Treatment of Geotropic Horizontal Canal Benign Paroxysmal Positional Vertigo (HC BPPV)

Chonbuk National University

Status and phase: Completed; Phase 3

Conditions: Benign Paroxysmal Positional Vertigo

Treatments: Procedure: Barbecue; Procedure: Gufoni; Procedure: Sham

Study type: Interventional

Funder types: Other

Identifiers

NCT01366430

Treatment of HC BPPV

Details and patient eligibility

About

The purpose of this study was to compare the immediate efficacies of each treatment maneuvers in treatment of geotorpic horizontal canal benign paroxysmal positional vertigo (HC-BPPV).

Full description

A randomized prospective study of patients with HC-BPPV. Patients with geotropic type of HC-BPPV were randomized to one of each three treatment groups at their first clinic visit. These groups included the barbecue maneuver, Gufoni's maneuver, and sham group in geotropic HC-BPPV. Responsiveness of treatment maneuver was determined by positioning maneuver immediately after each treatment method based on resolves of vertigo and positional nystagmus.

Enrollment: 170 patients

Sex: All

Ages: 11+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• a history of brief episodes of positional vertigo, direction-changing horizontal nystagmus beating toward the uppermost (apogeotropic nystagmus) ear in both the lateral head turning positions,
• no spontaneous nystagmus during upright sitting position
• absence of identifiable central nervous system disorders that could explain the positional vertigo and nystagmus

Exclusion criteria

• central positional nystagmus with identifiable CNS lesions that could explain the positional nystagmus

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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170 participants in 3 patient groups

Gefoni manenuver

Active Comparator group

Description:

Gefoni manenuver for Geotropic HC-BPPV

Treatment:

Procedure: Gufoni

sham maneuver

Active Comparator group

Description:

sham maneuver for geotropic HC-BPPV

Treatment:

Procedure: Sham

barbecue maneuver

Active Comparator group

Description:

barbecue maneuver for geotropic HC-BPPV

Treatment:

Procedure: Barbecue