Effects of Brandt Daroff Exercises in Older Adults With Vertigo

NCT06637566 | Not Yet Recruiting

• 1 other identifier: REC/RCR & AHS/24/0207
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Vertigo is among the most prevalent disorder in older adults around the world leads to dizziness and balance problems resulting in decreased quality of life. Brandt daroff exercises can accelerate vertigo recovery and prevent recurrence without taking drugs. Cawthorne Cooksey first presented vestibular exercises to improve neurophysiological habituation, improves balance in the elderly. This study aims to determine the effects of brandt daroff exercises with cawthorne cooksey exercises on balance, dizziness and functional parameters in older adults with vertigo.

Conditions

Vertigo

Keywords

Vertigo,; balance; functional parameters; dizziness,

Outcome Measures

Primary Outcomes (3)

• Dizziness Handicap Inventory:

  Dizziness Handicap Inventory (DHI) Scale is used for assessment of dizziness. DHI is 25-item self-report questionnaire that measures the impact of dizziness on a person's daily life and use as screening as well as outcome measuring tool in vertigo patients. Each item on the DHI is scored on a 0 to 4 scale, with 0 meaning "no problem" and 4 meaning "severe problem." It is a widely used tool in clinical practice to assess the severity of dizziness and its effect on a person's functional, emotional, and physical well-being. DHI has been found to have 75% sensitivity. The DHI Scale has been found to have high test-retest reliability (icc0.92) and moderate construct validity (Pearson's correlation coefficient 0.47). It is a self-report questionnaire so no special equipment is required to perform it.

  6 weeks

• Tinetti Performance Oriented Mobolity Assessment

  Tinneti POMA (performance oriented mobility assessment) is a reliable tool use for assessment of balance and gait in older adults. The test and retest values for the POMA-T, POMA-B, POMA-G all varied between (0.72) and (0.86). The inter-rater reliability values all varied between (0.80) and (0.93). This test has a sensitivity of 70% and a specificity of 52%. It is a 17-item test that takes about 15 minutes to complete. It uses a 3-point ordinal scale of 0, 1 and 2. Gait is scored over 12 and balance is scored over 16 totaling 28. Equipment Required: A hard armless chair, A stopwatch, A 15 feet even and uniform walkway.

  6 weeks

• Lawton Instrumental Activities of Daily Living (IADL) Scale

  The Lawton Instrumental Activities of Daily Living (IADL) Scale is used to evaluate independent living skills. The instrument is most useful for identifying how a person is functioning and identifying improvement or deterioration over time. The scale measures eight domains of function including food preparation, housekeeping, laundering. Individuals are scored according to their highest level of functioning in that category. A summary score ranges from 0(low function, dependent) to 8(high function, independent). Inter-rater reliability was established at.85. Administration time is10-15 minutes

  6 weeks

Study Arms (2)

Experimental Group

ACTIVE COMPARATOR

They receive brandt daroff exercises with cawthorne cooksey exercises.

Other: Brandt Daroff exercises along with Cawthorne Cooksey exercises

Control Group

OTHER

They receive brandt daroff exercises only.

Other: Brandt Daroff exercises

Interventions

Brandt Daroff exercises along with Cawthorne Cooksey exercises OTHER

Brandt Daroff exercises along with Cawthorne Cooksey exercises. The Cawthorne Cooksey exercises include eye and head movements, coordination of eye and head movements (visual-vestibular interaction), postural control exercises, and progressively more difficult balance tasks (eyes open, eyes closed, large base support, uneven base support, while walking, in high visual or noisy environments). Exercises should be done three times a day, with 5 repetitions of each. The exercises will be performed in three sessions per week with 60 minutes each session for eight weeks. The cawthorne Cooksey exercises includes the following: A: Eye and head movement B: Head and body movement, sitting down: C: Standing up exercises:

Experimental Group

Brandt Daroff exercises OTHER

brandt daroff exercises without cawthorne Cooksey exercises. To begin the Brandt-daroff exercise, the patient will sit and swivel the head 45 degrees to one side (left), then instantly lie down on the other shoulder (right). The patient should be instructed to maintain this posture for 30 seconds or until the vertigo subsides. The patient then gradually returns to the starting position, maintaining the left ear rotation until sat upright. Following the same 30 second time limits, the patient turns his head in the opposite way (right) and rests down on the opposite shoulder (left). These exercises will be instructed to perform at home for 3 sets (morning, afternoon and evening) with 5 repetitions approximately for 30 minutes in each session for five weeks

Control Group

Eligibility Criteria

• Age: 65 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• Older adults 65or above.
• Both Male and Female.
• Symptoms suggested vertigo, confirmed by neurologist.
• Accepted to participate in study.
• DHI Scale: 36-42 (moderate handicap).

You may not qualify if:

• Patients having balance issues other than dizziness and vertigo.
• Middle or external ear diseases.
• Cerebrovascular diseases.
• Feet injuries including severe bruises, ulcers, open wounds or recent burns.
• Neck pain and cervical spine disease.
• History of serious musculoskeletal disease (arthritis, Alzheimer's disease, intervertebral disc degeneration).

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

DHQ Hospital Joharabad

Jauharabad, Punjab Province, 41200, Pakistan

Location

Related Publications (2)

• Teixido M, Casserly R, Melley LE. Lateral Modified Brandt-Daroff Exercises: A Novel Home Treatment Technique for Horizontal Canal BPPV. J Int Adv Otol. 2021 Jan;17(1):52-57. doi: 10.5152/iao.2020.9452.

  PMID: 33605222 BACKGROUND

• Zamyslowska-Szmytke E, Politanski P, Jozefowicz-Korczynska M. Dizziness Handicap Inventory in Clinical Evaluation of Dizzy Patients. Int J Environ Res Public Health. 2021 Feb 24;18(5):2210. doi: 10.3390/ijerph18052210.

  PMID: 33668099 BACKGROUND

MeSH Terms

Conditions

Vertigo; Dizziness

Condition Hierarchy (Ancestors)

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

Study Officials

• Muhammad Asrar Yousaf, Mphil

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

03324390125; Imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 10, 2024
• First Posted: October 15, 2024
• Study Start: October 8, 2024
• Primary Completion: December 15, 2024
• Study Completion: January 3, 2025
• Last Updated: October 15, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)