This study was designed to assess the efficacy of Semont repositioning
maneuver for treatment of benign paroxysmal positional vertigo
(BPPV) with or without nystagmus and inch itied 60 patients complaining
of vertigo. Patients were categorized into two groups: patients who were
observed to have nystagmus with vertigo (Objective group) and those who
experienced only vertigo without nystagmus (Subjective group). All patients
underwent physical treatment using Semont liberatory maneuver
and were re-evaluated in clinic at 3 weeks' time till stability of the result
Treatment was graded as complete (no subjective complaint of vertigo),
partial (significant improvement but persistent vertigo of nonpositional nature)
or failure. In objective BPPV group. 27 patients had complete resolution
of vertigo after one session of treatment, while 8 patients required 2
sessions and 3 of them had complete resolution while 5 had marked improvement,
with an overall response of 87.5%, whereas 12 patients with
subjective BPPV had complete resolution after one session of treatment
while 4 patients developed marked improvement 3 patients after one session
and one patients after two seasons of treatment, with an overall response
of 8096. There was a non-significant difference both between the
number of seasons required to achieve result, (X2. 2.05, P>0.05) and between
the obtained results, (X2= 1.25, P>0.05) between both categories of
vertigo. There were 7 patients reported recurrence of vertigo, 4 in objective
and 3 in subjective group. Pre-treatment duration of vertigo showed a
negative significant correlation with result obtained, (r=-0.67, P<0.05),
while showed a positive significant correlation with the number of sessions
of treatment required to achieve result, (r=0.64, P<0.05). Also, there |
