Effects of Oculomotor and Vestibular Ocular Reflex Exercises on Vertigo, Dizziness and Balance in Patients With Benign Paroxysmal Positional Vertigo
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Dynamic Gait Index
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 30 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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
排除标准
- •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
研究组 & 干预措施
Traditional physical therapy using Epley's maneuver
Epley's maneuver was performed once a week for three weeks. The maneuver was performed by patient in sitting position, head was rotated towards involved side and then extended to 30 degrees, it was then rotated to 180 degrees followed by patient rolling onto opposite side. Each position was maintained for 1-2 minutes.
干预措施: Traditional physical therapy using Epley's maneuver (Other)
Oculomotor and Vestibular Ocular Reflex (VOR) exercises
oculomotor and VOR exercises after Epley's maneuver. The exercises were performed for approximately 5 minutes daily or 1 to 2 minutes, 3 to 4 times a day, in sitting position. The exercises were continued for three weeks. The maneuver was performed by patient in sitting position, head was rotated towards involved side and then extended to 30 degrees, it was then rotated to 180 degrees followed by patient rolling onto opposite side. Each position was maintained for 1-2 minutes. Saccadic exercises were performed by moving eyes between two stationary targets. Smooth pursuit exercises were performed by tracking a moving target while keeping head still and VOR exercises were performed by moving head left to right while maintaining eyes on stationary target
干预措施: Oculomotor and Vestibular Ocular Reflex (VOR) exercises (Other)
结局指标
主要结局
Dynamic Gait Index
时间窗: 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.
Visual Vertigo Analogue Scale
时间窗: second reading after 3 weeks
Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness
Dizziness Handicap Inventory
时间窗: second reading after 3 weeks
Self-perceived handicapping effects imposed by dizziness.
Berg Balance Scale
时间窗: 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
时间窗: second reading after 3 weeks
It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.
Vertigo Handicap Questionnaire
时间窗: First reading at 0 day
It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.
Visual Vertigo Analogue Scale
时间窗: First reading at 0 day
Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness
Dizziness Handicap Inventory
时间窗: First reading at 0 day
Self-perceived handicapping effects imposed by dizziness.
Berg Balance Scale
时间窗: First reading at 0 day
Objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks
Dynamic Gait Index
时间窗: first reading after 0 day
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.
次要结局
未报告次要终点