Effectiveness of the Epley Maneuver Versus Vestibular Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 36
- 主要终点
- Nintendo Wii Balance Board (WBB)
研究概览
简要总结
Observation of the effects of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in BPPV patients.
详细描述
Study Objective:
To observe the efficacy of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in patients with posterior canal BPPV.
Study Design:
Single-blind randomized controlled study
Sample Size:
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 (Participant)
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test
- •agreeing to undergo the Epley maneuver after that test
- •agreeing to participate in the study
排除标准
- •having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness
- •having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed
- •having lower extremity pain or an operation that prevented standing and/or weight bearing
- •having anterior or horizontal canal BPPV
- •having previously undergone a vestibular rehabilitation program
研究组 & 干预措施
Epley maneuver
The Epley maneuver was performed for all patients (both EpleyM and EpleyM&Exe groups) included in this study until nystagmus had disappeared in each position. If nystagmus/vertigo was not seen, the Epley maneuver was not performed for patients at the 1st, 3rd, and 6th week assessments.
干预措施: Epley maneuver (Procedure)
Cawthorne-Cooksey exercises combined with the Epley maneuver
Additional Cawthorne-Cooksey exercises were prescribed to the EpleyM&Exe group. The physiotherapist explained and demonstrated the exercises to each patient and the patients practiced the exercises until they performed them correctly. Then the exercises were prescribed twice a day and repeated 10 times for 6 weeks as a home exercise program.
干预措施: Epley maneuver (Procedure)
结局指标
主要结局
Nintendo Wii Balance Board (WBB)
时间窗: one hour
COP displacement on double leg with eyes open/closed (%): Lower scores (approaching 50%) indicate better static balance. Frontal plane stability on dominant leg with eyes open/closed (%): The total score ranges between 0 and 100%. Higher scores indicate better static balance.
Berg Balance Test (BBT)
时间窗: one hour
The minimum score of the BBT is 0 and the total maximum score of the BBT is 56. Higher scores indicate better dynamic balance.
次要结局
- Vertigo Symptom Scale (VSS)(one hour)
- Dizziness Handicap Inventory (DHI)(one hour)
研究者
Habibe Serap Inal
Prof
Istinye University