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

NCT ID: NCT04715282

Last Updated: 2021-01-20

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 36 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2016-03-31
• Study Completion Date: 2017-02-28

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.

Conditions

Benign Paroxysmal Positional Vertigo

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Epley maneuver

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.

Group Type: OTHER

Epley maneuver

Intervention Type: PROCEDURE

Epley maneuver

Cawthorne-Cooksey exercises combined with the Epley maneuver

Additional Cawthorne-Cooksey exercises were prescribed to the EpleyM\&Exe group. The physiotherapist explained and demonstrated the exercises to each patient and the patients practiced the exercises until they performed them correctly. Then the exercises were prescribed twice a day and repeated 10 times for 6 weeks as a home exercise program.

Group Type: OTHER

Epley maneuver

Intervention Type: PROCEDURE

Epley maneuver

Interventions

Epley maneuver

Epley maneuver

Intervention Type: PROCEDURE

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

• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istinye University

OTHER

Sponsor Role: lead

Responsible Party

Habibe Serap Inal

Prof

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ekin Taçalan

Role: PRINCIPAL_INVESTIGATOR

Dr. Sami Ulus Maternity, Children Health and Diseases Education and Research Hospital

H.Serap İnal

Role: PRINCIPAL_INVESTIGATOR

Istinye University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department

Other Identifiers

IstinyeU

Identifier Type: -

Identifier Source: org_study_id