Epley Versus Semont-plus Maneuver for Benign Paroxysmal Positional Vertigo
2026年8月25日 更新者：Hoang Tien Trong Nghia、Military Hospital 175
Efficacy of the Epley Versus Semont-plus Maneuver in Patients With Posterior Semicircular Canal Benign Paroxysmal Positional Vertigo: A Randomized Controlled Trial Using Quantitative Video-Nystagmography Measurement
The goal of this clinical trial is to learn which of two head-movement treatments works better for benign paroxysmal positional vertigo (BPPV) of the posterior canal in adults. BPPV is a common cause of short spells of spinning dizziness. It happens when tiny crystals come loose inside the balance organ of the inner ear and drift into one of its canals. Changing head position then brings on a spinning feeling, along with quick jerking movements of the eyes.
The main question it aims to answer is:
* Does one treatment reduce these jerking eye movements more than the other, measured before treatment, 30 minutes after treatment, and 3 days after treatment?
The study will also look at:
- How many participants become free of positional dizziness after treatment
- How many days pass before the dizziness stops
- Whether repeating the treatment at home more times a day shortens recovery
- How often unwanted effects, such as nausea or vomiting, happen with each treatment
Researchers will compare the Semont-plus maneuver to the Epley maneuver, the long-standing standard treatment, to see if it clears the crystals out of the canal faster and more completely.
Participants will:
- Be placed by chance, into the Epley group or the Semont-plus group
- Have the jerking movements of the eyes recorded with video goggles while the doctor moves their head into the position that brings on the dizziness
- Receive their assigned maneuver at the hospital, followed by a second recording about 30 minutes later
- Be taught to carry out the same maneuver on their own at home, as often as they feel able to
- Come back after 3 days for another recording of their eye movements
- Come back after 1 month to talk with the study team about how their dizziness changed over that time
- Keep a short daily diary of their dizziness and of how many times a day they did the maneuver at home
調査の概要
研究の種類
介入
入学 (推定)
160
段階
- 適用できない
連絡先と場所
このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。
研究場所
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Ho Chi Minh City、ベトナム
- Military Hospital 175
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コンタクト：
- Chau Van Ha
- 電話番号：(+84) 0963219277
- メール：hachau.ht89@gmail.com
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参加基準
研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。
適格基準
就学可能な年齢
- 大人
- 高齢者
健康ボランティアの受け入れ
いいえ
説明
Inclusion Criteria:
- Age 18 years or older
- Posterior semicircular canal benign paroxysmal positional vertigo of the canalolithiasis type, diagnosed according to the Barany Society 2015 diagnostic criteria
- Unilateral involvement of a single semicircular canal
Exclusion Criteria:
- Involvement of more than one semicircular canal
- Any condition making the repositioning maneuver unsafe, including severe cervical spine disease with restricted range of motion or instability, previous cervical spine fracture, severe osteoporosis, unstable cardiovascular disease, or respiratory failure
- Unable to cooperate with the maneuver
- Any ocular or neurologic condition preventing technically adequate videonystagmography recording, such as inability to keep the eyes open, severe ptosis, or interfering spontaneous nystagmus from another cause
研究計画
このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：ダブル
武器と介入
参加者グループ / アーム |
介入・治療 |
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実験的：Semont-Plus
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Semont-plus liberatory maneuver for posterior canal BPPV, performed by a trained therapist at the enrolment visit.
From the upright seated position the head is turned 45 degrees toward the nonaffected side.
The body is then moved 150 degrees toward the affected side, so that the head comes to lie about 60 degrees below the earth horizontal and the otoconia are carried beyond the vertex of the canal.
The body is next moved 240 degrees toward the nonaffected side, which drives the otoconia toward the vestibule, and the participant is finally brought 90 degrees back to the upright position.
Each position is held for about one minute or until the induced nystagmus stops.
The maneuver is repeated within the same session if positional nystagmus persists.
Participants are then taught to perform it on their own at home, as often as they are able, and to record each home session in a diary.
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アクティブコンパレータ：Epley
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Epley maneuver for posterior canal BPPV, performed by a trained therapist at the enrolment visit.
From the upright seated position the head is rotated 45 degrees toward the affected ear.
The body is then moved backward so that the head hangs below the earth horizontal.
The head is rotated 90 degrees toward the nonaffected ear, after which the whole body is rotated downward until the participant faces the floor with the affected ear pointing toward the ceiling.
The participant returns to sitting with the head still rotated 45 degrees toward the nonaffected ear, and the head is turned back to neutral at the end.
Each position is held until the induced nystagmus stops, and for at least 30 seconds.
The maneuver is repeated within the same session if positional nystagmus persists.
Participants are then taught to perform it on their own at home, as often as they are able, and to record each home session in a diary.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
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Change in average slow-phase velocity of positional nystagmus
時間枠：Before the maneuver, 30 minutes after the maneuver, and 3 days after the maneuver
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Before the maneuver, 30 minutes after the maneuver, and 3 days after the maneuver
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二次結果の測定
結果測定 |
時間枠 |
|---|---|
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Proportion of participants with a successful repositioning maneuver
時間枠：30 minutes and 3 days after the first treatment maneuver
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30 minutes and 3 days after the first treatment maneuver
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Number of days until resolution of positional vertigo
時間枠：From the enrolment visit (day 0) to 1 month
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From the enrolment visit (day 0) to 1 month
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Number of participants with adverse events during treatment
時間枠：From the enrolment visit (day 0) to 1 month
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From the enrolment visit (day 0) to 1 month
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Correlation between the number of self-administered maneuvers per day and time to resolution of positional vertigo
時間枠：From the enrolment visit (day 0) to 1 month
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From the enrolment visit (day 0) to 1 month
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協力者と研究者
ここでは、この調査に関係する人々や組織を見つけることができます。
スポンサー
研究記録日
これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。
主要日程の研究
研究開始 (推定)
2026年9月1日
一次修了 (推定)
2027年10月30日
研究の完了 (推定)
2027年11月30日
試験登録日
最初に提出
2026年8月22日
QC基準を満たした最初の提出物
2026年8月22日
最初の投稿 (実際)
2026年8月26日
学習記録の更新
投稿された最後の更新 (実際)
2026年8月27日
QC基準を満たした最後の更新が送信されました
2026年8月25日
最終確認日
2026年6月1日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- DTCSHY.24/26/175.A7
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
未定
医薬品およびデバイス情報、研究文書
米国FDA規制医薬品の研究
いいえ
米国FDA規制機器製品の研究
いいえ
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