OBJECTIVES:
The objectives of this study are:
1\. To determine the Effects of Semont-Plus Maneuver combined with Brandt-Daroff exercises on Dizziness and Quality of life in patients with pc-Benign paroxysmal positional vertigo (BPPV) 2-To determine the Effects of Epley's Maneuver combined with Brandt-Daroff exercises on dizziness and Quality of life in patients with pc-Benign paroxysmal positional vertigo (BPPV) 3-To compare the effects of Epley\'s maneuver combined with Brandt-daroff exercises with the effects of Semont plus maneuver combined with Brandt-daroff exercises on Dizziness and Quality of life in patients with pc-Benign paroxysmal positional vertigo (BPPV)
HYPOTHESIS:
Alternate Hypothesis:
There will be a significant effect in the study group in terms of Dizziness and Quality of life between Epley's maneuver combined with brandt-daroff exercises Versus Semont-plus maneuver combined with Brandt-Daroff exercises in patients with pc-BPPV (p\<0.05).
Null Hypothesis:
1\. There will be no significant effect in the study groups in terms of Dizziness and Quality of life between Epley's maneuver combined with brandt-daroff exercises Versus Semont-plus maneuver combined with Brandt-Daroff exercises in patients with pc-BPPV (p\>0.05).
Research Design: Experimental study. Randomized Control Trial
Clinical setting: ENT Department, Fauji Foundation Hospital and Treatment room FUCP.
Study duration: 6 months
Selection Criteria:
Inclusion Criteria
1. Both genders
2. Positive Dix Hallpike test.
3. Patients diagnosed with Posterior canal Benign Paroxysmal Positional Vertigo.
4. Patients with recurrent episodes of dizziness.
5. Age group 20-65.
6. Positive Dix Hallpike Test
Exclusion Criteria
1. Dix Hallpike test negative.
2. DHI Scale: 54+ Severe
3. Trauma
4. Ankylosing spondylitis
5. Cervical pathology-related dizziness
6. Spinal cord injury
7. Carotid stenosis
8. Other Vestibular pathologies (Meniere's disease, Vestibular hypofunction, Labyrinthitis
Sampling technique: Convenience Sampling
Outcome Measures:
Data will be collected on Demographics and general information. Dizziness will be assessed through the Dizziness Handicap Inventory (DHI) and Quality of life will be recorded with a Vestibular assessment and participation measure (VAP).
Experimental Group (A) = This group will receive Semont-Plus Maneuver combined with Brandt-daroff exercises interferential therapy and strengthening exercises and their outcomes will be measured at baseline and at the end of 6 weeks of treatment.
Control group (B) =This group will undergo Epley\'s maneuver combined with Brandt-daroff exercises their outcomes will be observed at the baseline and then after treatment of 06 weeks.
Data analysis techniques:
The data will be analyzed through SPSS 21 and Data will be analyzed based on the study design chosen which is a random control experimental study within the community.
A printed questionnaire will be provided to the patients after obtaining written consent and providing adequate explanation regarding the study, after which the data will be presented in the form of graphs or tables.
Significance of the study:
1. Semont-Plus maneuver is a modified form of the Semont maneuver which has been more effective for posterior canal-related vertigo. It is important to find more evidence regarding the Semont-plus maneuver and Brandt-daroff habituation exercises. The combination of this maneuver with Brandt-Daroff exercises will have a remarkable effect on dizziness and thus improve the quality of life of the patients.
2. This study will provide valuable data regarding the comparison of Epley's Maneuver and Semont Maneuver along with their combination with Brandt-daroff exercises.
3. This study will provide awareness and valuable literature regarding the comparison and combination of maneuvers and exercises. Scarce literature is present regarding the combination of vestibular maneuvers and exercises.
4. An awareness for the health care community to use a new technique of combination. The maneuvers and exercises are quick to perform and can be a part of clinical and emergency conditions.
