Oculomotor and Vestibular Ocular Reflex Exercises in Patients With Benign Paroxysmal Positional Vertigo
Condition: Benign Paroxysmal Positional Vertigo (Disorder)
MeSH terms: Vertigo; Benign Paroxysmal Positional Vertigo; Dizziness
Study type: Interventional

Summary: 
      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.
    

Detailed description: 
      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.
    

Intervention name(s): Traditional physical therapy using Epley's maneuver; Oculomotor and Vestibular Ocular Reflex (VOR) exercises
Intervention type(s): Other; Other
Intervention description(s): 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
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Benign Paroxysmal Positional Vertigo; Oculomotor exercises; Vestibular Ocular Reflex (VOR) exercises