Effects of Cervical Mobilization on Dizziness, Balance, and Joint Position Sense in Patients With Meniere's Disease
NCT ID: NCT07272473
Last Updated: 2025-12-19
Study Results
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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RECRUITING
NA
33 participants
INTERVENTIONAL
2025-09-20
2026-05-05
Brief Summary
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Detailed Description
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The study will employ a stratified randomization method. Patients who have been diagnosed with Meniere's disease and have unilateral or bilateral involvement and who agree to participate in the study will be divided into three groups. The control group will only receive their routine Betahistine. Their usual treatments will remain unchanged. The first study group will receive 20 minutes of Vestibular Rehabilitation (VR) and 10 minutes of cervical mobilization in addition to their routine Betahistine. The second study group will receive 30 minutes of VR in addition to Betahistine. The study will last 6 weeks. During the VR sessions:
1. Adaptation exercises
2. Habituation exercises
3. Compensation exercises. A 6-week exercise protocol will be developed. The exercises will gradually increase in difficulty each week. Adaptation exercises will include visual tracking of a moving object while the head is stationary, and tracking objects in different directions while walking. Habituation exercises will include challenging exercises such as coming from lying down to sitting quickly and rising from sitting to standing. Compensation exercises will include walking on surfaces of varying hardness, standing on a balance board, and balancing on a trampoline, each with increasing difficulty each week.
For cervical mobilization, participants will first undergo 3-4 minutes of suboccipital release while lying on their backs to relax, then 2-3 minutes of cervical traction will be applied, and then, while sitting, they will mobilize the C1 and C2 vertebrae using the Mulligan concept.
Participants will be assessed using a sociodemographic questionnaire, the The Dizziness Handicap Inventory (DHI), the Vertigo Symptom Scale (VSS), the Neck Disability Index (NDI), the International Tinnitus Inventory (ITI), balance assessment with the K-Force Plates, and joint position sense and proprioception assessment with the Kinvent Physio K-Move. All assessments will be conducted twice: at baseline and after 6 weeks. This will allow for comparison of the three groups and provide a pre- and post-treatment assessment.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Control Group
Participants receive standard therapy only and do not receive vestibular rehabilitation or cervical mobilisation.
No interventions assigned to this group
Vestibular Rehabilitation + Cervical Mobilization
Participants receive both vestibular rehabilitation and cervical mobilization interventions.
Vestibular Rehabilitation + Cervical Mobilization
Treatment will be administered twice a week for 6 weeks, consisting of 20 minutes of vestibular rehabilitation and 10 minutes of cervical mobilization, each lasting 30 minutes. Vestibular rehabilitation will include adaptation exercises, habituation exercises, and compensation exercises. For cervical mobilization, participants will first undergo 3-4 minutes of suboccipital relaxation while lying supine to help them relax, then 2-3 minutes of cervical traction will be applied, and then, while sitting, they will mobilize the C1 and C2 vertebrae using the Mulligan concept.
Vestibular Rehabilitation Alone
Participants receive vestibular rehabilitation only, administered for 30 minutes per session, twice a week for 6 weeks.The program will include adaptation exercises, habituation exercises, and compensation exercises.
vestibular rehabilitation
Vestibular rehabilitation will be applied for 30 minutes, twice a week, for 6 weeks. Adaptation exercises, habituation exercises, and compensation exercises will be applied as vestibular rehabilitation.
Interventions
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Vestibular Rehabilitation + Cervical Mobilization
Treatment will be administered twice a week for 6 weeks, consisting of 20 minutes of vestibular rehabilitation and 10 minutes of cervical mobilization, each lasting 30 minutes. Vestibular rehabilitation will include adaptation exercises, habituation exercises, and compensation exercises. For cervical mobilization, participants will first undergo 3-4 minutes of suboccipital relaxation while lying supine to help them relax, then 2-3 minutes of cervical traction will be applied, and then, while sitting, they will mobilize the C1 and C2 vertebrae using the Mulligan concept.
vestibular rehabilitation
Vestibular rehabilitation will be applied for 30 minutes, twice a week, for 6 weeks. Adaptation exercises, habituation exercises, and compensation exercises will be applied as vestibular rehabilitation.
Eligibility Criteria
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Inclusion Criteria
* Age between 18 and 60 years
* Presence of fluctuating symptoms or chronic imbalance for at least 3 months
* Cognitive ability to participate in balance rehabilitation tasks (Mini Mental State Examination score ≥ 24)
* Willingness to participate in the study and provide informed consent
Exclusion Criteria
* Presence of another acute medical condition
* Neurological, psychological, or cognitive dysfunction
* History of orthopedic surgery within the last 3 months
* Planned surgical intervention during the rehabilitation program
* Cervical spine instability
* Acute cervical trauma
* Vertebral artery insufficiency
18 Years
60 Years
ALL
No
Sponsors
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Abant Izzet Baysal University
OTHER
Responsible Party
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Ömer Osman Pala
ASSOCIATE PROFESSOR
Principal Investigators
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omer pala, associate professor
Role: STUDY_DIRECTOR
Abant Izzet Baysal University
Locations
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Afyonkarahisar Health Sciences University Health Application and Research Center, Ear, Nose and Throat Polyclinic
Afyonkarahisar, Afyonkarahisar, Turkey (Türkiye)
Countries
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Central Contacts
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omer pala, associate professor
Role: CONTACT
Phone: +905327975716
Facility Contacts
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pakize sarı
Role: primary
Other Identifiers
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AIBU-FTR-OOP-10
Identifier Type: -
Identifier Source: org_study_id