability exercise on dizziness and vertigo in subjects with benign paroxysmal positional vertigo (BPPV), dysfunction in India

Background Benign paroxysmal positional vertigo is a syndrome with brief scenes of vertigo related with the frequent changes in head position. The main symptoms include vertigo, nystagmus and balance impairment among others. Drugs available till now have little or no role in the management of BPPV but clinical maneuvers are available to subside the symptoms. The most commonly used maneuvers are Epley’s and Brandt-Daroff maneuvers. Gaze stability exercise is also a common and feasible exercise administered to BPPV subjects to reduce their symptoms. Objective: To find out whether Epley’s or Brandt-Daroff maneuver followed by gaze stability will have more effect on reducing dizziness, vertigo and improving quality of life in subjects with BPPV. Method 30 subjects diagnosed with BPPV were included in the study and divided into two groups; Group A 15 subjects who were administered Epley’s Maneuver and Group B 15 subjects who were administered Brandt-Daroff Maneuver. Subjects in both groups were instructed to perform Gaze Stability Exercises for 2 weeks. Result The pre-post DHA score within each group was significantly different. However, the difference between the groups was not statistically significant.Conclusion Both treatment combinations can improve dizziness even on the follow-up of 2 weeks but the study found was no superiority of one treatment protocol over the other.