Effects of Brandt Daroff Exercises in Older Adults With Vertigo

Официальное название

Effects Of Brandt Daroff Exercises With Cawthorne Cooksey Exercises On Balance, Dizziness And Functional Parameters In Older Adults With Vertigo

Обзор

Vertigo is among the most prevalent disorder in older adults around the world leads to dizziness and balance problems resulting in decreased quality of life. Brandt daroff exercises can accelerate vertigo recovery and prevent recurrence without taking drugs. Cawthorne Cooksey first presented vestibular exercises to improve neurophysiological habituation, improves balance in the elderly. This study aims to determine the effects of brandt daroff exercises with cawthorne cooksey exercises on balance, dizziness and functional parameters in older adults with vertigo.

Подробное описание

This is a randomized controlled trial. Participants will be selected by non-probability convenience sampling technique, thirty two vertigo patients meeting the inclusion criteria will be randomly allocated into two equal groups (experimental and control) by online randomizer tool. The experimental group will receive brandt daroff exercises with cawthorne cooksey exercises and the control group will receive brandt daroff exercises alone. Treatment session of 60 min will be given 3 times a week for 6 weeks. The following assessment tool will be used Visual Analogue Scale and Dizziness Handicap Inventory for vertigo symptom severity, Berg Balance scale and Tinetti POMA for assessment of balance, Functional Independence Measure and IADL Tool for assessment of functional parameters. Assessment will be done at baseline and after 6 week. The data will be analyzed using SPPS software version. 25.

Вмешательства

• Другое Brandt Daroff exercises along with Cawthorne Cooksey exercises
  Brandt Daroff exercises along with Cawthorne Cooksey exercises. The Cawthorne Cooksey exercises include eye and head movements, coordination of eye and head movements (visual-vestibular interaction), postural control exercises, and progressively more difficult balance tasks (eyes open, eyes closed, large base support, uneven base support, while walking, in high visual or noisy environments). Exercises should be done three times a day, with 5 repetitions of each. The exercises will be performed i
• Другое Brandt Daroff exercises
  brandt daroff exercises without cawthorne Cooksey exercises. To begin the Brandt-daroff exercise, the patient will sit and swivel the head 45 degrees to one side (left), then instantly lie down on the other shoulder (right). The patient should be instructed to maintain this posture for 30 seconds or until the vertigo subsides. The patient then gradually returns to the starting position, maintaining the left ear rotation until sat upright. Following the same 30 second time limits, the patient tur

Первичные конечные точки

• Dizziness Handicap Inventory: [Срок оценки: 6 weeks]
• Tinetti Performance Oriented Mobolity Assessment [Срок оценки: 6 weeks]
• Lawton Instrumental Activities of Daily Living (IADL) Scale [Срок оценки: 6 weeks]

Критерии участия

Критерии включения

• Older adults 65or above.
• Both Male and Female.
• Symptoms suggested vertigo, confirmed by neurologist.
• Accepted to participate in study.
• DHI Scale: 36-42 (moderate handicap).

Критерии исключения

• Patients having balance issues other than dizziness and vertigo.
• Middle or external ear diseases.
• Cerebrovascular diseases.
• Feet injuries including severe bruises, ulcers, open wounds or recent burns.
• Neck pain and cervical spine disease.
• History of serious musculoskeletal disease (arthritis, Alzheimer's disease, intervertebral disc degeneration).

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• DHQ Hospital Joharabad — Jauharabad

Публикации

• Teixido M, Casserly R, Melley LE. Lateral Modified Brandt-Daroff Exercises: A Novel Home Treatment Technique for Horizontal Canal BPPV. J Int Adv Otol. 2021 Jan;17(1):52-57. doi: 10.5152/iao.2020.9452. PMID 33605222
• Zamyslowska-Szmytke E, Politanski P, Jozefowicz-Korczynska M. Dizziness Handicap Inventory in Clinical Evaluation of Dizzy Patients. Int J Environ Res Public Health. 2021 Feb 24;18(5):2210. doi: 10.3390/ijerph18052210. PMID 33668099

Идентификаторы

NCT: NCT06637566 · REC/RCR & AHS/24/0207

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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