Benign Paroxysmal Positional Vertigo (BPPV) in Nursing Homes: Treatment Efficacy and Impact on Balance, Gait and Falls

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-15

Study Completion Date

2022-12-31

Brief Summary

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BPPV is a benign condition of the balance organ, localized in the inner ear, in which calcium crystals loosen up and move freely in the endolymphatic fluid of the inner ear (more specifically in the semi-circular canals). During certain posture changes or head movements, these moving calcium crystals cause dizziness and balance problems. The general objective of the study is to evaluate the impact of BPPV on the balance of older adults in nursing homes. For this purpose, we will compare the balance of residents with BPPV with residents without BPPV. Furthermore, we will identify the impact of treatment on balance problems and fall risk in older adults in nursing homes.

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Detailed Description

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Conditions

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BPPV

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

First, the nursing home resident will be assessed for the presence of BPPV. Based on the presence of BPPV, two groups will be formed: BPPV-group and control group. The residents suffering from BPPV will undergo balance tests and will be treated for their BPPV (BPPV-group). The nursing home residents with BPPV will be matched to residents without the disease (case control design) and will also undergo balance tests. At 1,3,6 and 12 months the presence of balance problems will be followed up in both groups.

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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residents with BPPV

Group Type ACTIVE_COMPARATOR

repositioning maneuvers

Intervention Type OTHER

The calcium crystals floating in the endolymphatic fluid will put back in place by putting the patient in several sitting and lying positions during specific repositioning maneuvers. During these maneuvers the calcium crystals will float from the semicircular canals back into the utriculus, after which the dizziness symptoms should disappear

balance

Intervention Type OTHER

compare the balance of residents with BPPV with residents without BPPV

residents without BPPV

Group Type OTHER

balance

Intervention Type OTHER

compare the balance of residents with BPPV with residents without BPPV

Interventions

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repositioning maneuvers

The calcium crystals floating in the endolymphatic fluid will put back in place by putting the patient in several sitting and lying positions during specific repositioning maneuvers. During these maneuvers the calcium crystals will float from the semicircular canals back into the utriculus, after which the dizziness symptoms should disappear

Intervention Type OTHER

balance

compare the balance of residents with BPPV with residents without BPPV

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Institutionalized for at least 3 months
* Willing to participate
* Able to understand simple instructions
* Able to stand independently for 10 seconds (with the use of a walking aid)

Exclusion Criteria

* Diagnosis of progressive neurological conditions resulting in a fast deterioration (i.e. amyotrophic lateral sclerosis or residents with palliative care)
* Participation in a rehabilitation program at the current time for a pathology of less than 6 months
* Contra-indication for vestibular testing such as heart failure or fear

Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes