The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

Istinye University36 enrolled

Overview

Observation of the effects of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in BPPV patients.

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: Thirty-six patients were recruited in the study and were randomized equally into Epley maneuver (EpleyM) and Epley maneuver and exercise (EpleyM\&Exe) groups. Study Method: All patients were treated with the Epley maneuver, while CawthorneCooksey exercises were given to the EpleyM\&Exe group as home exercises for 6 weeks. Static and dynamic balance, vertigo and associated symptoms, and quality of life were assessed with the Nintendo Wii Balance Board, Berg Balance Test, Vertigo Symptom Scale, and Dizziness Handicap Inventory, respectively. The assessments were repeated at the 1st, 3rd, and 6th weeks.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Benign Paroxysmal Positional Vertigo

Interventions

Epley maneuverPROCEDURE

Epley maneuver

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: 1. having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test 2. agreeing to undergo the Epley maneuver after that test 3. agreeing to participate in the study Exclusion Criteria: 1. having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness 2. having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed 3. having lower extremity pain or an operation that prevented standing and/or weight bearing 4. having anterior or horizontal canal BPPV 5. having previously undergone a vestibular rehabilitation program

Outcomes

Primary Outcomes

Nintendo Wii Balance Board (WBB)

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.

Time frame: one hour

Berg Balance Test (BBT)

The minimum score of the BBT is 0 and the total maximum score of the BBT is 56. Higher scores indicate better dynamic balance.

Time frame: one hour

Secondary Outcomes

Vertigo Symptom Scale (VSS)

The total score ranges between 0 and 60 points, with higher scores indicating lower vertigo associated symptoms.

Time frame: one hour

Dizziness Handicap Inventory (DHI)

The total score ranges between 0 and 100 points, with higher scores indicating lower quality of life.

Time frame: one hour

Data from ClinicalTrials.gov

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