DIFFERENCES EFFECTS OF ADDITIONAL BETAHISTINE MESYLATE AND BRANDT-DAROFF TRAINING AFTER MANUVER EPLEY ON PATIENT TREATMENT BENIGN PAROXYSMAL POSITIONAL VERTIGO
Keywords:
BPPV, Betahistine mesylate, Brandt-Daroff Exercise, Epley Maneuver, DHI.Abstract
Background: Benign Paroxysmal Positional Vertigo (BPPV) is a common disease with very disturbing symptoms. The maneuver used in the treatment of BPPV is the Epley Maneuver. Administration of Betahistine and Brandt-Daroff Exercise are also beneficial in the treatment of BPPV. The aim of the study was to determine the difference in the effect of adding Betahistine mesylate and Brandt-Daroff exercise after the Epley Maneuver on the treatment of BPPV.
Method: This is a true experimental study on a population of BPPV patients at RSUP H Adam Malik Medan, which were taken consecutively from January to December 2019. The diagnosis of BPPV was based on the Dix hallpike examination and after that the Epley Maneuver was performed. The sample was further divided into three intervention groups, namely the first group who received the Betahistine mesylate drug, the second group who received the Brandt-Daroff exercise and the third group who received the betahistine drug and the Brandt-Daroff exercise. In all three groups, the Dizziness Handicap Inventory (DHI) was assessed before and 1 week after the intervention. Statistical analysis using paired T test.
Result: From the three intervention groups, it was found that the mean age was 54.31 ± 12.41 years (group 1), 51.04 ± 9.02 years (group 2), and 55.15 ± 14.12 years (group 3). The majority of subjects were female, namely 44 people (56.4%). There was a significant difference in DHI values between before and after the intervention in group 1, namely DHI values 46.5 ± 14.9 and 24.9 ± 16.1; in group 2, the DHI values were 40.0 ± 12.6 and 28.2 ± 13.4; and in group 3, the DHI values were 64.9 ± 14.7 and 23.7 ± 12.3) (p = 0.001). Conclusion: There was a significant difference in effect with the addition of Betahistine mesylate and BrandtDaroff Exercise after the Epley Maneuver in the treatment of BPPV patients (p = 0.001).
