{"id":202,"date":"2017-06-10T05:43:09","date_gmt":"2017-06-10T05:43:09","guid":{"rendered":"http:\/\/www.ijmhr.org\/IntJPhysiotherRes\/?page_id=202"},"modified":"2017-06-10T05:43:53","modified_gmt":"2017-06-10T05:43:53","slug":"ijpr-2016-157","status":"publish","type":"page","link":"https:\/\/www.ijmhr.org\/IntJPhysiotherRes\/ijpr-2016-157","title":{"rendered":"IJPR.2016.157"},"content":{"rendered":"

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Type of Article:<\/strong>\u00a0\u00a0Original Research<\/h3>\n

Volume 5; Issue 3\u00a0(June 2017)<\/strong><\/h3>\n

Page No.:<\/strong>\u00a02051-2055<\/h3>\n

DOI:\u00a0<\/strong>https:\/\/dx.doi.org\/10.16965\/ijpr.2016.157<\/h3>\n

THE EFFECT OF POSTURAL RESTRICTIONS IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO: RANDOMIZED CONTROL TRIAL<\/h3>\n

Anil R Muragod *1<\/sup>, Sanjiv Kumar 2<\/sup>.<\/strong><\/p>\n

*1 <\/sup>MPT, Assistant Professor. KLEU Institute of Physiotherapy, Belgavi. Karnataka. India.<\/p>\n

2<\/sup> MPT, PhD Professor. KLEU Institute of Physiotherapy, Belgavi. Karnataka. India.<\/p>\n

\u00a0<\/strong>Corresponding author: <\/strong>Dr Anil R Muragod, Assistant Professor, HOD of Geriatric Physiotherapy, KLEU Institute of Physiotherapy, JNMC,Campus, Nehrunagar, Belgavi-590010, Karnataka, India. Mobile no 09164694970. E-Mail:<\/strong> dranilphysio@rediffmail.com.<\/p>\n

ABSTRACT:<\/strong><\/p>\n

Background and purpose: <\/strong>The Benign Paroxysmal Positional Vertigo (BPPV) is defined as disorder of the inner ear characterized by repeated episodes of positional vertigo. The BPPV can be managed with various office procedures like Epley\u2019s maneuver, Samont maneuver and Gans Maneuvers etc. After these maneuvers postural restrictions are generally advised so the aim of study was to determine the effectiveness postural restrictions after Epley\u2019s maneuver.<\/p>\n

Materials and Methods: <\/strong>30 subjects with BPPV were included in the study after obtaining institutional ethical clearance. After fulfillment of inclusion criteria and exclusion criteria the informed consent was obtained from all the subjects. The convenient sampling design was used. The subjects were assigned in to two groups by envelop method. Group A received Epleys maneuver with postural restrictions and group B received only Epleys maneuver. Dizziness handicap inventory (DHI) measures were taken before the maneuvers and after one week of follow-up.<\/p>\n

Results: <\/strong>In both Epleys maneuver with postural restriction and in Epleys maneuver group shows statistically significant decrease in DHI scores with p value of .001 by using paired t test.<\/p>\n

Conclusion: <\/strong>Both Epleys maneuver with postural restrictions and Epleys maneuver group are equally effective in the treatment of BPPV. In routine BPPV treatment we can stop advising the postural restrictions to the subjects so that we can avoid the discomfort to the subjects because of postural restrictions.<\/p>\n

Key words<\/strong>: Vestibular rehabilitation, BPPV, DHI, Epleys maneuver, Postural restrictions.<\/p>\n

