Clinical trial NCT06637566: Effects of Brandt Daroff Exercises in Older Adults With Vertigo
Official title: Effects Of Brandt Daroff Exercises With Cawthorne Cooksey Exercises On Balance, Dizziness And Functional Parameters In Older Adults With Vertigo
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Vertigo
Keywords: Vertigo,
balance
functional parameters
dizziness,
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-10-15
Enrollment: 32
Sex: ALL
Minimum age (years): 65
Maximum age (years): 80
Standard ages: OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Vertigo is among the most prevalent disorder in older adults around the world leads to dizziness and balance problems resulting in decreased quality of life. Brandt daroff exercises can accelerate vertigo recovery and prevent recurrence without taking drugs. Cawthorne Cooksey first presented vestibular exercises to improve neurophysiological habituation, improves balance in the elderly. This study aims to determine the effects of brandt daroff exercises with cawthorne cooksey exercises on balance, dizziness and functional parameters in older adults with vertigo.

Detailed description: This is a randomized controlled trial. Participants will be selected by non-probability convenience sampling technique, thirty two vertigo patients meeting the inclusion criteria will be randomly allocated into two equal groups (experimental and control) by online randomizer tool. The experimental group will receive brandt daroff exercises with cawthorne cooksey exercises and the control group will receive brandt daroff exercises alone. Treatment session of 60 min will be given 3 times a week for 6 weeks. The following assessment tool will be used Visual Analogue Scale and Dizziness Handicap Inventory for vertigo symptom severity, Berg Balance scale and Tinetti POMA for assessment of balance, Functional Independence Measure and IADL Tool for assessment of functional parameters. Assessment will be done at baseline and after 6 week. The data will be analyzed using SPPS software version. 25.

Eligibility criteria: Inclusion Criteria:

* Older adults 65or above.
* Both Male and Female.
* Symptoms suggested vertigo, confirmed by neurologist.
* Accepted to participate in study.
* DHI Scale: 36-42 (moderate handicap).

Exclusion Criteria:

* Patients having balance issues other than dizziness and vertigo.
* Middle or external ear diseases.
* Cerebrovascular diseases.
* Feet injuries including severe bruises, ulcers, open wounds or recent burns.
* Neck pain and cervical spine disease.
* History of serious musculoskeletal disease (arthritis, Alzheimer's disease, intervertebral disc degeneration).

Primary outcomes:
measure: Dizziness Handicap Inventory:
timeFrame: 6 weeks
measure: Tinetti Performance Oriented Mobolity Assessment
timeFrame: 6 weeks
measure: Lawton Instrumental Activities of Daily Living (IADL) Scale
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Joharabad
country: Pakistan
facility: DHQ Hospital Joharabad
state: Punjab
Study officials:
affiliation: Riphah International University
name: Muhammad Asrar Yousaf, Mphil
role: PRINCIPAL_INVESTIGATOR
References:
citation: Teixido M, Casserly R, Melley LE. Lateral Modified Brandt-Daroff Exercises: A Novel Home Treatment Technique for Horizontal Canal BPPV. J Int Adv Otol. 2021 Jan;17(1):52-57. doi: 10.5152/iao.2020.9452.
citation: Zamyslowska-Szmytke E, Politanski P, Jozefowicz-Korczynska M. Dizziness Handicap Inventory in Clinical Evaluation of Dizzy Patients. Int J Environ Res Public Health. 2021 Feb 24;18(5):2210. doi: 10.3390/ijerph18052210.