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Pengaruh latihan brand daroff dan modifikasi manuver epley pada vertigo posisi paroksismal jinak = The effect of brandt daroff exercise and modified epley maneuver exercise for benign paroxysmal positional vertigo patients.

Latar Belakang : Latihan Modifikasi Manuver Epley (MME) saat ini telah dikembangkan sebagai satu metode latihan mandiri untuk penderita Vertigo Posisi Paroksismal Jinak (VPPJ) selain latihan Brandt Daroff (BD). MME bertujuan mengembalikan sisa otolit yang belum kembali ke utrikulus, sedangkan BD lebih berperan pada proses adaptasi sistem vestibuler. Berbagai penelitian sebelumnya lebih banyak melihat pengaruh dari latihan Brandt Daroff daripada membandingkan antara pengaruh latihan BD dan MME. Tujuan penelitian ini adalah untuk melihat pengaruh latihan BD dan MME, serta membandingkan pengaruh kedua latihan terhadap perbaikan gejala dan gangguan keseimbangan pada penderita VPPJ Metode : Terdapat 23 sampel, 12 pasien diberikan latihan BD dan 11 dengan latihan MME. Perbaikan dari keluhan dan gejala klinis dievaluasi dengan Symptoms Severity Score (SSS Score) sedangkan untuk perbaikan gangguan keseimbangan postural secara objektif dilihat dari hasil posturografi. Latihan BD dilakukan mandiri di rumah dilakukan 5 kali dalam satu sesi, 2 sesi tiap hari selama 4 minggu atau 2 hari bebas keluhan vertigo, sedangkan latihan MME dilakukan tiga kali sehari, diulangi setiap hari hingga 24 jam bebas keluhan vertigo. Hasil : Pada evaluasi minggu kedua dan keempat dengan SSS Score dan minggu keempat dengan posturografi didapatkan perbaikan pada kedua kelompok, tetapi secara statistik tidak bermakna (p>0,05) jika dibandingkan nilai tersebut diantara kedua kelompok. Diskusi : Pada penelitian ini, latihan BD dan MME dapat memberikan perbaikan keluhan dan gejala klinis, serta keseimbangan postural, tetapi untuk melihat perbandingan pengaruh diantara kedua kelompok masih diperlukan penelitian lebih lanjut hingga jumlah sampel terpenuhi.
Kata kunci : Vertigo Posisi Paroksismal Jinak, Latihan Brandt Daroff, Latihan Modifikasi Manuver Epley, Posturografi, Symptom Severity Score.


Introduction: Modified Epley Maneuver (MME)exercise has now been developed as a self-training method for patients with Benign Paroxysmal Positioning Vertigo (BPPV)besides Brandt Daroff (BD)exercise. MME exercise aims to restore the rest otolit returned to the utricle, whereas BD bigger role in the adaptation of the vestibular system. Various previous studies have looked at the effects of Brandt Daroff exercises rather than comparing the effects with MME exercise. The purpose of this study was to look at the effects of BD and MME exercise, as well as to compare the effects of both exercises to improve the symptoms and balance disorder in BPPV patients. Methods: There were 23 samples, while 12 patients were given BD exercise and 11 with MME exercise. Clinical signs and symptoms improvement were evaluated with the Symptoms Severity Score (SSS Score) while for repairs postural balance disorders objectively viewed from the posturography results. BD exercises conducted independently at home five times in one session, two sessions per day for four weeks or two days with no vertigo complaints, while the MME exercises done three times a day, repeated every day for four weeks or up to 24 hours of non-complaint of vertigo. Results: In the evaluation of the second and fourth week of the SSS score and the fourth week with posturography results obtained improvement in both groups, but were not statistically significant different (p> 0.05) when compared to the value between the two groups. Discussion: In this study, BD and MME exercise can provide improved clinical signs and symptoms, as well as postural balance, but to see a comparison of the effect between the two groups further research is still needed until the number of samples met.
Keywords: Benign Paroxysmal Position Vertigo, Brandt Daroff exercises, Exercise Modified Epley Maneuver, Posturography, Symptom Severity Score.