The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

NCT04715282 | Completed

• 1 other identifier: IstinyeU
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

Observation of the effects of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in BPPV patients.

Conditions

Benign Paroxysmal Positional Vertigo

Outcome Measures

Primary Outcomes (2)

• Nintendo Wii Balance Board (WBB)

  COP displacement on double leg with eyes open/closed (%): Lower scores (approaching 50%) indicate better static balance. Frontal plane stability on dominant leg with eyes open/closed (%): The total score ranges between 0 and 100%. Higher scores indicate better static balance.

  one hour

• Berg Balance Test (BBT)

  The minimum score of the BBT is 0 and the total maximum score of the BBT is 56. Higher scores indicate better dynamic balance.

  one hour

Secondary Outcomes (2)

• Vertigo Symptom Scale (VSS)

  one hour

• Dizziness Handicap Inventory (DHI)

  one hour

Study Arms (2)

Epley maneuver

OTHER

The Epley maneuver was performed for all patients (both EpleyM and EpleyM\&Exe groups) included in this study until nystagmus had disappeared in each position. If nystagmus/vertigo was not seen, the Epley maneuver was not performed for patients at the 1st, 3rd, and 6th week assessments.

Procedure: Epley maneuver

Cawthorne-Cooksey exercises combined with the Epley maneuver

OTHER

Additional Cawthorne-Cooksey exercises were prescribed to the EpleyM\&Exe group. The physiotherapist explained and demonstrated the exercises to each patient and the patients practiced the exercises until they performed them correctly. Then the exercises were prescribed twice a day and repeated 10 times for 6 weeks as a home exercise program.

Procedure: Epley maneuver

Interventions

Epley maneuver PROCEDURE

Epley maneuver

Cawthorne-Cooksey exercises combined with the Epley maneuver; Epley maneuver

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test
• agreeing to undergo the Epley maneuver after that test
• agreeing to participate in the study

You may not qualify if:

• having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness
• having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed
• having lower extremity pain or an operation that prevented standing and/or weight bearing
• having anterior or horizontal canal BPPV
• having previously undergone a vestibular rehabilitation program

Sponsors & Collaborators

• Istinye University: lead

MeSH Terms

Conditions

Benign Paroxysmal Positional Vertigo

Condition Hierarchy (Ancestors)

Vertigo; Vestibular Diseases; Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Ekin Taçalan

  Dr. Sami Ulus Maternity, Children Health and Diseases Education and Research Hospital

  PRINCIPAL INVESTIGATOR

• H.Serap İnal

  Istinye University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Prof

Study Record Dates

• First Submitted: January 12, 2021
• First Posted: January 20, 2021
• Study Start: March 1, 2016
• Primary Completion: February 1, 2017
• Study Completion: February 1, 2017
• Last Updated: January 20, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share