Additional Effects Of Brandt-Daroff Exercises With GANS M... | NCT07267988

Status Module

Description Module

Detailed Description

Benign Paroxysmal Positional Vertigo (BPPV) is a common and disabling vestibular disorder, affecting approximately 2.4% of individuals during their lifetime and accounting for nearly 20-30% of vertigo cases in clinical settings. It is caused by the displacement of otoconia into the semicircular canals, leading to brief episodes of vertigo and dizziness, that significantly disrupt daily activities and reduce quality of life. The high prevalence of BPPV is associated with increased risks of falls, functional limitations, and recurrent episodes. Although canalith repositioning maneuvers serve as the primary treatment, recurrence rates remain substantial, underscoring the need for adjunctive therapeutic approaches that address persistent vertigo and improve overall functional outcomes.This study aims to investigate the additional effects GANS maneuver and Brandt-Daroff exercise on dizziness reduction, and quality of life improvement, in BPPV Patients .A randomized controlled trial will be conducted with participants diagnosed with BPPV.This study will be a non blinded, randomized controlled trial with two groups: the intervention group, which will receive GANS Maneuver with Brandt-Daroff Exercises, and the control group, which will receive GANS Maneuver alone. The intervention will last for six weeks, with participants attending two 40-minute sessions per week. A total of 30 individuals with BPPV will be recruited and randomly assigned to one of the two groups. The Dizziness Handicap Inventory Scale(DHI) will be used to screen for dizziness. Quality of life will be measured using the Vestibular and Participation Scale(VAP).The study will be conducted over a period of 1 year at Fauji Foundation Hospital. Ethical approval will be obtained from FUMC ERC. Recruited participants will be allocated to either group through a random sampling method. Outcome measurements will be taken at baseline and again after the 6-week intervention period. Individuals meeting the inclusion criteria will be selected, and written informed consent will be obtained after explaining the study's purpose. Data will be entered and analyzed on SPSS v. 22.

Design Module

Interventional Study Design

Biospecimen

No data available

No data is available for this block.

Arms/Interventions Module

Arm Groups

Label	Type	Description	Intervention Names
GANS Maneuver with Brand-Daroff Exercises	Experimental	GANS Maneuver include: Sit upright on a bed with legs extended. Turn patient head 45° toward the affected ear. Quickly lie back so patient head is slightly hanging over the edge Hold this position 30-60 seconds or until vertigo stops. Without lifting the head, rotate it 90° toward the opposite side (45° past midline). Hold again for 30-60 seconds. Continue turning patient head in the same direction and roll onto side so nose faces the floor. Hold 30-60 seconds. Sit up slowly, keeping patient chin slightly tucked. Rest in sitting for about a minute. (3 reps/2 times per week) BRANDTDAROFF EXERCISES Sit upright on the edge of your bed. Turn your head 45° to the left. Keeping the head turned, quickly lie down on your right side. Hold this position 30 seconds or until vertigo stops. Return to sitting; hold 30 seconds. Turn your head 45° to the right. Quickly lie down on your left side. Hold 30 seconds or until vertigo stops. Return to sitting; hold 30 seconds.	Procedure: GANS Maneuver with Brandt-Daroff Exercises
GANS Maneuver	Active Comparator	GANS Maneuver include: Sit upright on a bed with legs extended. Turn patient head 45° toward the affected ear. Quickly lie back so patient head is slightly hanging over the edge Hold this position 30-60 seconds or until vertigo stops. Without lifting the head, rotate it 90° toward the opposite side (45° past midline). Hold again for 30-60 seconds. Continue turning patient head in the same direction and roll onto side so nose faces the floor. Hold 30-60 seconds. Sit up slowly, keeping patient chin slightly tucked. Rest in sitting for about a minute. (3 reps/2 times per week)	Procedure: Gans Maneuver

Interventions

Name	Type	Description	Arm Group Labels	Other Names
GANS Maneuver with Brandt-Daroff Exercises	Procedure	The intervention program spans six weeks and involves both supervised Gans Maneuver sessions and home-based Brandt-Daroff exercises. Participants will attend two supervised Gans sessions per week, with each session consisting of three repetitions of the maneuver. In addition, participants will perform Brandt-Daroff exercises at home twice daily, with each cycle consisting of three repetitions. This combination of supervised and home-based practice will be maintained consistently throughout all six weeks. Across the entire program, participants will complete a total of 12 supervised Gans sessions and 36 Brandt-Daroff home sessions.

Outcomes Module

Primary Outcomes

Measure	Description	Time Frame
Dizziness	Dizziness Handicap Inventory Scale(DHI): 25 Items (scoring16-54) where 16-34 = Mild handicap , 36-52 = moderate handicap , 52+ = severe handicap	6 weeks
Quality Of Life In BPPV patients	Vestibular Activities and Participation Scale (VAP): A 34-item, (1-4 score) , 1 = mild limitations, 2 = moderate limitation, and 3 = severe limitations, 4=extreme limitation	6 weeks

Eligibility Module

ID	Term
D012678	Sensation Disorders
D009461	Neurologic Manifestations
D012816	Signs and Symptoms
D013568	Pathological Conditions, Signs and Symptoms