COMPARISON OF THE EFFECTIVENESS OF EPLEY'S MANEUVER AND PATIENT SPECIFIC TAILORED VESTIBULAR EXERCISES ON DIZZINESS, DYNAMIC BALANCE AND QUALITY OF LIFE IN INDIVIDUALS WITH PC-BENIGN PAROXYSMAL POSITIONAL VERTIGO

Background:  
Benign paroxysmal positional vertigo (BPPV) remains the most frequent cause of 
peripheral vestibular dysfunction, characterized by brief, recurrent episodes of vertigo 
triggered by positional changes of the head. Posterior canal BPPV (PC-BPPV) 
significantly impairs balance, mobility, and quality of life. While the Epley’s 
maneuver is an established canalith repositioning technique to alleviate vertigo, 
vestibular rehabilitation therapy (VRT) is gaining recognition for its role in enhancing 
long-term balance and functional independence.  
Objective:  
This study aimed to compare the efficacy of Epley’s maneuver versus structured 
vestibular exercises on dizziness severity, dynamic balance, and daily functioning in 
individuals with PC-BPPV.  
Methods:  
A randomized controlled trial was conducted at the College of Physiotherapy, SVIMS 
University. Forty adult patients diagnosed with PC-BPPV were randomly assigned 
into two groups: Group A underwent the Epley’s maneuver, while Group B received 
vestibular rehabilitation exercises including Gaze stabilization and habituation 
routines. Both groups were assessed at baseline (Day 0), mid intervention (4 weeks), 
and post-intervention (8 weeks) using the Dizziness Handicap Inventory (DHI), 
Dynamic Gait Index (DGI), and Vestibular Disorders Activities of Daily Living Scale 
(VADL). Statistical analyses were conducted using paired t-tests and between-group 
rank comparisons.