REFERENCES<\/strong><\/p>\n

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  1. Neel Bhattacharyya, Reginald F, Baugh, Larura Orvidas, David Barrs, et al Clinical Practice Guideline: Benign Paroxysmal Positional Vertigo, Otolaryngology-head and neck surgery. 2008;137:S47-S81.<\/li>\n
  2. John Graham and David Baguley, Ballantyne\u2019s Deafness, 7th<\/sup> edition 2001 Whurr Publication Page no 272-285.<\/li>\n
  3. Susan J Herdaman, Vestibular rehabilitation 2nd<\/sup> edition F. A Davisn company Philadelphia 451-475.<\/li>\n
  4. Korres, D. G. Balatsouras, A. Kaberos, C. Economou, D Kandiloros, and E. Ferekidis, Occurrence of semicircular canal involvement in benign paroxysmal positional vertigo,\u201d Otology and Neurotology, 2002;23(6):926-932.<\/li>\n
  5. Susan B O Sullivan, Thomas J. Schmitz, Physical rehabilitation 4th<\/sup> edition Jaypee Brothers Medical publishers (P) Ltd, Page no 821-843.<\/li>\n
  6. Seung-Han Lee, Ji Soo Kim Benign Paroxysmal Positional Vertigo, J Clin Neurol. Jun2010;6(2):51-63.<\/li>\n
  7. Janet Odriy Helminski, David Samuel Zee, Imke Janssen, Timothy Carl Hain, Effectiveness of Particle Repositioning Maneuvers in the treatment of\u00a0\u00a0 Benign Paroxysmal Positional Vertigo; Systematic Review Physical Therapy 2010;90(5):663-678.<\/li>\n
  8. Richard E. Gans, and Patricia A. Harrington-Gans, Au.D. Treatment Efficacy of Benign Paroxysmal Positional Vertigo (BPPV) with Canalith Repositioning Maneuver and Semont Liberatory Maneuver in 376 Patients. Seminars in hearing\/volume 23. Number 2 2002 Pg no 129-141.<\/li>\n
  9. George X. Papacharalampous, P. V. Vlastarakos, G. P. Kotsis, D. Davilis, and L.Manolopoulos. The Role of Postural Restrictions after BPPV Treatment: Real Effect on Successful Treatment and BPPV\u2019s Recurrence Rates International Journal of Otolaryngology. Volume 2012, Article ID 932847, 5 pages doi:10.1155\/2012\/932847.<\/li>\n
  10. Darcy A, Umphred, Neurological rehabilitation, 4th<\/sup> edition Mosby.Inc.2001 USA, Pg no 616-660.<\/li>\n
  11. Patricia Q. McGinnis, Marissa Nebbia, Lisa Saez, Katherine Rudolph, Retrospective Comparison of Outcomes for Patients with Benign Paroxysmal Positional Vertigo Based on Length of Postural Restrictions Journal of Geriatric Physical Therapy 2009;32(4):168-173.<\/li>\n
  12. Sauron B,Dobler S. Benign paroxysmal positional vertigo. Diagnosis, course, physiopathology and treatment. Rev Prat.\u00a01994;44(3):313-8.<\/li>\n
  13. Fyrmpas, D. Rachovitsas, A. B. Haidich et al. \u201cAre postural restrictions after an Epley maneuver unnecessary? First results of a controlled study and review of the literature,\u201d Auris Nasus Larynx, 2009;36(6):637-643.<\/li>\n
  14. Michel Toupet, Evelyne Ferrary, and Alexis Bozorg Grayeli. Effect of Repositioning Maneuver Type and Post maneuver Restrictions on Vertigo and Dizziness in Benign Positional Paroxysmal Vertigo. The Scientific World Journal Volume 2012, Article ID 162123, 7 pages doi:10.1100\/2012\/162123.<\/li>\n<\/ol>\n

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    \n \t Cite this article:<\/strong><\/span> Anil R Muragod, Sanjiv Kumar. THE EFFECT OF POSTURAL RESTRICTIONS IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO: RANDOMIZED CONTROL TRIAL. Int J Physiother\u00a0Res 2017;5(3):2051-2055. DOI: 10.16965\/ijpr.2016.157 \n <\/div>\t\n\t\t\n","protected":false},"excerpt":{"rendered":"

    Type of Article:\u00a0\u00a0Original Research Volume 5; Issue 3\u00a0(June 2017) Page No.:\u00a02051-2055 DOI:\u00a0https:\/\/dx.doi.org\/10.16965\/ijpr.2016.157 THE EFFECT OF POSTURAL RESTRICTIONS IN THE TREATMENT OF BENIGN PAROXYSMAL POSITIONAL VERTIGO: RANDOMIZED CONTROL TRIAL Anil R Muragod *1, Sanjiv Kumar 2. *1 MPT, Assistant Professor. KLEU Institute of Physiotherapy, Belgavi. Karnataka. India. 2 MPT, PhD Professor. KLEU Institute of Physiotherapy, Belgavi.
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