Additional Effects Of Brandt-Daroff Exercises With GANS Maneuver On Dizziness And Quality Of Life In Patients With BPPV

NCT07267988 | Recruiting

• 1 other identifier: FUI/CTR/2025/12
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of recurrent vertigo, with a lifetime prevalence of about 2.4% and a yearly incidence of roughly 0.6%. It results from displaced otoconia within the semicircular canals and is especially common in older adults. BPPV leads to brief, position-provoked episodes of vertigo, dizziness, and imbalance, and reduced quality of life. Although canalith-repositioning maneuvers are highly effective, recurrence is common, emphasizing the need for supportive and adjunctive management strategies.This randomized controlled trial will evaluate the Additional Effects OF Brandt-Daroff Exercise With GANS Maneuver On dizziness And Quality of Life In Patients with BPPV. Thirty patients with BPPV will be recruited at Fauji Foundation Hospital and screened using the Dizziness Handicap Inverntory Scale(DHI) and Vestibular Activities and Participation measure(VAP). Participants will be randomized into two groups: (1) Reciving GANS Manuever Alone (2) GANS Manuever with Brandt-Daroff Exercises(3 sessions per week/40minutes). Dizziness will be assessed using the Dizziness Handicap Inverntory Scale(DHI) , quality of life using the Activities and Participation Measure(VAP) Scale. Outcome measures will be recorded at baseline and post-intervention. Ethical approval will be obtained from FUMC ERC, and data will be analyzed using SPSS v.22.

Conditions

BPPV; Dizziness; Quality of Life

Keywords

Dizziness; BPPV; Postural pain; Quality of life

Outcome Measures

Primary Outcomes (2)

• Dizziness

  Dizziness Handicap Inventory Scale(DHI): 25 Items (scoring16-54) where 16-34 = Mild handicap , 36-52 = moderate handicap , 52+ = severe handicap

  6 weeks

• Quality Of Life In BPPV patients

  Vestibular Activities and Participation Scale (VAP): A 34-item, (1-4 score) , 1 = mild limitations, 2 = moderate limitation, and 3 = severe limitations, 4=extreme limitation

  6 weeks

Study Arms (2)

GANS Maneuver with Brand-Daroff Exercises

EXPERIMENTAL

GANS Maneuver include: 1. Sit upright on a bed with legs extended. 2. Turn patient head 45° toward the affected ear. 3. Quickly lie back so patient head is slightly hanging over the edge 4. Hold this position 30-60 seconds or until vertigo stops. 5. Without lifting the head, rotate it 90° toward the opposite side (45° past midline). 6. Hold again for 30-60 seconds. 7. Continue turning patient head in the same direction and roll onto side so nose faces the floor. 8. Hold 30-60 seconds. 9. Sit up slowly, keeping patient chin slightly tucked. 10. Rest in sitting for about a minute. (3 reps/2 times per week) BRANDTDAROFF EXERCISES Sit upright on the edge of your bed. Turn your head 45° to the left. Keeping the head turned, quickly lie down on your right side. Hold this position 30 seconds or until vertigo stops. Return to sitting; hold 30 seconds. Turn your head 45° to the right. Quickly lie down on your left side. Hold 30 seconds or until vertigo stops. Return to sitting; hold 30 seconds.

Procedure: GANS Maneuver with Brandt-Daroff Exercises

GANS Maneuver

ACTIVE COMPARATOR

GANS Maneuver include: 1. Sit upright on a bed with legs extended. 2. Turn patient head 45° toward the affected ear. 3. Quickly lie back so patient head is slightly hanging over the edge 4. Hold this position 30-60 seconds or until vertigo stops. 5. Without lifting the head, rotate it 90° toward the opposite side (45° past midline). 6. Hold again for 30-60 seconds. 7. Continue turning patient head in the same direction and roll onto side so nose faces the floor. 8. Hold 30-60 seconds. 9. Sit up slowly, keeping patient chin slightly tucked. 10. Rest in sitting for about a minute. (3 reps/2 times per week)

Procedure: Gans Maneuver

Interventions

GANS Maneuver with Brandt-Daroff Exercises PROCEDURE

The intervention program spans six weeks and involves both supervised Gans Maneuver sessions and home-based Brandt-Daroff exercises. Participants will attend two supervised Gans sessions per week, with each session consisting of three repetitions of the maneuver. In addition, participants will perform Brandt-Daroff exercises at home twice daily, with each cycle consisting of three repetitions. This combination of supervised and home-based practice will be maintained consistently throughout all six weeks. Across the entire program, participants will complete a total of 12 supervised Gans sessions and 36 Brandt-Daroff home sessions.

GANS Maneuver with Brand-Daroff Exercises

Gans Maneuver PROCEDURE

The control group will participate in a structured six-week intervention program consisting exclusively of the Gans Maneuver. Participants will attend two supervised sessions per week, ensuring consistent oversight and proper technique throughout the program. Each session will include three repetitions of the maneuver, with participants allowed a rest period of 30 to 60 seconds between repetitions to prevent fatigue and maintain the quality of each movement. This frequency and volume are maintained consistently across all six weeks to provide a standardized exposure, allowing for accurate comparison with other intervention groups. Over the entire six-week period, participants will complete a total of 12 supervised sessions, each with three repetitions, summing up to 36 repetitions across the intervention.

GANS Maneuver

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosed Patients of Benign Paroxysmal Vertigo (BPPV)
• Age between 18-60
• Acute and Chronic BPPV Patients
• Positive Dix-Hallpike Test
• DHI Scale: Mild-Severe (0-100)

You may not qualify if:

• Patients with a history of vestibular surgery or cochlear
• Patients with a history of seizures or epilepsy
• Patients with a pacemaker or implantable cardioverter-defibrillator (ICD)
• Patients with a history of severe head injury or concussion within the past year
• No other vestibular disorders or conditions that may affect balance (e.g., Meniere's disease, labyrinthitis
• No musculoskeletal or neurological conditions that may affect balance (e.g., stroke, Parkinson's disease)

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, 44000, Pakistan

RECRUITING

MeSH Terms

Conditions

Dizziness

Condition Hierarchy (Ancestors)

Sensation Disorders; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Rabia Ejaz, DPT

CONTACT

+92 3145281989; rabiaejaz57@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 25, 2025
• First Posted: December 5, 2025
• Study Start: September 13, 2024
• Primary Completion: December 10, 2025
• Study Completion: January 10, 2026
• Last Updated: December 5, 2025

Record last verified: 2025-11

Locations

PA (1)