Comparison of Epley Maneuver and COW Thorne Cooksey Exercise With Half Somersault Maneuver in BPPV

NCT05575362 | Completed DMC

• 1 other identifier: zarlish
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Benign paroxysmal positional vertigo is a most common cause of peripheral vestibular pathology. BPPV may be characterized by sudden changes in the position of the head, such as lying down on one or both sides, looking right or left side .it can occurs either due to canalithiasis or cupulolithiasis, displacement of otoconia or calcium carbonate crystal into fluid filled semicircular canal which sends false signals to central nervous system causing nystagmus and vertigo. BPPV is a self limiting condition characterized by episodic vertigo and nystagmus of brief duration which resolves spontaneously.

Conditions

BPPV

Outcome Measures

Primary Outcomes (2)

• Dizziness Handicap Inventory

  The DHI is a 25-item self-report questionnaire that quantifies the impact of dizziness on daily life by measuring self-perceived handicap. Item scores are summed. There is a maximum score of 100 (28 points for physical, 36 points for emotional and 36 points for functional) and a minimum score of 0

  Change from baseline, to 3rd session, 6th session and after 1 month

• vestibular activity participation scale

  The Vestibular Activities and Participation Measure (VAP) is a 34-item self-report questionnaire that asks the individual to evaluate the effect of dizziness and/or balance problems on their ability to perform activity and participation tasks.

  Change from baseline, to 3rd session, 6th session and after 1 month

Secondary Outcomes (1)

• Berg balance scale

  Change from baseline, to 3rd session, 6th session and after 1 month

Study Arms (2)

Epley Manuver group

EXPERIMENTAL

Group A is Experimental group will receive Epley's maneuver and Cawthorne Cooksey exercise for two weeks.

Other: Group A

half somersault group

ACTIVE COMPARATOR

Group B is Control group will receive Half somersault maneuver and Cawthorne Cooksey exercise for two weeks.

Other: Group B

Interventions

Group A OTHER

Group A will receive Epleys maneuver and Cawthorne Cooksey exercise for two weeks.

Epley Manuver group

Group B OTHER

Group B will receive Half Somersault maneuver along with Cawthorne Cooksey exercise for two weeks.

half somersault group

Eligibility Criteria

• Age: 35 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Patients with Posterior canal BPPV.
• Patients with recurrent episodes of vertigo for 3 months.
• Age group 35-65years.
• Dix-Hall-pike test positive.
• Both gender

You may not qualify if:

• Migraine related dizziness and Anxiety disorder
• Dix hallpike test negetive
• Other vestibular conditions are: Acoustic neuroma, Labyrinthitis, Vestibular hypofunction, Meniere's disease.
• Any cervical pathology,
• Visual impairment,
• CNS Pathology:causing dizziness and vertigo
• Other pathologies which may affect balance

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Misbah

Islamabad, Punjab Province, 46000, Pakistan

Location

Related Publications (2)

• Chen CC, Cho HS, Lee HH, Hu CJ. Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders. Front Neurol. 2018 Jun 29;9:486. doi: 10.3389/fneur.2018.00486. eCollection 2018.

  PMID: 30013505 BACKGROUND

• Desai DS, Chauhan AS, Trivedi MN. Role of modified Epley's maneuver and Brandt-Daroff exercises in treatment of posterior canal BPPV: a comparative study. Int J Physiother Res. 2015;3(3):1059-64.

  BACKGROUND

Study Officials

• Misbah Ghous, MS

  Riphah International University Islamabad

  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: SPONSOR

Study Record Dates

• First Submitted: July 24, 2022
• First Posted: October 12, 2022
• Study Start: August 10, 2022
• Primary Completion: October 31, 2022
• Study Completion: October 31, 2022
• Last Updated: December 12, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)