Effectiveness of Epley–Canalith Repositioning Procedure versus Vestibular Rehabilitation Therapy in Diabetic Patients with Posterior Benign Paroxysmal Positional Vertigo: A Randomized Trial

Author:

Shaphe Mohammad Abu1ORCID,Alshehri Mohammed M.1ORCID,Alajam Ramzi Abdu1ORCID,Beg Rashid Ali1ORCID,Hamdi Najat Ibrahim A.1,Nanjan Saravanakumar1,Esht Vandana1,Aljahni Mohammed A.2ORCID,Ahmed Hashim3,Ahmad Ausaf4ORCID,Aafreen 5,Khan Ashfaque5,Khan Abdur Raheem5

Affiliation:

1. Department of Physical Therapy, College of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia

2. Physical Education Department, Jazan University, Jazan 45142, Saudi Arabia

3. Department of Medical Rehabilitation Science, College of Applied Medical Sciences, Najran University, Najran 66252, Saudi Arabia

4. Department of Community Medicine, IIMS&R, Integral University, Lucknow 226026, India

5. Department of Physiotherapy, Integral University, Lucknow 226026, India

Abstract

Benign paroxysmal positional vertigo (BPPV) is a common inner ear disorder, characterized by brief episodes of vertigo caused by changes in head position. The condition can cause significant functional impairment and reduced quality of life. BPPV is especially common among diabetic patients. The Epley–canalith repositioning procedure (CRP) and vestibular rehabilitation therapy (VRT) are two commonly used interventions for the treatment of BPPV. The objective of this study is to compare the effectiveness of Epley–canalith repositioning procedure (ECRP) and Vestibular Rehabilitation (VR) therapy in the management of vertigo among Type 2 Diabetes Mellitus patients. A total of 30 subjects with Type 2 diabetes mellitus, aged between 40 and 65 years, were randomly allocated to either the ECRP or VR therapy groups using a lottery method, and then underwent Epley–canalith repositioning procedure or vestibular rehabilitation therapy, respectively. The outcomes measured by the study were Vertigo Symptom Scale–Short Form (VSS–sf) score and Berg Balance Scale (BBS) score, assessed pre-treatment (pre) and 4 weeks post-treatment (post). The results demonstrated that both ECRP and VR therapy led to improvements in VSS–sf and BBS scores. However, VR therapy was found to be more effective, resulting in a 13.6% higher improvement in VSS–sf scores (p = 0.03) and a 5.1% higher improvement in BBS scores (p = 0.51) compared to ECRP. Both Epley–canalith repositioning procedure and vestibular rehabilitation therapy are effective in managing BPPV in diabetic patients. Although the differences in BBS scores are not statistically significant, VRT demonstrated a trend towards greater improvement. Vestibular rehabilitation therapy can be used by clinicians as another rehabilitation technique for improving vertigo, postural stability, and activity of daily living in diabetic patients with BPPV.

Funder

Deputyship Ministry of Education in Saudi Arabia

Publisher

MDPI AG

Subject

Paleontology,Space and Planetary Science,General Biochemistry, Genetics and Molecular Biology,Ecology, Evolution, Behavior and Systematics

Reference28 articles.

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4. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition;Saeedi;Diabetes Res. Clin. Pract.,2019

5. Postural sway in individuals with type 2 diabetes and concurrent benign paroxysmal positional vertigo;Kluding;Int. J. Neurosci.,2017

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