The Epley Maneuver Versus Cawthorne-Cooksey Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

Effectiveness of the Epley Maneuver Versus Vestibular Exercises in the Treatment of Benign Paroxysmal Positional Vertigo (BPPV)

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04715282

Acronym

BPPV

Enrollment

Registered

2021-01-20

Start date

2016-03-31

Completion date

2017-02-28

Last updated

2021-01-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Benign Paroxysmal Positional Vertigo

Brief summary

Observation of the effects of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in BPPV patients.

Detailed description

Study Objective: To observe the efficacy of Cawthorne-Cooksey exercises applied after the Epley maneuver on balance, vertigo symptoms, and quality of life in patients with posterior canal BPPV. Study Design: Single-blind randomized controlled study Sample Size: Thirty-six patients were recruited in the study and were randomized equally into Epley maneuver (EpleyM) and Epley maneuver and exercise (EpleyM&Exe) groups. Study Method: All patients were treated with the Epley maneuver, while CawthorneCooksey exercises were given to the EpleyM&Exe group as home exercises for 6 weeks. Static and dynamic balance, vertigo and associated symptoms, and quality of life were assessed with the Nintendo Wii Balance Board, Berg Balance Test, Vertigo Symptom Scale, and Dizziness Handicap Inventory, respectively. The assessments were repeated at the 1st, 3rd, and 6th weeks.

Interventions

PROCEDUREEpley maneuver

Epley maneuver

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Subject)

Eligibility

Sex/Gender

ALL

Healthy volunteers

Inclusion criteria

1. having posterior semicircular canal BPPV with upbeating-torsional nystagmus and positional vertigo as evaluated by the Dix-Hallpike Test 2. agreeing to undergo the Epley maneuver after that test 3. agreeing to participate in the study

Exclusion criteria

1. having history or symptoms of vestibular system disorders other than BPPV or central nervous system disorders causing dizziness 2. having cervical and/or lumbar pathology due to which the Epley maneuver could not be performed 3. having lower extremity pain or an operation that prevented standing and/or weight bearing 4. having anterior or horizontal canal BPPV 5. having previously undergone a vestibular rehabilitation program

Design outcomes

Primary

Measure	Time frame	Description
Nintendo Wii Balance Board (WBB)	one hour	COP displacement on double leg with eyes open/closed (%): Lower scores (approaching 50%) indicate better static balance. Frontal plane stability on dominant leg with eyes open/closed (%): The total score ranges between 0 and 100%. Higher scores indicate better static balance.
Berg Balance Test (BBT)	one hour	The minimum score of the BBT is 0 and the total maximum score of the BBT is 56. Higher scores indicate better dynamic balance.

Secondary

Measure	Time frame	Description
Vertigo Symptom Scale (VSS)	one hour	The total score ranges between 0 and 60 points, with higher scores indicating lower vertigo associated symptoms.
Dizziness Handicap Inventory (DHI)	one hour	The total score ranges between 0 and 100 points, with higher scores indicating lower quality of life.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026