The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

Benign Paroxysmal Positional Vertigo Clinical Trial

— BPPV  

Official title:

Effectiveness of the Epley Maneuver Versus Vestibular Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04715282
• Other study ID #: IstinyeU
• Status: Completed
• Phase: N/A
• Start date: March 2016
• Est. completion date: February 2017

Study information

• Verified date: January 2021
• Source: Istinye University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Observation of the effects of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in BPPV patients.

Description:

Study Objective: To observe the efficacy of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in patients with posterior canal BPPV. Study Design: Single-blind randomized controlled study Sample Size: Thirty-six patients were recruited in the study and were randomized equally into Epley maneuver (EpleyM) and Epley maneuver and exercise (EpleyM&Exe) groups. Study Method: All patients were treated with the Epley maneuver, while CawthorneCooksey exercises were given to the EpleyM&Exe group as home exercises for 6 weeks. Static and dynamic balance, vertigo and associated symptoms, and quality of life were assessed with the Nintendo Wii Balance Board, Berg Balance Test, Vertigo Symptom Scale, and Dizziness Handicap Inventory, respectively. The assessments were repeated at the 1st, 3rd, and 6th weeks.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: February 2017
• Est. primary completion date: February 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

1. having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test

2. agreeing to undergo the Epley maneuver after that test

3. agreeing to participate in the study

Exclusion Criteria:

1. having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness

2. having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed

3. having lower extremity pain or an operation that prevented standing and/or weight bearing

4. having anterior or horizontal canal BPPV

5. having previously undergone a vestibular rehabilitation program

Related Conditions & MeSH terms

• Benign Paroxysmal Positional Vertigo
• Dizziness
• Vertigo

Intervention

Procedure:
• Epley maneuver
Epley maneuver

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Istinye University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Nintendo Wii Balance Board (WBB)	COP displacement on double leg with eyes open/closed (%): Lower scores (approaching 50%) indicate better static balance.; Frontal plane stability on dominant leg with eyes open/closed (%): The total score ranges between 0 and 100%. Higher scores indicate better static balance.	one hour
Primary	Berg Balance Test (BBT)	The minimum score of the BBT is 0 and the total maximum score of the BBT is 56. Higher scores indicate better dynamic balance.	one hour
Secondary	Vertigo Symptom Scale (VSS)	The total score ranges between 0 and 60 points, with higher scores indicating lower vertigo associated symptoms.	one hour
Secondary	Dizziness Handicap Inventory (DHI)	The total score ranges between 0 and 100 points, with higher scores indicating lower quality of life.	one hour