Vestibular rehabilitation of benign paroxysmal positional vertigo

Abstract EN

Objective : Assessment of the outcome of treatment in BPPV patients objectively using the videonystagmoscope and clinical sensory organization testing and subjectively using two global measures disability rating score and post-therapy symptoms score.

Method : Twenty patients with BPPV were treated with Epley’s maneuver in addition to home exercises (Habitual exercises and balance retraining exercises).

Results : The results of videonystagmoscope and post-therapy symptoms score revealed that 60% of patients were cured and 80 % were cured or improved and 20 % were improving.

The mean post-therapy disability score was significantly lower than pre-therapy score.

The Dynamic posturography equilibrium score worsened significantly in conditions (3-6) and composite in pretreatment group and significantly improved post-treatment, but still significantly lower than the control group.

In sensory analysis the vestibular, visual and preference scores were significantly lower in the pre-treatment group but significantly improved after treatment but still lower than the control group except visual preference which became near the normal score.

Conclusion : head repositioning maneuver plus vestibular exercises were beneficial in improving balance function in patients with BPPV .