EFFECTIVENESS OF SEMONT MANEUVER ALONG WITH VESTIBULAR REHABILITATION IN ADULT WITH BENIGN PAROXYSMAL POSITIONAL VERTIGO: RCT

Abstract

Background: BPPV is dened as an inner-ear disorder characterized by repeated episodes of positional vertigo. Vertigo and balance disorders are the most relevant factors among older adults and associated with immobility, decreased participation and ADL. In BPPV, SM is preferred, in which vestibular debris is shifted from the semilunar-canal by rapidly putting the patient in various positions. VR is an exercise-based therapy, which consists of various eye, head and body movements to stimulate the vestibular-system. Objective:The purpose of the study was to nd the effectiveness of SM in adult people to reduce symptoms, improve balance and QoL with BPPV. Study design:RCT Methods: In 4-weeks interventional study, 30 participants with features of BPPV were studied. They were divided into 2 groups by simple random sampling; Group A: experimental group and Group B: control group. Pre and post-treatment data were collected and analyzed using SPSS 22.0. McNemar and Paired t-test were used to nd out the signicance of the treatment. Results: A signicant improvement was found in balance through the BBS and reduced symptoms through Dix-Hallpike test (p<0.05) after treatment. A greater statistically signicant difference was seen in Group A. Conclusion: The study concluded that the combined effect of SM along with VR shows signicant improvement in reducing symptoms of BPPV and improve the balance and QoL.