The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

Istinye University

Status: Completed

Conditions: Benign Paroxysmal Positional Vertigo

Treatments: Procedure: Epley maneuver

Study type: Interventional

Funder types: Other

Identifiers

NCT04715282

IstinyeU

Details and patient eligibility

About

Observation of the effects of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in BPPV patients.

Full description

Study Objective:

To observe the efficacy of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in patients with posterior canal BPPV.

Study Design:

Single-blind randomized controlled study

Sample Size:

Thirty-six patients were recruited in the study and were randomized equally into Epley maneuver (EpleyM) and Epley maneuver and exercise (EpleyM&Exe) groups.

Study Method:

All patients were treated with the Epley maneuver, while CawthorneCooksey exercises were given to the EpleyM&Exe group as home exercises for 6 weeks. Static and dynamic balance, vertigo and associated symptoms, and quality of life were assessed with the Nintendo Wii Balance Board, Berg Balance Test, Vertigo Symptom Scale, and Dizziness Handicap Inventory, respectively. The assessments were repeated at the 1st, 3rd, and 6th weeks.

Enrollment: 36 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

1. having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test
2. agreeing to undergo the Epley maneuver after that test
3. agreeing to participate in the study

Exclusion criteria

1. having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness
2. having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed
3. having lower extremity pain or an operation that prevented standing and/or weight bearing
4. having anterior or horizontal canal BPPV
5. having previously undergone a vestibular rehabilitation program

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Epley maneuver

Other group

Description:

The Epley maneuver was performed for all patients (both EpleyM and EpleyM\&Exe groups) included in this study until nystagmus had disappeared in each position. If nystagmus/vertigo was not seen, the Epley maneuver was not performed for patients at the 1st, 3rd, and 6th week assessments.

Treatment:

Procedure: Epley maneuver

Cawthorne-Cooksey exercises combined with the Epley maneuver

Other group

Description:

Additional Cawthorne-Cooksey exercises were prescribed to the EpleyM\&Exe group. The physiotherapist explained and demonstrated the exercises to each patient and the patients practiced the exercises until they performed them correctly. Then the exercises were prescribed twice a day and repeated 10 times for 6 weeks as a home exercise program.

Treatment:

Procedure: Epley maneuver