Clinical trial NCT05333198: Oculomotor and Vestibular Ocular Reflex Exercises in Patients With Benign Paroxysmal Positional Vertigo
Official title: Effects of Oculomotor and Vestibular Ocular Reflex Exercises on Vertigo, Dizziness and Balance in Patients With Benign Paroxysmal Positional Vertigo
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Benign Paroxysmal Positional Vertigo (Disorder)
Keywords: Benign Paroxysmal Positional Vertigo
Oculomotor exercises
Vestibular Ocular Reflex (VOR) exercises
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-04-18
Enrollment: 32
Sex: ALL
Minimum age (years): 30
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief 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.

Eligibility criteria: 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

Primary outcomes:
measure: Vertigo Handicap Questionnaire
timeFrame: First reading at 0 day
measure: Vertigo Handicap Questionnaire
timeFrame: second reading after 3 weeks
measure: Visual Vertigo Analogue Scale
timeFrame: First reading at 0 day
measure: Visual Vertigo Analogue Scale
timeFrame: second reading after 3 weeks
measure: Dizziness Handicap Inventory
timeFrame: First reading at 0 day
measure: Dizziness Handicap Inventory
timeFrame: second reading after 3 weeks
measure: Berg Balance Scale
timeFrame: First reading at 0 day
measure: Berg Balance Scale
timeFrame: First reading at 3 week
measure: Dynamic Gait Index
timeFrame: first reading after 0 day
measure: Dynamic Gait Index
timeFrame: second reading after 3 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Binash Afzal
state: Punjab
Study officials:
affiliation: Riphah International University
name: Binash Afzal, PhD*
role: PRINCIPAL_INVESTIGATOR
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