NCT00000359

Treatments for Benign Paroxysmal Positional Vertigo (BPPV)

• Status: Completed
• Phase: Phase 2
• Study type: Interventional
• Enrollment: 150 (actual)
• Sponsor: Baylor College of Medicine · Academic / Other
• Sex: All
• Age: 21 Years
• Healthy volunteers: Not accepted

Summary

The purpose of this study was to determine the relative short- and long-term efficacy of several physical treatment paradigms commonly employed for the treatment of benign paroxysmal positional vertigo (BPPV), including the canalith repositioning (Epley) maneuver, the liberatory (Semont) maneuver, the Brandt-Daroff exercises and nonspecific vestibular habituation exercises. These procedures involve exercises and head manipulations. Vertigo intensity and frequency, the presence/absence of slow-phase eye movements, the degree of dizziness handicap and acts of daily living (ADL) were assessed. The study also ascertained the effects of co-morbid conditions on the response to treatment. While BPPV is a common and significant public health problem that has been recognized for several decades, this is the first systematic study of the relative treatment efficacy of different physical treatment modalities for this disorder.

Conditions

• Vertigo

Interventions

Type	Name	Description
BEHAVIORAL	Canalith repositioning maneuver (Epley maneuver)	Standard passive motion of the head: Dix-Hallpike maneuver, turn head to opposite side, roll over, sit up.
BEHAVIORAL	Semont maneuver	Sidelying maneuver, flip over 180 deg, sit up.
BEHAVIORAL	Brandt-Daroff exercises	Active exercise. Sidelying to involved side, sidelying to uninvolved side, sit up.
BEHAVIORAL	Vestibular habituation exercises	Head shaking exercises in pitch, roll, yaw and circumduction. Titrating from 2 repetitions per exercise to 20 repetitions per exercise, as tolerated.
BEHAVIORAL	ShamManeuver	Passive movement of the head

Timeline

• Start date: 1998-10-01
• Primary completion: 2003-06-01
• Completion: 2003-06-01
• First posted: 1999-11-03
• Last updated: 2012-07-26

Locations

1 site across 1 country: United States