Issue N# 3 - 2001
OTONEUROLOGY
Benign paroxysmal vertigo : a comparative prospective study of the efficacy of Brandt and Daroff exercises, Semont and Epley maneuver.
Authors : J.A. Soto Varela, J. Bartual Magro, S. Santos Pérez, M. Vélez Regueiro, R. Lechuga García, A. Pérez-Carro Ríos, T. Labella Caballero (Santiago de Compostela)
Ref. : Rev Laryngol Otol Rhinol. 2001;122,3:179-183.
Article published in english 
Downloadable PDF document english
Summary :
We performed a prospective study to evaluate the efficacy of three physical treatments for benign paroxysmal positional vertigo: Brandt & Daroff habituation exercises, the Semont manoevre (intended as a statoconia-detachment manoevre), and the Epley manoevre (intended as a statoconia-repositioning manoevre). A total of 106 BPPV patients were randomly assigned to one of the three treatment groups, and responses were evaluated one week, one month and three months after the initial treatment. At the one-week follow-up, similar cure rates were obtained with the Semont and Epley manoevres (74 % and 71 % respectively), both cure rates being significantly higher than that obtained with Brandt & Daroff exercises (24 %). By the three-month follow-up, the cure rate obtained with the Epley manoevre was higher (93 %) than that obtained with the Semont manoevre (77 %), though both remained higher than that obtained with the Brandt & Daroff manoevre (62 %). However, the proportion of initially responding patients showing subsequent relapse was lower among patients treated by the Semont manoevre than among patients treated by the Epley manoevre. In view of these findings, we propose a treatment algorithm for patients with BPPV.
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