Treatment In Acute Benign Paroxysmal Positional Vertigo

NCT ID: NCT05127694

Last Updated: 2021-12-02

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-07-01
• Study Completion Date: 2020-04-16

Brief Summary

Benign paroxysmal positional vertigo (BPPV) is a vestibular disorder that manifests itself as a result of dizziness caused by the otoconia in the inner ear coming out of their places and circulating freely in the semicircular canals or by attaching to the cupula and sensitizing the cupula to head movements against gravity. The aim of the study is to compare the effectiveness of pharmacological treatment initiated by the physician and vestibular rehabilitation initiated by physiotherapist in patients with acute benign paroxysmal positional vertigo (BPPV). Thirty patients, aged 18-50 years, who applied to the Bağcılar Safa Hospital, were included in the study. The patients were divided into two groups, 15 pharmacological control group and 15 vestibular rehabilitation group. 8 patients in the pharmacological control group were given the drug containing betahistine by the physician, and 7 patients received the drug containing additional dimenhydrinate to the betahistine. In the rehabilitation group, exercises including head and eye movements and maneuvering were performed according to the direction of the canal after the exercise, and the patients were given a home exercise program. Treatment continued for 4 weeks. Visual Analogue Scale (VAS), dynamic visual acuity test, romberg, semitandem, tandem posture tests with a stopwatch, standing test on one leg with eyes open and closed, and unterberger tests were applied to patients before and after treatment.

Conditions

Benign Paroxysmal Positional Vertigo; Balance; Distorted; Vestibular Disorder; Dizziness

Keywords

Benign Paroxsymal Positional Vertigo; Balance; Pysiotherapy and Rehabilitation; Canalith Repositioning Procedure; Pharmacological Therapy; Dynamic Visual Acuity; Dizziness

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Vestibular Rehabilitation Group

Investigators applied vestibular rehabilitation in this group. This group was consist of 15 participants. After the evaluation investigators gave the patients repetitive vestibular exercises for 4 weeks and in the first week investigators performed canalith repositioning procedure depending on the affected canal. If affected posterior semicircular canal investigators applied Epley maneuver. If affected horizontal semicircular canal also applied barbeque roll maneuver.

Group Type: EXPERIMENTAL

Vestibular Rehabilitation

Intervention Type: OTHER

Vestibular Rehabilitation which is consist of repetitive exercises and canalit repositioning maneuvers

Pharmacological Control Group

Investigators did not apply any treatment in this group. Participant in this group just used medications doctor-prescribed.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Vestibular Rehabilitation

Vestibular Rehabilitation which is consist of repetitive exercises and canalit repositioning maneuvers

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• 18-50 years of age,
• Positive Dix-Hallpike test result, and
• No spontaneous nystagmus.

Exclusion Criteria

• Patients with Meniere's disease, vestibular neuritis, labyrinthitis, sudden sensory hearing loss, chronic otitis media, non-ambulatory patients, patients with vertigo due to central causes, and patients with cardiac complaints were excluded from the study.
• In addition, patients with conditions contraindicated for canalith repositioning procedures (such as cervical spine stenosis, severe kyphoscoliosis, cervical radiculopathy, ankylosing spondylitis, severe lumbar dysfunction, and spinal injuries) were excluded from the vestibular rehabilitation group.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul Medipol University Hospital

OTHER

Sponsor Role: lead

Responsible Party

gorkem ata

Physiotherapist MSc, Lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Safa Hospital

Istanbul, Bagcilar, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

10840098-604.01.01-E.19383

Identifier Type: -

Identifier Source: org_study_id