Background: The canalith repositioning procedure (CRP),
developed by Epley, was designed to use gravity to treat canalithiasis of the
PC. The clinician moves the patient through a series of 4 positions. With each
position, the otoconia settle to the lowest part of the canal, move around the
arc of the PC, and finally deposit in the vestibule.
To determine the efficacy of particle repositioning manoeuvres in benign
paroxysmal positional vertigo.
Study design: Cross Sectional Validation Study
Settings: Department of ENT, Shaikh Zayed Hospital,
Study duration: 20thAugust 2018 to 19th
total of 94 patients with benign paroxysmal positional vertigo, 20 to 60 years
of age of either gender were included. Patients with cervical spondylosis,
ongoing CNS disease (stroke or TIA), and cardiovascular disease and pregnant
women were excluded. After this, the Epley manoeuvre (patient was placed in a
sitting position with the head turned 45° towards the affected side and then
reclined past the supine position) was used to treat the posterior and superior
canals, and Lempert manoeuvre (patient lied supine with affected ear down, then
quickly turn the head 90° towards the unaffected side, facing up and wait 15-20
seconds between each head turn) was used to treat the horizontal canal.
Results: Age range in this study was
from 20 to 60 years with mean age of 41.78 ± 9.55 years. Out of 94 patients, 49
(52.13%) were male and 45 (47.87%) were females with male to female ratio
1.1:1. In our study, efficacy of particle repositioning manoeuvres in benign
positional paroxysmal vertigo was found in 60 (63.83%) patients.
Conclusion: This study concluded that efficacy of particle repositioning manoeuvres
in benign positional paroxysmal vertigo is quite high.
paroxysmal positional vertigo, particle repositioning manoeuvres, efficacy.