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Effects of Cervical and Oculomotor Exercises in Young Adults With Benign Paroxysmal Positional Vertigo

8 maj 2026 uppdaterad av: Foundation University Islamabad
Benign paroxysmal positional vertigo (BPPV) is the most common type of dizziness disorder in the community.Its cardinal symptoms include vertigo which is induced by change in position of head, turning over in bed, looking up, lying down in bed or any sudden change in the position of head. This study compares the effectiveness of occulomotor exercises alone and combined cervical and occulomotor exercises which take 6 weeks to implement and recruit results and each session lasting 10-20 minute Assessment will be performed at baseline.

Studieöversikt

Status

Avslutad

Betingelser

Intervention / Behandling

Detaljerad beskrivning

Benign Paroxysmal Positional Vertigo (BPPV) is the most prevalent peripheral vestibular disorder, significantly affecting patients' daily activities and quality of life. While vestibular maneuvers are widely used for treatment, evidence on the added benefits of combining these maneuvers with therapeutic exercises remains limited. This study aims to fill that gap by evaluating the effectiveness of an integrated approach, potentially enhancing symptom relief and supporting evidence-based clinical decisions. The combination may offer a more holistic strategy for managing BPPV, guiding healthcare professionals toward improved treatment protocols. Additionally, the research emphasizes a quick, accessible intervention suitable for clinical and emergency settings. By reducing dizziness more effectively, the study aspires to improve functional outcomes for patients. Overall, it highlights the value of innovative, combined therapies in vestibular care.

Studietyp

Interventionell

Inskrivning (Faktisk)

56

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

  • Pakistan
      • Islamabad, Pakistan, 44000
        • Foundation University College of Physical Therapy

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Nej

Beskrivning

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

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Ingen (Open Label)

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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
Procedur: Cervical Exercises

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.
Experimentell: 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)
Procedur: Occulomotor exercises

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.

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Nystagmus
Tidsram: 6 weeks

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
benign paroxysmal positional vertigo
Tidsram: 6 weeks

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
Dizziiness
Tidsram: 6 weeks
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.
6 weeks

Samarbetspartners och utredare

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Sponsor

Foundation University Islamabad

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

20 februari 2026

Primärt slutförande (Faktisk)

25 april 2026

Avslutad studie (Faktisk)

1 maj 2026

Studieregistreringsdatum

Först inskickad

8 maj 2026

Först inskickad som uppfyllde QC-kriterierna

8 maj 2026

Första postat (Faktisk)

14 maj 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

14 maj 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 maj 2026

Senast verifierad

1 maj 2026

Mer information

Termer relaterade till denna studie

Nyckelord

Ytterligare relevanta MeSH-villkor

Andra studie-ID-nummer

  • FUI/FUCP/CTR/Neuro/Anosha

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