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Background: Benign Paroxysmal Positional Vertigo (BPPV) is among the commonly diagnosed disease of vestibular system. It can be described as a momentary sensation of spinning amid getting up or lying down on the bed. turning the head up or looking down and it lasts a few moments before resolving. One in 30 patients were diagnosed with the BPPV . it can mild moderate or severe depending on the symptoms. AIM AND OBJECTIVE To compare the effectictiveness of Epley’s and Lemperts’ roll over maneuvers in paroxysmal positional vertigo. METHODS AND MATERIALS. SAMPLING: Sample size of each group: 41 Total sample size of study: 82 Scientific basis of sample used in the study N = 4O (Zr-rit + Zpwr)~ D Where N is the total sample size (the sum of the sizes of both comparison groups) is the assumed SD of each group (assumed to be equal for both groups) the zcrit (95% of confidence interval) value Standard Normal Deviate (zcrit) corresponding to Selected Significance Criteria and CIs=2.576 Standard Normal Deviate zpwr(o.95) Corresponding to Selected Statistical is= 1.645 _* is the minimum expected difference between the two means. Both zcrit and zpwr are cutoff points along the x axis of a standard normal probability distribution. SUMMARY This is a hospital based prospective randomized controlled study to compare the effects of Epleys and Lemperts maneuver in BPPV. It was on 82 patients between the age group of 18-75yrs. The effectiveness of the maneuvers was compared on the 1, 2 and 3 follow-ups by PGA scoring system. In the study, all patients fulfilling the inclusion criteria were taken up for the study and BPPV was diagnosed by Dix Hallpike's maneuver. Following this, they were divided into 2 groups. 1 underwent Epleys maneuver and 2 Lemperts maneuver. The 2 groups were comparable in every nature. The patients were followed up on the 3, 7 and 30 days and their symptoms were assessed using PGA score and plotted. In the study, it was found that BPPV was common in females and more often the right side ear was affected. The results were statistically analyzed for both the groups and were found out that p value was less than 0.05 which implies that there is no significant difference in the values which means that Lemperts maneuver is not inferior to Epleys maneuver. International Journal of Scientific and Research Publications, Volume 10, Issue 3, March 2020 773 ISSN 2250-3153 CONCLUSION • Most commonly involves the right side than the left. • Most common age group involved in BPPV is 41 to 60 years. • BPPV is less common among males. • Lemperts maneuver is not inferior to Epleys in the treatment of BPPV. • Results show a p value of less than 0.05 which means difference in outcome of treatment with either maneuvers are insignificant. • The results obtained in our study was comparable with other international studies showing that Lemperts and Epleys maneuvers are very effective in our population for treating BPPV.

international journal of scientific and research publications

Comparative Study Of The Effects Of Epley’s And Lemperts’ Roll Over Maneuvers In Patients With Paroxysmal Positional Vertigo In Tertiary Care Hospital Kanyakumari District- Hospital Based Study