Multimodal Physiotherapy for Balance and Vertigo in BPPV Patients

NCT07576088 | Active Not Recruiting

• 1 other identifier: M.Usama Latif
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to evaluate the effects of a multimodal physiotherapy approach on balance, vertigo, fear of falling, and quality of life in patients with benign paroxysmal positional vertigo (BPPV). BPPV is a common vestibular disorder that causes dizziness and balance problems, leading to an increased risk of falls and reduced quality of life. In this randomized controlled trial, participants will be assigned to two groups: one receiving a multimodal physiotherapy program including patient education, Epley maneuver, and balance training, and the other receiving standard Epley maneuver treatment. The intervention will be conducted over four weeks. Outcomes will be assessed using standardized tools for balance, vertigo, fear of falling, and quality of life. The study aims to determine whether a combined physiotherapy approach provides better outcomes than standard treatment alone.

Conditions

Benign Paroxysmal Positional Vertigo; Vertigo; Balance Disorder

Keywords

Benign Paroxysmal Positional Vertigo; Balance; Fear of fall; Multimodal Physiotherapy Approach; Quality of Life; Vertigo

Outcome Measures

Primary Outcomes (1)

• Balance

  Balance will be assessed using the Dynamic Gait Index (DGI), a validated tool that evaluates gait, stability, and functional mobility in individuals with balance disorders.

  Baseline and Week 4

Study Arms (2)

Multimodal Physiotherapy

EXPERIMENTAL

participants will receive a multimodal physiotherapy program including patient education, Epley maneuver, and balance training, administered three times per week for four weeks.

Behavioral: Multimodal Physiotherapy; Procedure: Epley Maneuver

epley Maneuver

ACTIVE COMPARATOR

Participants will receive standard treatment using the Epley maneuver, administered three times per week for four weeks.

Procedure: Epley Maneuver

Interventions

Multimodal Physiotherapy BEHAVIORAL

A combined rehabilitation approach including vestibular rehabilitation, patient education, and balance training aimed at improving balance, reducing vertigo, decreasing fear of falling, and enhancing quality of life.

Also known as: Multimodal Physiotherapy Approach (MPA)

Multimodal Physiotherapy

Epley Maneuver PROCEDURE

A repositioning technique involving sequential head and body movements to relocate displaced otoconia within the semicircular canals to relieve symptoms of benign paroxysmal positional vertigo.

Multimodal Physiotherapy; epley Maneuver

Eligibility Criteria

• Age: 22 Years - 79 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age group between (22-79). Both the genders Male and Female were included. Diagnosed with posterior canal benign paroxysmal positional vertigo (PC-BPPV) confirmed by a positive Dix-Hall pike maneuver.
• Onset of symptoms within the past 3 months. Dynamic Balance impairment by DGI \> 21. All patients had history of at least two or more attacks of BPPV over 6 months.

You may not qualify if:

• Patients with a history of cervical spine injuries. Patients taking anti-vertigo medication. Patients with a previous diagnosis of Meniere's disease, migraine, or vestibular neuritis Patients with a previous history of neurological diseases. Cases with bilateral involvement. Absence of systemic diseases without medical control and absence of functional limitations that impede independent walking.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Allied Hospital I & II

Faisalabad, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Benign Paroxysmal Positional Vertigo; Vertigo

Condition Hierarchy (Ancestors)

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

Study Officials

• wajeeha zia, PhD

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Outcome assessors will be blinded to group allocation. Due to the nature of the interventions, participants and therapists cannot be blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomly assigned to two parallel groups: one receiving multimodal physiotherapy (patient education, Epley maneuver, and balance training) and the other receiving standard Epley maneuver treatment.

Study Record Dates

• First Submitted: May 4, 2026
• First Posted: May 8, 2026
• Study Start: June 5, 2025
• Primary Completion (Estimated): July 6, 2026
• Study Completion (Estimated): August 6, 2026
• Last Updated: May 8, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)