The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV) (BPPV)
Benign Paroxysmal Positional Vertigo
About this trial
This is an interventional treatment trial for Benign Paroxysmal Positional Vertigo
Eligibility Criteria
Inclusion Criteria:
- having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test
- agreeing to undergo the Epley maneuver after that test
- agreeing to participate in the study
Exclusion Criteria:
- having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness
- having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed
- having lower extremity pain or an operation that prevented standing and/or weight bearing
- having anterior or horizontal canal BPPV
- having previously undergone a vestibular rehabilitation program
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Other
Other
Epley maneuver
Cawthorne-Cooksey exercises combined with the Epley maneuver
The Epley maneuver was performed for all patients (both EpleyM and EpleyM&Exe groups) included in this study until nystagmus had disappeared in each position. If nystagmus/vertigo was not seen, the Epley maneuver was not performed for patients at the 1st, 3rd, and 6th week assessments.
Additional Cawthorne-Cooksey exercises were prescribed to the EpleyM&Exe group. The physiotherapist explained and demonstrated the exercises to each patient and the patients practiced the exercises until they performed them correctly. Then the exercises were prescribed twice a day and repeated 10 times for 6 weeks as a home exercise program.