Comparative Study of Efficacy of Epley's and Semont?s Maneuver in the Treatment of Benign Paroxysmal Positional Vertigo in a Tertiary Hospital

Aim and Objective: Benign paroxysmal positional vertigo (BPPV) is characterized by brief episodes of paroxysmal vertigo which are provoked by certain changes in the position of the head. We compared Epley?s and Semont?s maneuver, which are both known treatment methods for BPPV in our hospital. Materials and methods: 60 patients who came with complaints of vertigo to our outpatient department and were diagnosed to have BPPV by Dix Hallpike?s test were selected and prospectively divided into two equal groups, and treated with Epley?s and Semont?s maneuver respectively. We included patients of age 20 and above of both sexes and excluded central or other causes of peripheral vertigo. Data collected was analysed using Statistical product and service solutions (SPSS). Chi square test was applied and statistical significance was set to P ? 0.05. Results: In patients treated with Epley?s maneuver 86% became asymptomatic after 1 week as compared to 53% in those who underwent Semont?s maneuver. However symptomatic relief was similar at the end of 2 weeks in both the maneuvers. Conclusion: On comparing between both these methods, Epley?s was found to be more efficient as compared to Semont?s maneuver. However Semont?s maneuver can be a good alternative as evidenced by comparable relief of symptoms at the end of 2 weeks.