Comparison of effectiveness of Cawthorne Cooksey exercise with Brandt Daroff exercise in managing post Epley’s residual dizziness in patients with posterior canal benign paroxysmal positional vertigo

Authors

  • Sunil K. S. Bhadouriya Department of ENT, RAMA Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India http://orcid.org/0000-0001-8154-2175
  • Shaili Priyamvada Department of ENT, RAMA Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India
  • Hukam Singh Department of ENT, RAMA Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/issn.2454-5929.ijohns20214225

Keywords:

BPPV, Residual dizziness, Dix Hallpike maneuver, Cawthorne Cooksey exercise, Brandt Daroff exercise

Abstract

Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause of peripheral vertigo.  Vertigo and balance disorders are among the most common symptoms experienced in patients who visit ENT outpatient department.  BPPV is a common vestibular disorder leading to significant morbidity and psychosocial impact. Residual dizziness is a common condition that manifests as persistent disabling imbalance after successful repositioning maneuvers for BPPV.

Methods: In this study we analysed and compared the effectiveness of Cawthorne Cooksey Exercise with Brandt Daroff Exercise to treat residual dizziness after successful Epley’s maneuver for posterior canal benign paroxysmal positional vertigo. A total of 30 subjects with residual dizziness after successful Epley’s maneuver for posterior canal BPPV were included in our study, 10 were male and 20 were female. The Group A received the Cawthorne Cooksey exercise post Epley’s maneuver and Group B received the Brandt Daroff exercise post Epley’s maneuver. 

Results: We conclude that both the groups have significant improvement in their symptoms and balance. This was indicated by the results.  Despite the significant results within the groups, there was no significant difference between the groups, means both exercises showed almost equal improvement in their respective group.

Conclusions: This study concludes that both Cawthorne Cooksey exercise and Brandt Daroff exercise are helpful in treating residual dizziness after successful Epley’s maneuver in posterior canal BPPV patients. These exercises are safe and able to reduce subjective symptoms and imbalance hence, any of these can be recommended for treating post Epley’s residual dizziness in patients with posterior canal BPPV.  

Author Biographies

Sunil K. S. Bhadouriya, Department of ENT, RAMA Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India

ASSOCIATE PROFESSOR Department of ENT, RAMA Medical College, Hapur, UP, India

Shaili Priyamvada, Department of ENT, RAMA Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India

ASSISTANT PROFESSOR Department of ENT, RAMA Medical College, Hapur, UP, India

Hukam Singh, Department of ENT, RAMA Medical College Hospital and Research Centre, Hapur, Uttar Pradesh, India

PROFESSOR & Head, Department of ENT, RAMA Medical College, Hapur, UP, India

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Published

2021-10-26

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Original Research Articles