Comparison of Epley Maneuver and COW Thorne Cooksey Exercise With Half Somersault Maneuver in BPPV

NCT ID: NCT05575362

Last Updated: 2022-12-12

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-08-10
• Study Completion Date: 2022-10-31

Brief Summary

Benign paroxysmal positional vertigo is a most common cause of peripheral vestibular pathology. BPPV may be characterized by sudden changes in the position of the head, such as lying down on one or both sides, looking right or left side .it can occurs either due to canalithiasis or cupulolithiasis, displacement of otoconia or calcium carbonate crystal into fluid filled semicircular canal which sends false signals to central nervous system causing nystagmus and vertigo. BPPV is a self limiting condition characterized by episodic vertigo and nystagmus of brief duration which resolves spontaneously.

Detailed Description

BPPV is treated using canalith repositioning procedures, the most common of which is the Epley's maneuver (EM), half somersault exercises, Brandt Daroff exercise, Semont maneuver, vestibular habituation exercises, balance and eye exercises. In addition to the maneuvers, simple daily program Caw Thorne -Cooksey exercise were instructed to perform by participants to ensure clearance of the otoconia and facilitate full resolution of vertigo symptoms. These vestibular exercises involve eye, head and body movements in different directions to provoke vestibular system. It promote recovery and reduce symptoms of dizziness, unsteadiness , balance impairment and improves activity of daily living. The Otolaryngologist Caw Thorne and Cooksey develops this exercise programme in order to rehabilitate the soldier with chronic dizzeness and brain trauma. A study concluded by Ramanathan et al 2019 that Caw Thorne -Cooksey habituation exercises along with Brandt-Daroff exercises is more effective in treatment of vertigo among posterior canal BPPV subject . Caw Thorne and Cooksey exercise improves balance in old age individuals. Caw Thorne and Cooksey exercise are habituation exercise. These movements provoke patients symptoms and patients repeat these exercises until unless they no longer respond to adverse effects of these exercises .

Conditions

BPPV

Study Design

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

Study Groups

Epley Manuver group

Group A is Experimental group will receive Epley's maneuver and Cawthorne Cooksey exercise for two weeks.

Group Type: EXPERIMENTAL

Group A

Intervention Type: OTHER

Group A will receive Epleys maneuver and Cawthorne Cooksey exercise for two weeks.

half somersault group

Group B is Control group will receive Half somersault maneuver and Cawthorne Cooksey exercise for two weeks.

Group Type: ACTIVE_COMPARATOR

Group B

Intervention Type: OTHER

Group B will receive Half Somersault maneuver along with Cawthorne Cooksey exercise for two weeks.

Interventions

Group A

Group A will receive Epleys maneuver and Cawthorne Cooksey exercise for two weeks.

Intervention Type: OTHER

Group B

Group B will receive Half Somersault maneuver along with Cawthorne Cooksey exercise for two weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • Patients with Posterior canal BPPV.

• Patients with recurrent episodes of vertigo for 3 months.
• Age group 35-65years.
• Dix-Hall-pike test positive.
• Both gender

Exclusion Criteria

• • Migraine related dizziness and Anxiety disorder

• Dix hallpike test negetive
• Other vestibular conditions are: Acoustic neuroma, Labyrinthitis, Vestibular hypofunction, Meniere's disease.
• Any cervical pathology,
• Visual impairment,
• CNS Pathology:causing dizziness and vertigo
• Other pathologies which may affect balance

• Minimum Eligible Age: 35 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Misbah Ghous, MS

Role: PRINCIPAL_INVESTIGATOR

Riphah International University Islamabad

Locations

Misbah

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

References

Chen CC, Cho HS, Lee HH, Hu CJ. Efficacy of Repositioning Therapy in Patients With Benign Paroxysmal Positional Vertigo and Preexisting Central Neurologic Disorders. Front Neurol. 2018 Jun 29;9:486. doi: 10.3389/fneur.2018.00486. eCollection 2018.

Reference Type: BACKGROUND

PMID: 30013505 (View on PubMed)

Desai DS, Chauhan AS, Trivedi MN. Role of modified Epley's maneuver and Brandt-Daroff exercises in treatment of posterior canal BPPV: a comparative study. Int J Physiother Res. 2015;3(3):1059-64.

Reference Type: BACKGROUND

Other Identifiers

zarlish

Identifier Type: -

Identifier Source: org_study_id