This study was designed to assess the efficacy oj Semont repositioning maneuver Jor treatment oj benign paroxysmal positional vertigo (BPPV) with or without nystagmus and included 60 patients complaining oj 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 ojthe result. Treatment was graded as complete (no subjective complaint oj vertigo). partial (signlj1cant improvement but perSistent vertigo ojnonpositional nature) orJailure. In objective BPPV group. 27 patients had complete resolution oj vertigo after one session oj treatment. while 8 patients required 2 sessions and 3 oj them had complete resolution while 5 had marked improvement, with an overall response oj87.5%, whereas 12 patients with subjective BPPV had complete resolution after one session oj treatment. wh:le 4 patients developed marked improvement 3 patients after one session and one patients after two seasons oj treatment, with an overall response oj 8096. There was a non-signlj1cant difference both between the number ojseasons required to achieve result. (X2= 2.05, P>0.05) and between the obtained results, (X2= 1.25, P>O.05) between both categories oj vertigo. There were 7 patients reported recurrence oj vertigo, 4 in objective and 3 in subjective group. |
