providers

Epley repositioning maneuver versus Gans repositioning maneuver on postural instability in elderly patients with benign paroxysmal positional vertigo

Published on: July 20, 2017

The Egyptian Journal of Otolaryngology
2017, 33:518–522

Abir Omaraa, Dalia M. Mosaadb, Ahmed S. Mohamedb,
Neveen A. Abd El-Raoofb

Introduction
Patients with benign paroxysmal positional vertigo (BPPV), especially the elderly,
often experience a greater incidence of falls and postural instability. The Epley
repositioning maneuver has been proven to be effective in improving the postural
control, whereas Gans repositioning maneuver (GRM) is still lacking data.
Objective
The objective of this study was to compare between the effectiveness of GRM and
Epley repositioning maneuver in improving postural stability in elderly patients with
posterior canal BPPV.
Patients and methods
In this randomized controlled trial, patients were randomly assigned into two
groups. Group A (study group) was assessed by side-lying test and treated by
GRM, whereas group B (control group) was evaluated by Dix–Hallpike test and
treated by the Epley repositioning maneuver. Postural stability was estimated by
computerized dynamic posturography.
Results
Patients in both groups showed improvement within the groups in equilibrium
scores subtest 4, 5, 6 (P<0.05), whereas there was no significant difference
between groups (P>0.05) regarding equilibrium scores.
Conclusion
GRM is as effective as the Epley repositioning maneuver in improving postural
stability in elderly patients with posterior canal BPPV.

Read Full Article

Recent Posts

Comparison between Epley and Gans Repositioning Maneuvers for Posterior Canal BPPV: A Randomized Controlled Trial

Published on: March 26, 2024

Annals of Indian Academy of Neurology | Volume 26 – Issue 4 – July-August 2023 Benign paroxysmal positional vertigo (BPPV) is one of the commonly occurring causes of vertigo. BPPV […]

Read more

How to evaluate and treat the dizzy patient: non-medical diagnosis-based strategies

Published on: February 16, 2024

ENT & Audiology News | Balance & Vestibular Disorders 2024 It is estimated that dizziness, vertigo and falls are the third most common complaints heard by physicians from all age […]

Read more

The cost of untreated vestibular conditions: the role of otolaryngology & rehabilitation

Published on: February 15, 2024

Journal of Otolaryngology-ENT Research | Volume 16 Issue 1 – 2024 It is estimated that dizziness, vertigo, and falls are the third most common complaints heard by physicians from all […]

Read more

Understanding Mal de Debarquement syndrome (MdDS), persistent postural perceptual dizziness (3PD) and somatoform disorders: and the role of vestibular rehabilitation therapy (VRT)

Published on: January 3, 2024

Volume 16 Issue 1 – 2024 Richard E Gans, Kimberly Rutherford, Allisson D’Alessandro American Institute of Balance, USA Correspondence: Richard E Gans, Founder and Executive Director of the American Institute […]

Read more