Clinical trial NCT05944159: Temporomandibular Joint and Soft Tissue Mobilisation Techniques on Bening Paroxymal Vertigo
Official title: Is the Temporamandibular Joint and Soft Tissue Mobilization Technique Effective in Individuals Diagnosed With Bening Paroxysmal Positional Vertigo?
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Soft Tissue Mobilisation
Vestibular Exercises
Physiotherapy
Vertigo, Paroxysmal
Temporomandibular Joint Disorders
Keywords: Bening Paroxymal Positional Vertigo
Temporomandibular Joint Mobilization
Soft Tissue Mobilisation
Vestibular Exrecises
Physiotherapy
Otorhynology
Lead sponsor: Alanya Alaaddin Keykubat University
Sponsor class: OTHER
First posted: 2023-07-13
Enrollment: 41
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study was to investigated effectiveness of temporamandibular joint and soft tissue mobilization on patients with Benign Paroxysmal Positional Vertigo (BPPV).

Detailed description: Aim: In this study was aimed to investigated effectiveness of temporamandibular joint and soft tissue mobilization on patients with Benign Paroxysmal Positional Vertigo (BPPV). Material and Methods; Dix Hallpike maneuver was administered to all patients to confirm the diagnosis at the initial evaluation. If the Dix Hallpike test was positive, Epley maneuver was applied The patients were randomly divided into 2 groups as study group (n=) and control groups (n= ). Temporomandibular joint ve soft tissue techniques were applied 30 minutes once a week for 4 weeks by physiotherapist. Routin medication therapy was applied to control group. Both groups were asked to do the home exercise program twice a day consisting of vestibular exercise videos sent over whatss app. It was questioned with a phone call once a week whether the exercises were done or not. Patients were evaluated by Dizziness Disability Inventory (DHI) , Dizziness Assessment- Visual Analogue Scale (VAS), Vertigo Symptom Scale-Short Form (VSS) , Beck Anxiety Inventory (BAI) , Vertigo Dizziness Imbalance Questionnaire (VDI) , Tinnitus Disability Scale (TDS), Romberg Posture Test , Tandem Posture Test, Semitandem Tandem Balance Test, Fonseca's Anamnestic Index (FAI) and amount of mouth opening was measured with goniometer before and after treatment.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with positional vertigo,
* Being between the ages of 18-65
* Dix Halpike maneuver test (+),
* Those who volunteered to participate in the study
* Able to read and write.

Exclusion Criteria:

* Findings of acute or chronic infection at the end of ENT examination,
* Considered to have a neurological pathology that causes dizziness,
* Head trauma, history of surgical operation,
* Having lower extremity pain that prevents standing and weight bearing,
* Having a history or symptoms of vestibular system diseases other than BPPV,
* Presence of sudden sensory hearing loss and chronic otitis media,
* Pregnancy,
* The presence of serious cognitive impairment detected by the physician at a level that prevents the tests from being performed,
* Not having the mental level to understand and answer the survey questions,
* Cervical pathologies that may cause dizziness.

Primary outcomes:
measure: Dizzness Severity
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: Vertigo Symptom Scale- Shor Form
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: Beck Anxiety Inventory
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: Vertigo Dizziness Imbalance Questionnaire (VDI)
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: Tinnitus Disability Scale
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: Balance Asssesment
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: The presence of Temporomandibular Joint Disorders
timeFrame: Baseline - end of the treatment after 4 weeks session
measure: Mouth opening
timeFrame: Baseline - end of the treatment after 4 weeks session
Secondary outcomes:
Other outcomes:
Locations:
city: Antalya
country: Turkey
facility: Alanyaaku
state: Alanya
Study officials:
affiliation: Physiotherapy and Rehabilitation
name: Ayça ARACI, PhD
role: STUDY_DIRECTOR
affiliation: Physiotherapy and rehabilittaion
name: Dilara GÜLER, Master
role: PRINCIPAL_INVESTIGATOR
References: