Oculomotor and Vestibular Ocular Reflex Exercises in Patients With Benign Paroxysmal Positional Vertigo

Not Applicable

Completed

• Conditions: Benign Paroxysmal Positional Vertigo (Disorder)

• Registration Number: NCT05333198
• Lead Sponsor: Riphah International University

Brief Summary

The aim of this research is to assess effects of Oculomotor and VOR exercises on vertigo, dizziness and balance in patients with BPPV. Randomized controlled trial was conducted at Hameed Latif Hospital, Lahore. The sample size 32 participants which were divided into two groups, 16 participants in traditional physical therapy group and 16 in oculomotor and vestibular ocular reflex exercises group. Study duration was of 6 months. Sampling technique applied was non-probability consecutive sampling technique. Only 30-70 years individuals with Benign Paroxysmal Positional Vertigo (BPPV) were included. Tools used in the study are vertigo handicap questionnaire, visual vertigo analogue scale, dizziness handicap inventory, berg balance scale and dynamic gait index. The data was analyzed using SPSS.

Detailed Description

Randomized controlled trial was conducted at Hameed Latif Hospital, Lahore. The sample size 32 participants which were divided into two groups, 16 participants in traditional physical therapy group and 16 in oculomotor and vestibular ocular reflex exercises group. Study duration was of 6 months. Sampling technique applied was non-probability consecutive sampling technique. Only 30-70 years individuals with Benign Paroxysmal Positional Vertigo (BPPV) were included. Tools used in the study are vertigo handicap questionnaire, visual vertigo analogue scale, dizziness handicap inventory, berg balance scale and dynamic gait index. The data was analyzed using SPSS.

Study Timeline

• Study Start: 2021-02-15
• Primary Completion: 2021-10-15
• Study Completion: 2021-12-15
• Study First Submitted: 2022-01-21
• Status Verified: 2022-04
• Study First Submitted QC: 2022-04-11
• Last Update Submitted: 2022-04-11
• Study First Posted: 2022-04-18
• Last Update Posted: 2022-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Patients who have vertigo with posterior canal involvement during Dix-Hallpike test with or without accompanying nystagmus (objective or subjective BPPV).
• Ability to walk at least 3 meters by itself with or without assistive device
• Normal vision with or without correction by spectacles or contact lenses

Exclusion Criteria

• Patients with other neurologic conditions, orthopedic problems, and uncontrolled metabolic diseases to eliminate confounding factors affecting balance performance
• Unable to understand and answer a simple verbal command.
• Previously underwent oculomotor and vestibular ocular exercises.
• Other vestibular disorders like Meniere disease
• Long-term use of benzodiazepines (more than 20 years).
• Patients who are already performing structured physical activities such as muscle strengthening exercises, Pilates, yoga or high intensity aerobic exercises

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Visual Vertigo Analogue Scale	second reading after 3 weeks	Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness
Dizziness Handicap Inventory	second reading after 3 weeks	Self-perceived handicapping effects imposed by dizziness.
Berg Balance Scale	First reading at 3 week	Objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks
Vertigo Handicap Questionnaire	second reading after 3 weeks	It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.
Dynamic Gait Index	second reading after 3 weeks	The clinical tool to assess gait, balance and fall risk. It evaluates not only usual steady-state walking, but also walking during more challenging tasks.

Trial Locations

Locations (1)

Binash Afzal; 🇵🇰 Lahore, Punjab, Pakistan