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COMPARATIVE EFFECTS OF SEMONT LIBERATORY MANEUVER VERSUS CAWTHORNE COOKSEY EXERCISES ON POSTERIOR CANAL BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV)

Ruhma Tariq, Dr. Anbreena Rasool, Saba Noreen, Dr. Hifza Riaz, Subhan-ur-Rehman Burki, Dr Hanan Azfar PT, Fatima Nadeem

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ABSTRACT

Background: Benign paroxysmal positional vertigo refers to a vestibular disorder resulting from the shift of otoliths within inner ear that causes vertigo spells. Therapeutic procedures that entail purposeful movements and exercises are employed to cure symptoms; these include; Semont Liberatory Maneuver (SLM) and Cawthorne-Cooksey Exercise (CCE).The most common cause of vertigo is benign paroxysmal positional vertigo impacts between 20% and 40% of patients with peripheral vestibular disease affecting the PC.

Objective :  To determine effect of  Semont Liberatory Maneuver VS Cawthorne-Cooksey Exercise (CCE) in posterior canal BPPV vertigo

Methods: This was randomized control trial data collected from Allied Hospital and National hospital Faisalabad. Twenty-eight patients with BPPV participated. 2 intervention groups were formed   Group A received SLM and group B undergone CCE in this study. The intervention was performed three times per week for 3 weeks. Liberatory maneuver depends on the theory of cupulolisthiasis. SPSS version 20 was utilized for the analysis of the data.

Results :Non-significant difference (p=0.770) was found between groups in visual analogue scale in pre-treatment with mean ±SD of group A (73.504±10.511) and group B (82.0363±10.420) between the two groups. It was found that there existed non-significant difference (p=0.211) between groups in post treatment with mean ±SD of group A (52.964 ±15.593) and group B (35.1520±8.79538). The statistical test did not discover sufficient evidence.

Conclusion :This study concludes that the results of the two therapy approaches do not differ statistically significantly. Although it is evident from the statistical analysis that the interventions individually are effective in the treatment and management of the symptoms of lightheadedness in the patients with PC BPPV but none of the intervention is better or more effective than the other.

Keywords: Vertigo; lightheadedness; Cupulolisthiasis; Semont Maneuver; CCE; BPPV