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

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Benign paroxysmal positional vertigo
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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