Application of epley maneuver in treating Benign paroxysmal positional vertigo (bppv)

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AIM: To evaluate the outcome of Epley Maneuver in treating Benign Paroxysmal Positional Vertigo (BPPV). MATERIAL AND METHODS:A cross sectional study was done in two private hospitals over a span of 2 years between July 2014 to December 2016.Forty One patients were evaluated who presented with the complains of recurrent episodes of vertigo with change inposture.Epley and other maneuvers were administered to the 41 patients.The data has been presented together with the outcome after Epley maneuver.RESULT: Out of 41 patients that were encountered for 2 years, results were assessed immediately, one week and one month after performing Epley procedure, Immediately after the procedure, 21 patients (51%) had full resolution of symptoms (vertigo and giddiness), 9 patients (22%) had 70%-80% resolution of symptoms, 7 patients (17%) had 40-50% resolution of symptoms and 4 patients (9%) had no improvement in their symptoms.After one week of follow-up, 30 patients (73%) had full resolution of symptoms, 6 patients (14%) had 70%-80% resolution of symptoms, 3 patients (7%) had 40%-50% resolution of symptoms and 2 patients (4%) had no improvement in their symptoms.After one month of follow-up 35 patients (85%) recovered fully without any symptoms, 3 patients (7%) had more than 80% improvement in their symptoms, 1 (2%) patient had no improvement in the symptoms and 2 patients (4%) lost during the follow up.The posterior semicircular canal was involved in 32 (78.04%) patients, lateral semicircular canal was involved in 6 (14.6%) patients and anterior semicircular canal was involved in 3 (7.31%)patients.Although Epley maneuver has rare adverse effects but in our study 5 patients (12%) had temporary neck pain and stiffness post procedure CONCLUSION: In conclusion the Epley Maneuver is safe, reliable and effective procedure that can be performed in general practice at the bedsidewithout having any significant side effects in treating patients with Benign Paroxysmal Positional Vertigo.

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