Other Clinical Trial - Comparison of Home-Based Exercise on the Posterior

Status Completed

Clinical Trial Summary

Benign paroxysmal positional vertigo (BPPV) is the most common vestibular disorder in adults and the treatment of choice is by particle repositioning manoeuvres (PRM). This study aims to compare the treatment efficacy of two home-based exercises, self-Epley manoeuvre (SEM) and Brandt-Daroff exercise (BDE) in patients with posterior canal BPPV based on vertigo resolution, reduction of vertigo intensity, the Dizziness Handicap Inventory scores and the conversion of a positive to negative Dix-Hallpike test.

Clinical Trial Description

Study Objective:

To compare the efficacy of the self-Epley manoeuvre to the Brandt-Daroff exercise in resolving vertigo symptoms in patients with unilateral posterior canal BPPV.

Study Design:

Single-blind randomized controlled study

Sample Size:

Fifty patients were recruited in the study and were divided with 25 patients in each treatment arm.

Study Method:

Patients who satisfy the inclusion criteria and have given informed consent were randomized into the 2 treatment groups. A dedicated physiotherapist will demonstrate the selected exercise (either SEM or BDE) and observed the patient performing the exercise twice to ensure the ability of the patient to perform it correctly at home. A diary was provided for the patients to chart the therapy sessions performed at home as well as a pamphlet with simple illustrated instructions of the chosen exercise. The patients were asked to perform the home-based exercise for 2 weeks.

Primary Outcome Measure

- Resolution of vertigo symptoms in patients with unilateral posterior canal BPPV.

Secondary Outcome Measures

- Vertigo resolution at 1 and 6 months;

- The conversion of positive to negative Dix-Hallpike test between both groups after 1 month;

- Vertigo intensity in unresolved vertigo patients at 1 & 6 months;

- The Dizziness Handicap Inventory between both groups at 1 and 6 months. ;

Study Design

Related Conditions & MeSH terms

Benign Paroxysmal Positional Vertigo
Dizziness
Vertigo

Clinical Trial Details

NCT number	NCT03230513
Study type	Interventional
Source	University of Malaya
Contact
Status	Completed
Phase	N/A
Start date	October 1, 2015
Completion date	May 1, 2017

View Details

See also
Status	Clinical Trial	Phase
Completed	`NCT03425786` - Benign Paroxysmal Positional Vertigo (BPPV) Training for Sports Medicine Providers in a Pediatric Concussion Program	N/A
Completed	`NCT02046980` - Treatment of Apogeotropic Horizontal Canal Benign Paroxysmal Positional Vertigo	Phase 2
Withdrawn	`NCT00978809` - Effects of Physical Treatment on Postural Stability in Benign Paroxysmal Positional Vertigo (BPPV) Patients	N/A
Completed	`NCT02029508` - The Treatment of Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo	Phase 3
Completed	`NCT02809599` - Evidence Based Best Care Practice for Benign Paroxysmal Positional Vertigo	N/A
Completed	`NCT03643354` - Evaluation of the Prevalence of BPPV and Longterm Effects of Its Therapy Using the Rotundum Device in Retirement Homes	N/A
Completed	`NCT00641797` - Treating Benign Paroxysmal Positional Vertigo (BPPV) in ED Patients	N/A
Recruiting	`NCT06001047` - Head Acupuncture Treat Residual Symptoms After Canalith Repositioning Procedure for BPPV	N/A
Not yet recruiting	`NCT04578470` - Benign Paroxysmal Positional Vertigo (BPPV) in Older Patients	Phase 2
Not yet recruiting	`NCT04578262` - Epley Manoeuvre in Participants With Multiple Sclerosis Diagnosed From Benign Paroxysmal Positional Vertigo	N/A
Completed	`NCT05748249` - Evaluation of the Efficacy of Vertistop® D and Vertistop® L in the Prevention of BPPV Recurrence	Phase 1
Active, not recruiting	`NCT06314581` - Effect of a Multifaceted Educational Intervention on the Implementation of Evidence-based Practices for Benign Paroxysmal Positional Vertigo in an Emergency Department
Completed	`NCT04715282` - The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)	N/A
Terminated	`NCT03161470` - Efficacy of a Mechanical Chair for Treatment of Benign Paroxysmal Positional Vertigo (BPPV)	N/A
Completed	`NCT05425199` - Habituation Exercises Versus Proprioceptive Training in Benign Paroxysmal Positional Vertigo	N/A
Recruiting	`NCT05922774` - Cervical Vestibular Evoked Myogenic Potentials in Recurrent and Persistant Benign Paroxysmal Positional Vertigo
Recruiting	`NCT05013684` - Benign Paroxysmal Positional Vertigo in Older Adults	N/A
Not yet recruiting	`NCT05863949` - Clinical Trial of Vit D and Calcium for Recurrent BPPV	N/A
Completed	`NCT05127694` - Treatment In Acute Benign Paroxysmal Positional Vertigo	N/A
Suspended	`NCT04026516` - CAVA: Dizziness Trial	N/A

Clinical trials are conducted in a series of steps, called phases - each phase is designed to answer a separate research question.

Phase 1: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects.
Phase 2: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.
Phase 3: The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely.
Phase 4: Studies are done after the drug or treatment has been marketed to gather information on the drug's effect in various populations and any side effects associated with long-term use.

Comparison of Home-Based Exercise on the Posterior Canal Benign Paroxysmal Positional Vertigo Symptoms

Clinical Trial Summary

Clinical Trial Description

Study Design

Related Conditions & MeSH terms