Effects of Brandt Daroff Exercises in Older Adults With Vertigo

NCT ID: NCT06637566

Last Updated: 2024-10-15

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-10-08
• Study Completion Date: 2025-01-03

Brief Summary

Vertigo is among the most prevalent disorder in older adults around the world leads to dizziness and balance problems resulting in decreased quality of life. Brandt daroff exercises can accelerate vertigo recovery and prevent recurrence without taking drugs. Cawthorne Cooksey first presented vestibular exercises to improve neurophysiological habituation, improves balance in the elderly. This study aims to determine the effects of brandt daroff exercises with cawthorne cooksey exercises on balance, dizziness and functional parameters in older adults with vertigo.

Detailed Description

This is a randomized controlled trial. Participants will be selected by non-probability convenience sampling technique, thirty two vertigo patients meeting the inclusion criteria will be randomly allocated into two equal groups (experimental and control) by online randomizer tool. The experimental group will receive brandt daroff exercises with cawthorne cooksey exercises and the control group will receive brandt daroff exercises alone. Treatment session of 60 min will be given 3 times a week for 6 weeks. The following assessment tool will be used Visual Analogue Scale and Dizziness Handicap Inventory for vertigo symptom severity, Berg Balance scale and Tinetti POMA for assessment of balance, Functional Independence Measure and IADL Tool for assessment of functional parameters. Assessment will be done at baseline and after 6 week. The data will be analyzed using SPPS software version. 25.

Conditions

Vertigo

Study Design

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

Study Groups

Experimental Group

They receive brandt daroff exercises with cawthorne cooksey exercises.

Group Type: ACTIVE_COMPARATOR

Brandt Daroff exercises along with Cawthorne Cooksey exercises

Intervention Type: OTHER

Brandt Daroff exercises along with Cawthorne Cooksey exercises. The Cawthorne Cooksey exercises include eye and head movements, coordination of eye and head movements (visual-vestibular interaction), postural control exercises, and progressively more difficult balance tasks (eyes open, eyes closed, large base support, uneven base support, while walking, in high visual or noisy environments). Exercises should be done three times a day, with 5 repetitions of each. The exercises will be performed in three sessions per week with 60 minutes each session for eight weeks. The cawthorne Cooksey exercises includes the following:

A: Eye and head movement

B: Head and body movement, sitting down:

C: Standing up exercises:

Control Group

They receive brandt daroff exercises only.

Group Type: OTHER

Brandt Daroff exercises

Intervention Type: OTHER

brandt daroff exercises without cawthorne Cooksey exercises. To begin the Brandt-daroff exercise, the patient will sit and swivel the head 45 degrees to one side (left), then instantly lie down on the other shoulder (right). The patient should be instructed to maintain this posture for 30 seconds or until the vertigo subsides. The patient then gradually returns to the starting position, maintaining the left ear rotation until sat upright. Following the same 30 second time limits, the patient turns his head in the opposite way (right) and rests down on the opposite shoulder (left). These exercises will be instructed to perform at home for 3 sets (morning, afternoon and evening) with 5 repetitions approximately for 30 minutes in each session for five weeks

Interventions

Brandt Daroff exercises along with Cawthorne Cooksey exercises

Brandt Daroff exercises along with Cawthorne Cooksey exercises. The Cawthorne Cooksey exercises include eye and head movements, coordination of eye and head movements (visual-vestibular interaction), postural control exercises, and progressively more difficult balance tasks (eyes open, eyes closed, large base support, uneven base support, while walking, in high visual or noisy environments). Exercises should be done three times a day, with 5 repetitions of each. The exercises will be performed in three sessions per week with 60 minutes each session for eight weeks. The cawthorne Cooksey exercises includes the following:

A: Eye and head movement

B: Head and body movement, sitting down:

C: Standing up exercises:

Intervention Type: OTHER

Brandt Daroff exercises

brandt daroff exercises without cawthorne Cooksey exercises. To begin the Brandt-daroff exercise, the patient will sit and swivel the head 45 degrees to one side (left), then instantly lie down on the other shoulder (right). The patient should be instructed to maintain this posture for 30 seconds or until the vertigo subsides. The patient then gradually returns to the starting position, maintaining the left ear rotation until sat upright. Following the same 30 second time limits, the patient turns his head in the opposite way (right) and rests down on the opposite shoulder (left). These exercises will be instructed to perform at home for 3 sets (morning, afternoon and evening) with 5 repetitions approximately for 30 minutes in each session for five weeks

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Older adults 65or above.
• Both Male and Female.
• Symptoms suggested vertigo, confirmed by neurologist.
• Accepted to participate in study.
• DHI Scale: 36-42 (moderate handicap).

Exclusion Criteria

• Patients having balance issues other than dizziness and vertigo.
• Middle or external ear diseases.
• Cerebrovascular diseases.
• Feet injuries including severe bruises, ulcers, open wounds or recent burns.
• Neck pain and cervical spine disease.
• History of serious musculoskeletal disease (arthritis, Alzheimer's disease, intervertebral disc degeneration).

• Minimum Eligible Age: 65 Years
• Maximum Eligible Age: 80 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Asrar Yousaf, Mphil

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

DHQ Hospital Joharabad

Jauharabad, Punjab Province, Pakistan

Countries

Pakistan

Central Contacts

Imran Amjad, Phd

Role: CONTACT

Imran.amjad@riphah.edu.pk

03324390125

References

Teixido M, Casserly R, Melley LE. Lateral Modified Brandt-Daroff Exercises: A Novel Home Treatment Technique for Horizontal Canal BPPV. J Int Adv Otol. 2021 Jan;17(1):52-57. doi: 10.5152/iao.2020.9452.

Reference Type: BACKGROUND

PMID: 33605222 (View on PubMed)

Zamyslowska-Szmytke E, Politanski P, Jozefowicz-Korczynska M. Dizziness Handicap Inventory in Clinical Evaluation of Dizzy Patients. Int J Environ Res Public Health. 2021 Feb 24;18(5):2210. doi: 10.3390/ijerph18052210.

Reference Type: BACKGROUND

PMID: 33668099 (View on PubMed)

Other Identifiers

REC/RCR & AHS/24/0207

Identifier Type: -

Identifier Source: org_study_id