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Completed

NCT Number: NCT05333198

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

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.

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Key information

Conditions

Benign Paroxysmal Positional Vertigo (Disorder) Behavior Benign Paroxysmal Positional Vertigo Ear Diseases Labyrinth Diseases Motor Activity Nervous System Diseases Neurologic Manifestations Otorhinolaryngologic Diseases Pathological Conditions, Signs and Symptoms Signs and Symptoms Vertigo Vestibular Diseases

Age range

30 year–60 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Binash Afzal

Lahore, Punjab Province, 54000, Pakistan

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Traditional physical therapy using Epley's maneuver

Other

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 Vestibular Ocular Reflex (VOR) exercises

Other

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

Primary outcomes

  1. Vertigo Handicap Questionnaire

    Time frame: First reading at 0 day

    It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.

  2. Vertigo Handicap Questionnaire

    Time frame: second reading after 3 weeks

    It assess effect of vertigo on disability, handicap and benefits following therapeutic intervention both physically and psychologically.

  3. Visual Vertigo Analogue Scale

    Time frame: First reading at 0 day

    Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness

  4. Visual Vertigo Analogue Scale

    Time frame: second reading after 3 weeks

    Intensity of visual vertigo in nine challenging situations of visual motions that typically provoke dizziness

  5. Dizziness Handicap Inventory

    Time frame: First reading at 0 day

    Self-perceived handicapping effects imposed by dizziness.

  6. Dizziness Handicap Inventory

    Time frame: second reading after 3 weeks

    Self-perceived handicapping effects imposed by dizziness.

  7. Berg Balance Scale

    Time frame: First reading at 0 day

    Objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks

  8. Berg Balance Scale

    Time frame: First reading at 3 week

    Objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks

  9. Dynamic Gait Index

    Time frame: 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.

  10. Dynamic Gait Index

    Time frame: 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.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Oculomotor and Vestibular Ocular Reflex Exercises on Vertigo, Dizziness and Balance in Patients With Benign Paroxysmal Positional Vertigo

Important dates

Study start
2021
Primary completion
2021
Study completion
2021
First posted
Apr 18, 2022
Registry last updated
Apr 18, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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