Effectiveness of Epley Maneuver Versus Semont Maneuver on Dizziness and Balance in Stroke Survivors With Posterior Canal BPPV

NCT07887191 | Recruiting

• 1 other identifier: IIUI/RERC/ADT/2026/06/336
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial aims to compare the effectiveness of the Epley maneuver and the Semont maneuver in reducing dizziness and improving balance in stroke survivors diagnosed with posterior canal benign paroxysmal positional vertigo (BPPV). Forty participants will be randomly allocated to either intervention or comparator group. Outcomes will be assessed using the Dizziness Handicap Inventory (DHI), Berg Balance Scale (BBS), and Dix-Hallpike test at baseline, 2 weeks, and 4 weeks.

Conditions

Stroke

Outcome Measures

Primary Outcomes (2)

• Dizziness Handicap Inventory

  To assess the severity and impact of dizziness and balance in physical aspects of daily life. The questionnaire consists of 25 items scored as 0 (no), 2 (sometimes), and 4 (yes), yielding a total score ranging from 0 to 100. Higher scores indicate greater dizziness-related handicap. Total scores will be interpreted as mild (0-30), moderate (31-60), or severe (61-100) handicap

  Baseline, 2 weeks, and 4 weeks

• Berg Balance Scale

  The scale consists of 14 tasks, each scored from 0 to 4, yielding a total score ranging from 0 to 56. Higher scores indicate better balance performance, whereas lower scores indicate greater balance impairment

  Baseline, 2 weeks, and 4 weeks

Study Arms (2)

Epley Maneuver Group

EXPERIMENTAL

Epley Maneuver. Participants will receive the Epley repositioning maneuver performed by a trained physiotherapist, 4 repetitions per session, 2-4 sessions per week for 4 weeks.

Other: Epley Maneuver

Semont Maneuver Group

ACTIVE COMPARATOR

Semont Maneuver. Participants will receive the Semont repositioning maneuver performed by a trained physiotherapist, 4 repetitions per session, 2-4 sessions per week for 4 weeks.

Other: Semont Maneuver

Interventions

Epley Maneuver OTHER

Epley Maneuver: Participants will be randomly allocated to either the Epley maneuver group or the Semont maneuver group. The affected side will be identified using the Dix-Hallpike test before treatment. Participants in the Epley group will receive the canalith repositioning maneuver involving sequential head and body movements to facilitate the movement of displaced otoconia from the posterior semicircular canal into the utricle.

Epley Maneuver Group

Semont Maneuver OTHER

Participants in the Semont group will receive the liberatory maneuver involving rapid sequential movements between side-lying positions while maintaining the prescribed head rotation.

Semont Maneuver Group

Eligibility Criteria

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

You may qualify if:

• Age: above 18years Diagnosed with stroke survivors Diagnosed with posterior canal BPPV via Dix-Hallpike Test Functional status: Able to sit or walk with/without support, follow instructions, and participate in treatment sessions Willing to participate

You may not qualify if:

• Other vestibular disorders (e.g., Meniere's disease (inner ear disorder causing vertigo, hearing loss, and tinnitus)) Diagnosed cognitive impairment (unable to follow instructions) Medically unstable patients Severe cervical spine disorders (e.g., instability, fracture) Spinal conditions restricting head movement Completely bed-bound patients Any contraindication to Dix Hallpike repositioning maneuvers

Sponsors & Collaborators

• Ibadat International University, Islamabad: lead

Study Sites (1)

AFIRM

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Stroke

Condition Hierarchy (Ancestors)

Cerebrovascular Disorders; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Vascular Diseases; Cardiovascular Diseases

Study Officials

• Somiya Naz, BSPT, PPDPT, PHD Scholar

  IBADAT INTERNATIONAL UNIVERSITY

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr. Somiya Naz, BSPT, PPDPT, PHD Scholar

CONTACT

923315163093; dr.somiyanaz@gmail.com

Hira Asif, DPT, MSPT*

CONTACT

923165824558; Hira.asif11022@gmail.com

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: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: October 14, 2026
• First Posted: October 21, 2026
• Study Start: June 3, 2026
• Primary Completion (Estimated): November 30, 2026
• Study Completion (Estimated): December 5, 2026
• Last Updated: October 21, 2026

Record last verified: 2026-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)