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.
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 Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
32
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.
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
Binash Afzal
Lahore, Punjab Province, Pakistan
Vertigo Handicap Questionnaire
It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.
Time frame: First reading at 0 day
Vertigo Handicap Questionnaire
It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.
Time frame: second reading after 3 weeks
Visual Vertigo Analogue Scale
Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness
Time frame: First reading at 0 day
Visual Vertigo Analogue Scale
Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness
Time frame: second reading after 3 weeks
Dizziness Handicap Inventory
Self-perceived handicapping effects imposed by dizziness.
Time frame: First reading at 0 day
Dizziness Handicap Inventory
Self-perceived handicapping effects imposed by dizziness.
Time frame: second reading after 3 weeks
Berg Balance Scale
Objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks
Time frame: First reading at 0 day
Berg Balance Scale
Objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks
Time frame: First reading at 3 week
Dynamic Gait Index
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.
Time frame: first reading after 0 day
Dynamic Gait Index
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.
Time frame: second reading after 3 weeks
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