Effectiveness of Vestibular Physiotherapy in Residual Dizziness Post-Canalith Repositioning Maneuver for Benign Paroxysmal Positional Vertigo

Sunday, September 29, 2024

1:24 PM – 1:30 PM EDT

Location: MBCC, 231

Disclosure(s):

Vasanthika Sanjeewanie Thuduvage, MD, MBBS, DO-HNS:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Introduction: Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common types of vertigo and the purpose of this study was to investigate the effectiveness of vestibular physiotherapy combined with vestibular sedatives treatment compared to vestibular sedatives treatment only for BPPV patients with residual dizziness (RD) after successful canalith repositioning maneuver (CRM).

Methods: A quasi experimental study was conducted including 48 BPPV patients with RD after successful CRM, within the age group 18-75. According to alternative sampling method, the participants were allocated into Group A (n=24) and Group B (n=24). Group A followed only vestibular sedative treatment whereas Group B followed defined vestibular physiotherapy in addition to vestibular sedatives. The severity of handicap and dizziness were investigated through the scores of dizziness handicap inventory (DHI) and likert scale. Follow-ups were carried out after 2 weeks and 4 weeks using DHI and likert scale. Data were statistically analyzed by using IBM SPSS software, version 20.

Results: The study included 48 participants, 18 males and 30 females within the age range of 30-75 years. The mean values of age, baseline DHI score and baseline likert score were 54.71 ± 12.10, 51.25 ± 17.81 and 5.81 ± 2.44. There were no statistically significant differences between the baseline scores of DHI (t = -0.48, p = 0.63) and likert (p = 0.26) for both groups. A statistically significant difference was observed between the two groups in improvement of likert, and the improvement of physical subscale of DHI at the end of four weeks (p < 0.05). A significant mean difference in group B was observed compared to Group A regarding DHI. Statistical significance was observed for within-group improvements for both groups in terms of likert score, total DHI and its subscales (p < 0.05). Age showed statistically significant association with DHI at the baseline and at the end of four weeks (p < 0.05).

Conclusions: Vestibular Physiotherapy combined with Vestibular Sedatives show beneficial effects on management of residual dizziness of BPPV patients

Presenting Author(s)

Vasanthika Sanjeewanie Thuduvage, MD, MBBS, DO-HNS

Dr
General Sr John Kotelawala Defence University/ University Hospital KDU
Colombo 03, Western Province, Sri Lanka

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Co-Author(s)

KP

Kavindi S.K Pitawala, BSc, MSc

Physiotherapist
Faculty of Allied Health Sciences/KDU
Kandy, Central Province, Sri Lanka

Disclosure information not submitted.
Samadhi Sachinthanee, BSc, MSc

Teaching assistant, Physiotherapist
Faculty of Allied Health Sciences/KDU
Homagama , Colombo, Sri Lanka

Disclosure information not submitted.
Kodithuwakku K. Hasani, Bsc, Dip

Physiotherapist
Faculty of Allied Health Sciences/KDU
Gampaha, Western Province, Sri Lanka

Disclosure information not submitted.
PS

P Sukirthan

Faculty of Allied Health Sciences/KDU, United States

Disclosure information not submitted.
YJ

Yasara Jayasooriya, MBBS

University Hospital KDU, United States

Disclosure information not submitted.
GR

G M Rathnayaka, MBBS

University Hospital KDU, United States

Disclosure information not submitted.