Effects of Cervical and Oculomotor Exercises in Young Adults With Benign Paroxysmal Positional Vertigo
연구 개요
상세 설명
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Islamabad, 파키스탄, 44000
- Foundation University College of Physical Therapy
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참여기준
자격 기준
공부할 수 있는 나이
- 성인
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Diagnosed Patients of Benign Paroxysmal Vertigo (BPPV)
- Age between 18-35 years
- Male & Female Patients
- Positive Dix-Hall pike Test
- Normal Cognitive Function: Able to follow instructions and provide informed consent.
- Normal or Corrected-to-normal Vision
- DHI Scale: Moderate (0-100)
Exclusion Criteria:
- Patients with visual impairment
- Pregnancy
- Patients with a history of severe heart disease
- Patients with a pacemaker or implantable cardioverter-defibrillator (ICD)
- No other vestibular disorders or conditions that may affect balance
- Pre-Existing Neurological or Musculoskeletal Conditions
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
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실험적: Cervical exercises
Week 1: DNF Strengthening (basic chin tuck) + Smooth Pursuit + Basic Saccades Week 2: DNF Progression (longer hold) + Saccadic Eye Movement + Smooth Pursuit Week 3: Adaptation X1 (with head movement) Week 4: DNF with Arm Movements + Adaptation X2 (slow head & target) Week 5: Saccades with Head Movements Week 6: DNF
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Cervical exercise include Deep Neck flexor strengthening starts with the patient lie supine with knees bent. Perform chin tuck and lift head ~2-3 cm off the surface. Hold for 5- 10 seconds. 10 repetitions, 2 sets daily. DNF activate stabilizing neck muscles and reduce Cervicogenic Input & provides quick, non-invasive relief from BPPV. |
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실험적: Occulomotor exercises
Week 1: Smooth Pursuit + Basic Saccades Week 2: Saccadic Eye Movement + Adaptation X1 (slow speed) Week 3: Adaptation X1 (moderate speed) + Smooth Pursuit (increased range) Week 4: Adaptation X2 (slow) + Complex Saccades (with distractions) Week 5: Adaptation X2 (faster) + Smooth Pursuit (large range) Week 6: All Oculomotor Exercises in Circuit (Saccades + Pursuit + X1 + X2)
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Oculomotor exercises are used to treat BPPV and involve repeated head movements to habituate the brain to vertigo triggers. Saccadic Eye Movement Exercises: Moving the eyes quickly between two stationary targets while keeping the head still. Smooth Pursuit Exercises: Tracking a moving target with the eyes while keeping the head stationary. Adaptation X1 Exercises: Moving the head horizontally while maintaining focus on a stationary target. Adaptation X2 Exercises: Simultaneously moving the head and target in opposite directions horizontally, requiring the eyes to track the moving target. |
연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
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Nystagmus
기간: 6 weeks
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Dynamic leap and balance test Moderate Impairment: Noticeable instability, excessive sway, needs extra steps to regain balance, and slower performance. Severe Impairment: Unable to maintain balance after landing, requires assistance, or is unable to complete the task safely. |
6 weeks
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benign paroxysmal positional vertigo
기간: 6 weeks
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Dix-Hall pike Test (DHT) is considered the gold standard assessment for the diagnosis of the vestibular disorder benign paroxysmal positional vertigo (BPPV). The patient starts in a sitting position and their head is turned 45° towards the side to be tested. The assessor then assists them to lie down quickly and extends their neck 20° over the end of the plinth, maintaining 45° rotation. The assessor should be able to see the patient's eyes and should observe for nystagmus. A positive response is elicited if rotational nystagmus is noted. The nystagmus will have a delayed onset of approximately 1-2 seconds following movement and it should subside after 10-20 seconds |
6 weeks
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Dizziiness
기간: 6 weeks
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The Dizziness Handicap Inventory (DHI) is a widely used tool to assess the impact of dizziness on an individual's daily life.The total score ranges from 0 to 100, with higher scores indicating a greater impact of dizziness.
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6 weeks
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공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- FUI/FUCP/CTR/Neuro/Anosha
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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Cervical Exercises에 대한 임상 시험
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