DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20202534

Effect of barbecue role and Gufoni maneuvers on quality of life in patients with horizontal semicircular canal benign paroxysmal positional vertigo

Kumar Gourav Sharma, Ashok Kumar Gupta

Abstract


Background: Benign paroxysmal positional vertigo (BPPV) is the most common cause in patients with vertigo. Horizontal semi-circular canal BPPV (HSCBPPV) is up to 20% of BPPV. Quality of life (QoL) is significantly impaired by vertigo. Aim of present research was to study the effect and compare barbecue role and Gufoni maneuvers on QoL in patients with HSCBPPV.

Methods: 60 individuals with unilateral HSCBPPV were selected. 2 groups barbecue role and Gufoni were formed and 30 individuals were selected in each group randomly. Vestibular activities and participation (VAP) and positional test were administered before and after barbecue role and Gufoni maneuvers to fulfill the aim.  

Results: VAP scale results revealed significant difference between pre and post treatment score in both groups, suggestive of positive effect on quality of life in patients with HSCBPPV. Improvements in VAP score between both groups were compared and significant difference was observed. Positional test post treatment revealed that 83.33% and 70% patients improved in barbecue role and Gufoni respectively.

Conclusions: Barbecue role found to be better than Gufoni in treatment of unilateral HSCBPPV.


Keywords


HSCBPPV, PPN, VAP, ICF, Barbecue role maneuver, Gufoni maneuver

Full Text:

PDF

References


Neuhauser HK. Epidemiology of vertigo. Curr Opin Neurol. 2007;20:40-6.

Varela ASS, Perez SM, Izquierdo R, Sellero SI. Are the three canals equally susceptible to benign paroxysmal positional vertigo. Audiology Neuro Otology. 2013;18(5):327-34.

Schuknecht HF. Cupulolithiasis. Arch Otolaryngol. 1969;90:113-26.

Bisdorff AR, Debatisse D. Localizing signs in positional vertigo due to lateral canal cupulolithiasis. Neurology. 2001;57:1085-8.

White JA, Coale KD, Catalano PJ, Oas JG. Diagnosis and management of lateral semi-circular canal benign paroxysmal positional vertigo. Otolaryngology Head Neck Surg. 2005;133(2):278-84.

Brandt T, Steddin S. Current view of the mechanism of benign paroxysmal positioning vertigo: cupulolithiasis or canalolithiasis. J Vestibular Res Equilibrium Orientation. 1993;3(4):373-82.

Alghwiri AA, Whitney SL, Baker CE, Sparto PJ, Marchetti GF, Rogers JC, et al. The development and validation of the Vestibular Activities and Participation measure. Arch Phys Med Rehabil. 2012;93:1822-31.

World Health Organization. International Classification of Functioning, Disability and Health. Geneva, Switzerland: World Health Organization; 2001.

Lempert T. Horizontal benign positional vertigo. Neurology. 1994;44(11):2213-4.

Lempert T, Wick TK. A positional maneuver for treatment of horizontal canal benign positional vertigo. Laryngoscope. 1996;106:476-8.

Gufoni M, Mastrosimone L, Nasso DF. Repositioning maneuver in benign paroxysmal vertigo of horizontal semi-circular canal. Acta Otorhinolaryngol Ital. 1998;18(6):363-7.

Nuti D, Vannucchi P, Pagnini P. Benign paroxysmal positional vertigo of the horizontal canal: a form of canalolithiasis with variable clinical features. J Vestibular Res Equilibrium Orientation. 1996;6(3):173-84.

Sekine K, Imai T, Sato G, Ito M, Takeda N. Natural history of benign paroxysmal positional vertigo and efficacy of Epley and Lempert maneouvres. Otolaryng Head Neck Surg. 2006;135:529-33.

Casani AP. Horizontal semi-circular canal benign paroxysmal positional vertigo: effectiveness of two different methods of treatment. Audiol Neurootol. 2011;16(3):175-84.

Magliulo G, Bertin S, Ruggieri M, Gagliardi M. Benign paroxysmal positional vertigo and post-treatment quality of life. Eur Arch Otorhinolaryngol. 2005;262:627-30.