Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial
Objectives: Benign paroxysmal positional vertigo (BPPV) is a condition in which a patient gets severe vertigo on moving his head from one position to another. This study aims at comparing the traditional maneuver-Epley repositioning maneuver (ERM) and the newly emerged maneuver-Gans Repositioning ma...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Annals of Indian Academy of Neurology |
| Subjects: | |
| Online Access: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=4;spage=537;epage=542;aulast=Dhiman |
| _version_ | 1797649504060571648 |
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| author | Neetu R Dhiman Deepika Joshi Vyom Gyanpuri Abhishek Pathak Anand Kumar |
| author_facet | Neetu R Dhiman Deepika Joshi Vyom Gyanpuri Abhishek Pathak Anand Kumar |
| author_sort | Neetu R Dhiman |
| collection | DOAJ |
| description | Objectives: Benign paroxysmal positional vertigo (BPPV) is a condition in which a patient gets severe vertigo on moving his head from one position to another. This study aims at comparing the traditional maneuver-Epley repositioning maneuver (ERM) and the newly emerged maneuver-Gans Repositioning maneuver (GRM). Design: A randomized controlled trial. Settings: Tertiary care teaching University Hospital. Participants: Posterior canal BPPV. Intervention: Two hundred and thirty-four patients with BPPV (PC-BPPV) of the posterior canal, diagnosed using the Dix-hallpike test (DH test), were recruited for the study as per random allocation. Two groups were divided by the random allocation method. One group was treated with the Epley maneuver and the other with Gans maneuver by two separate physiotherapists. Main Outcome Measures: DH test negativity (absence of vertigo and nystagmus), Vertigo Analogue Scale (VAS), and Dizziness Handicap Inventory (DHI). Twenty-four hours post-treatment assessments and data analysis were conducted by another (third) therapist. A one month follow-up subjective assessment was performed. Results: Results of one-variable Chi-square tests revealed significant improvement (P < .0001) in maximum (95%) patients of both groups whether subjects were given GRM or ERM. Also, objective improvement (DH test) was found in the Epley group (n = 118, 82.20%) and the Gans group (n = 116, 78.44%). Patients in both groups improved significantly with no dizziness on the VVAS scale (n = 118, 82.20%) in the Epley group and (n = 116, 78.44%) in the Gans group. Conclusion: GRM is as easy, effective, and safe maneuver as the ERM with the absence of recurrence for the treatment of posterior canal BPPV. Trial Registration: Clinical Trials Registry (CTRI/2019/10/021681). |
| first_indexed | 2024-03-11T15:48:04Z |
| format | Article |
| id | doaj.art-6e11ae5646ee459795dc0f99e2ad505a |
| institution | Directory Open Access Journal |
| issn | 0972-2327 1998-3549 |
| language | English |
| last_indexed | 2024-03-11T15:48:04Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Indian Academy of Neurology |
| spelling | doaj.art-6e11ae5646ee459795dc0f99e2ad505a2023-10-26T05:44:42ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492023-01-0126453754210.4103/aian.aian_12_23Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trialNeetu R DhimanDeepika JoshiVyom GyanpuriAbhishek PathakAnand KumarObjectives: Benign paroxysmal positional vertigo (BPPV) is a condition in which a patient gets severe vertigo on moving his head from one position to another. This study aims at comparing the traditional maneuver-Epley repositioning maneuver (ERM) and the newly emerged maneuver-Gans Repositioning maneuver (GRM). Design: A randomized controlled trial. Settings: Tertiary care teaching University Hospital. Participants: Posterior canal BPPV. Intervention: Two hundred and thirty-four patients with BPPV (PC-BPPV) of the posterior canal, diagnosed using the Dix-hallpike test (DH test), were recruited for the study as per random allocation. Two groups were divided by the random allocation method. One group was treated with the Epley maneuver and the other with Gans maneuver by two separate physiotherapists. Main Outcome Measures: DH test negativity (absence of vertigo and nystagmus), Vertigo Analogue Scale (VAS), and Dizziness Handicap Inventory (DHI). Twenty-four hours post-treatment assessments and data analysis were conducted by another (third) therapist. A one month follow-up subjective assessment was performed. Results: Results of one-variable Chi-square tests revealed significant improvement (P < .0001) in maximum (95%) patients of both groups whether subjects were given GRM or ERM. Also, objective improvement (DH test) was found in the Epley group (n = 118, 82.20%) and the Gans group (n = 116, 78.44%). Patients in both groups improved significantly with no dizziness on the VVAS scale (n = 118, 82.20%) in the Epley group and (n = 116, 78.44%) in the Gans group. Conclusion: GRM is as easy, effective, and safe maneuver as the ERM with the absence of recurrence for the treatment of posterior canal BPPV. Trial Registration: Clinical Trials Registry (CTRI/2019/10/021681).http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=4;spage=537;epage=542;aulast=Dhimanpositional vertigorandomized controlled trialvestibular |
| spellingShingle | Neetu R Dhiman Deepika Joshi Vyom Gyanpuri Abhishek Pathak Anand Kumar Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial Annals of Indian Academy of Neurology positional vertigo randomized controlled trial vestibular |
| title | Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial |
| title_full | Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial |
| title_fullStr | Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial |
| title_full_unstemmed | Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial |
| title_short | Comparison between epley and gans repositioning maneuvers for posterior canal BPPV: A randomized controlled trial |
| title_sort | comparison between epley and gans repositioning maneuvers for posterior canal bppv a randomized controlled trial |
| topic | positional vertigo randomized controlled trial vestibular |
| url | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2023;volume=26;issue=4;spage=537;epage=542;aulast=Dhiman |
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