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Study record managers: refer to the Data Element Definitions if submitting registration or information. Benign paroxysmal positional vertigo BPPV is the most common cause of vertigo, affecting 2. The main symptom is the perceived sensation of movement of the surrounding or self, without actual such movement, triggered by changes in position positional vertigo.

It can be dangerous as repetitive symptoms can lead to falls and depression, particularly in the elderly. Additionally, at least half of those with initial symptoms of BPPV will have ongoing symptoms if not treated. The Epley maneuver is a particle-repositioning maneuver that is used to treat posterior semicircular canal BPPV, the most common type of BPPV, after a diagnosis has been made on physical examination.

Those who are diagnosed with posterior canal BPPV after history and physical examination including the Dix-Hallpike test will be approached to be recruited into the study. Patients who consent to participating in the study will be allocated to either the VREMS cohort or the control cohort. Those in the control cohort will be provided an instructional handout IH to help them perform the Epley maneuver. All participants will be asked to rate the severity of their symptoms before undergoing the Epley maneuver. In both groups, once the patient has performed the Epley maneuver whether with VREMS assistance or with the IH , they will be asked to rate their symptom severity after undergoing the Epley maneuver.

They will also be given an opportunity to give free-text feedback. Secondary outcome will be mental workload in each of the study arms. On the smartphone there is a virtual reality application. When viewed through the VR goggles the participants see a three-dimensional environment. Audio and text cues are presented in a 3D environment to help guide the patient through the Epley maneuver. They will be given a chance to review the IH, and then they will have a chance to perform the Epley maneuver. Other: Instructional Handout IH Patients randomized to the IH group will be given an instructional handout with image and text-based instructions on the steps involved in performing the Epley maneuver.

They will then be given the chance to perform the Epley maneuver. The higher the score, the greater the subjective dizziness worse outcome. The higher the score, the greater the mental demand worse outcome. Talk with your doctor and family members or friends about deciding to a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

Hide glossary Glossary Study record managers: refer to the Data Element Definitions if submitting registration or information. Search for terms. Save this study. Warning You have reached the maximum of saved studies Listing a study does not mean it has been evaluated by the U.

Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Last Update Posted : June 16, See Contacts and Locations. Study Description. FDA Resources. Arms and Interventions. The VREMS system includes a smartphone placed inside virtual reality goggles worn by the participant.

Patients randomized to the IH group will be given an instructional handout with image and text-based instructions on the steps involved in performing the Epley maneuver. Outcome Measures. Primary Outcome Measures : Subjective dizziness [ Time Frame: Self reported once immediately before performing the Epley maneuver and once immediately after - in both arms ] Patient reported dizziness score out of 10 - Min value 0 no dizziness and max value 10 completely debilitating dizziness.

Eligibility Criteria. Information from the National Library of Medicine Choosing to participate in a study is an important personal decision. Inclusion Criteria: Adults over 18 years old Clinical diagnosis of posterior semicircular canal benign paroxysmal positional vertigo Exclusion Criteria: Hemodynamically unstable Cervical spine instability Limited neck range of motion. Contacts and Locations. Information from the National Library of Medicine To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials. More Information. A systematic review of vertigo in primary care. Br J Gen Pract. Vertigo - part 1 - assessment in general practice. Aust Fam Physician. Strupp M, Brandt T.

Diagnosis and treatment of vertigo and dizziness. Dtsch Arztebl Int. Epub Mar 7. Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry. Epub Nov The mechanics of benign paroxysmal vertigo. J Otolaryngol. Dizziness and vertigo in an older population: the Blue Mountains prospective cross-sectional study. Clin Otolaryngol. Burden of dizziness and vertigo in the community. Arch Intern Med.

Erratum in: Arch Intern Med. National Library of Medicine U. National Institutes of Health U. Department of Health and Human Services. The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Not Applicable. Study Type :. Interventional Clinical Trial.

Estimated Enrollment :. Estimated Study Start Date :. Estimated Primary Completion Date :. Estimated Study Completion Date :. June 18, Key Record Dates.

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