Brief Title
The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
Official Title
Effectiveness of the Epley Maneuver Versus Vestibular Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
Brief 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.
Detailed 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.
Study Type
Interventional
Primary Outcome
Nintendo Wii Balance Board (WBB)
Secondary Outcome
Vertigo Symptom Scale (VSS)
Condition
Benign Paroxysmal Positional Vertigo
Intervention
Epley maneuver
Study Arms / Comparison Groups
Epley maneuver
Description: The Epley maneuver was performed for all patients (both EpleyM and EpleyM&Exe groups) included in this study until nystagmus had disappeared in each position. If nystagmus/vertigo was not seen, the Epley maneuver was not performed for patients at the 1st, 3rd, and 6th week assessments.
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Procedure
Estimated Enrollment
36
Start Date
March 2016
Completion Date
February 2017
Primary Completion Date
February 2017
Eligibility Criteria
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
Gender
All
Ages
N/A - N/A
Accepts Healthy Volunteers
No
Contacts
Ekin Taçalan, ,
Administrative Informations
NCT ID
NCT04715282
Organization ID
IstinyeU
Responsible Party
Principal Investigator
Study Sponsor
Istinye University
Study Sponsor
Ekin Taçalan, Principal Investigator, Dr. Sami Ulus Maternity, Children Health and Diseases Education and Research Hospital
Verification Date
January 2021