Oculomotor and Vestibular Ocular Reflex Exercises in Patients With Benign Paroxysmal Positional Vertigo
Benign Paroxysmal Positional Vertigo (Disorder)
About this trial
This is an interventional treatment trial for Benign Paroxysmal Positional Vertigo (Disorder) focused on measuring Benign Paroxysmal Positional Vertigo, Oculomotor exercises, Vestibular Ocular Reflex (VOR) exercises
Eligibility Criteria
Inclusion Criteria:
- Patients who have vertigo with posterior canal involvement during Dix-Hallpike test with or without accompanying nystagmus (objective or subjective BPPV).
- Ability to walk at least 3 meters by itself with or without assistive device
- Normal vision with or without correction by spectacles or contact lenses
Exclusion Criteria:
- Patients with other neurologic conditions, orthopedic problems, and uncontrolled metabolic diseases to eliminate confounding factors affecting balance performance
- Unable to understand and answer a simple verbal command.
- Previously underwent oculomotor and vestibular ocular exercises.
- Other vestibular disorders like Meniere disease
- Long-term use of benzodiazepines (more than 20 years).
- Patients who are already performing structured physical activities such as muscle strengthening exercises, Pilates, yoga or high intensity aerobic exercises
Sites / Locations
- Binash Afzal
Arms of the Study
Arm 1
Arm 2
Other
Active Comparator
Traditional physical therapy using Epley's maneuver
Oculomotor and Vestibular Ocular Reflex (VOR) exercises
Epley's maneuver was performed once a week for three weeks. The maneuver was performed by patient in sitting position, head was rotated towards involved side and then extended to 30 degrees, it was then rotated to 180 degrees followed by patient rolling onto opposite side. Each position was maintained for 1-2 minutes.
oculomotor and VOR exercises after Epley's maneuver. The exercises were performed for approximately 5 minutes daily or 1 to 2 minutes, 3 to 4 times a day, in sitting position. The exercises were continued for three weeks. The maneuver was performed by patient in sitting position, head was rotated towards involved side and then extended to 30 degrees, it was then rotated to 180 degrees followed by patient rolling onto opposite side. Each position was maintained for 1-2 minutes. Saccadic exercises were performed by moving eyes between two stationary targets. Smooth pursuit exercises were performed by tracking a moving target while keeping head still and VOR exercises were performed by moving head left to right while maintaining eyes on stationary target