The effect of combination of Brandt-Daroff training and otolith reposition instrument pair in benign paroxysmal positional vertigo

Abstract

Objective:To observe the effect of Brandt-Daroff training combined with otolith reduction instrument in the treatment of benign paroxysmal positional vertigo（BPPV）. Methods:The patients were randomly divided into control group and study group, with 54 cases and 56 cases, respectively. The patients in control group were treated with otolith reposition and health education, while those in study group were treated with aforementioned treatment plus Brandt-Daroff acclimatization training. Effectiveness, vestibular symptoms index, dizziness disability degree and the duration of residual symptoms were compared between two groups. Results:The total efficiency rate was 96.3% in the observation group and 92.5% in the control group, and the difference was not statistically significant （P>0.05） , but on the 7th and 14th days after treatment, the DHI scores of the observation group were 20.11±3.95 and 7.89±1.88; VSI scores were 4.15±1.07 and 1.52±0.634, respectively. The duration of residual symptoms was （7.41±2.04） d. In the control group, the DHI scores of the observation group were 23.81±4.34 and 11.08±2.39, respectively. VSI scores were 5.17±1.12 and 3.64±1.50; The duration of residual symptoms was （11.06 ±1.89） d. The observation group was significantly improved compared with the control group, and the differences were statistically significant（P<0.05）. Conclusion:The Brandt-Daroff training combined with otolith reduction instrument has a significant effect in the treatment of BPPV, which can effectively reduce the clinical symptoms and vertigo disability, reduce residual symptoms after reduction, and improve the quality of life of patients. Therefore, it is worthy of clinical promotion.