Effect of Epley-Canalith Repositioning Procedure and Vestibular Rehabilitation Therapy in Diabetic Patients With BPPV
Benign Paroxysmal Positional Vertigo
About this trial
This is an interventional treatment trial for Benign Paroxysmal Positional Vertigo
Eligibility Criteria
Inclusion Criteria: Patients who are diagnosed with posterior canal BPPV by ENT physician Patients diagnosed with diabetes mellitus (Type 2) by the physician through laboratory investigations Both male and female Age between 20 to 70 years Positive Dix -Hallpike test Nystagmus lasting less than 60 seconds Willing to participate in the study Minimum score of 25/56 in Berg Balance Scale Exclusion Criteria: Patients taking antivertigo drugs Treated for similar vertigo experience Disease of different origin that may cause vertigo like migraine, multiple sclerosis, stroke, traumatic brain injury CRP has been done before Other causes of peripheral vertigo such as Meniere's disease, vestibular neuritis, labyrinthitis and peri lymphatic fistula Pathologies contraindicated for Dix- Hallpike manoeuvre like prolapse inter-vertebral disk, cervical spine instability, cervical myelopathy Previous cervical spine surgery
Sites / Locations
- Jazan University
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Epley-Canalith Repositioning
Vestibular Rehabilitation Therapy
Step 1: The patient was brought down with the head tilted 45 degrees towards the af-fected canal as in Hallpike test. The neck was extended. Step 2: The head was rotated 90 degrees towards the unaffected side. The neck was extended. Step 3: The head and body were rotated by further 90 degrees from the previous positions (now face down). The neck was in neutral position. Step 4: The patient was brought into a sitting position while having their head turned constantly in the direction of the unaffected side. Step 5: The head was turn forward and the chin was kept 20° down for a minute
Habituation exercises Gaze stability exercises and balance training