Clinical Trial: Treating Benign Paroxysmal Positional Vertigo (BPPV) in ED Patients
Study Status: Completed
Recruit Status: Completed
Study Type: Interventional
Official Title: A Randomized Trial to Evaluate Resolution of Symptoms Using Vestibular Rehab Versus Conventional Therapy in Patients Presenting to the Emergency Department (ED) With Diagnosis of
Brief Summary: Benign Paroxysmal Positional Vertigo (BPPV) is a common complaint of emergency department patients. The importance of early diagnosis and treatment can lead to a much improved quality of life for patients afflicted by this ailment. It is the purpose of this study to evaluate and examine two methods of treatment. Patients will be randomized to receive the more common conventional medication therapy versus the canalith repositioning technique. All patients enrolled into this study are emergency department patients who have been diagnosed with BPPV via a positive Dix-Hallpike Maneuver. The hypothesis of this study is that vestibular rehabilitation will allow for resolution of symptoms without the use of conventional medication therapy in the acute management of BPPV in the emergency department patient.
Detailed Summary:
Benign paroxysmal positional vertigo (BPPV) is the most common peripheral vestibular disorder, accounting for 20% of all vertigo cases. It was first described by Barany in 1921, and later described in more detail by Dix and Hallpike in 1952. Common practice by ED physicians is to rule out serious medical causes for their symptoms. It is presently common for ED physicians to treat these patients mainly with benzodiazepines, antihistamines, and anticholinergic medications, especially if the history and physical is consistent with BPPV. This method of treatment has had questionable success. Several reviews of the management of vertigo have shown that no medication in current use has well established curative or prophylactic value or is suitable for long-term treatment.
The purpose of this study is to compare the efficacy of vestibular rehabilitation vs. conventional therapy in ED patients who present with vertigo. The objectives to be determined in this study are as follows:
Objectives:
- To evaluate the improvement of vertigo in patients diagnosed with BPPV in the ED.
- To evaluate disposition time for those patients receiving vestibular rehabilitation in the ED compared to those patients who receive conventional therapy.
- To demonstrate the long-term improvement of symptomatology utilizing vestibular rehabilitation versus conventional therapy.
- Compare patient satisfaction between those patients who receive standard care vs. those who receive vestibular rehabilitation.
Inclusion Criteria:
- Subject is a male or
Sponsor: Lehigh Valley Hospital
Current Primary Outcome: Likert Scale for improvement [ Time Frame: 0, 3, 7, 30 days ]
Original Primary Outcome: Same as current
Current Secondary Outcome:
Original Secondary Outcome:
Information By: Lehigh Valley Hospital
Dates:
Date Received: February 13, 2008
Date Started: November 2006
Date Completion:
Last Updated: September 7, 2016
Last Verified: September 2016
