An interventional study of Occulomotor exercises and Cervical Exercises in Nystagmus and Dizziness, sponsored by Foundation University Islamabad. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2026-05-14.
Sponsored by Foundation University Islamabad · Not applicable, Interventional, and Treatment
Benign paroxysmal positional vertigo (BPPV) is the most common type of dizziness disorder in the community.Its cardinal symptoms include vertigo which is induced by change in position of head, turning over in bed, looking up, lying down in bed or any sudden change in the position of head. This study compares the effectiveness of occulomotor exercises alone and combined cervical and occulomotor exercises which take 6 weeks to implement and recruit results and each session lasting 10-20 minute Assessment will be performed at baseline.
Benign Paroxysmal Positional Vertigo (BPPV) is the most prevalent peripheral vestibular disorder, significantly affecting patients' daily activities and quality of life. While vestibular maneuvers are widely used for treatment, evidence on the added benefits of combining these maneuvers with therapeutic exercises remains limited. This study aims to fill that gap by evaluating the effectiveness of an integrated approach, potentially enhancing symptom relief and supporting evidence-based clinical decisions. The combination may offer a more holistic strategy for managing BPPV, guiding healthcare professionals toward improved treatment protocols. Additionally, the research emphasizes a quick, accessible intervention suitable for clinical and emergency settings. By reducing dizziness more effectively, the study aspires to improve functional outcomes for patients. Overall, it highlights the value of innovative, combined therapies in vestibular care.
27 studies on the registry are indexed under Nystagmus, Pathologic; 3 are open to participants now.
This study's enrollment of 56 is above the median of 48 across 17 interventional studies indexed under Nystagmus, Pathologic.
Browse Nystagmus, Pathologic studies →Foundation University Islamabad is the lead sponsor of 255 studies on the registry; 142 are open to participants now.
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Informed consent
Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.
You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.
Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.
Week 1: DNF Strengthening (basic chin tuck) + Smooth Pursuit + Basic Saccades Week 2: DNF Progression (longer hold) + Saccadic Eye Movement + Smooth Pursuit Week 3: Adaptation X1 (with head movement) Week 4: DNF with Arm Movements + Adaptation X2 (slow head \& target) Week 5: Saccades with Head Movements Week 6: DNF
Procedure: Cervical Exercises
Week 1: Smooth Pursuit + Basic Saccades Week 2: Saccadic Eye Movement + Adaptation X1 (slow speed) Week 3: Adaptation X1 (moderate speed) + Smooth Pursuit (increased range) Week 4: Adaptation X2 (slow) + Complex Saccades (with distractions) Week 5: Adaptation X2 (faster) + Smooth Pursuit (large range) Week 6: All Oculomotor Exercises in Circuit (Saccades + Pursuit + X1 + X2)
Procedure: Occulomotor exercises
Oculomotor exercises are used to treat BPPV and involve repeated head movements to habituate the brain to vertigo triggers. Saccadic Eye Movement Exercises: Moving the eyes quickly between two stationary targets while keeping the head still. Smooth Pursuit Exercises: Tracking a moving target with the eyes while keeping the head stationary. Adaptation X1 Exercises: Moving the head horizontally while maintaining focus on a stationary target. Adaptation X2 Exercises: Simultaneously moving the head and target in opposite directions horizontally, requiring the eyes to track the moving target.
Cervical exercise include Deep Neck flexor strengthening starts with the patient lie supine with knees bent. Perform chin tuck and lift head \~2-3 cm off the surface. Hold for 5- 10 seconds. 10 repetitions, 2 sets daily. DNF activate stabilizing neck muscles and reduce Cervicogenic Input \& provides quick, non-invasive relief from BPPV.
Nystagmus
Dynamic leap and balance test Moderate Impairment: Noticeable instability, excessive sway, needs extra steps to regain balance, and slower performance. Severe Impairment: Unable to maintain balance after landing, requires assistance, or is unable to complete the task safely.
Time frame: 6 weeks
benign paroxysmal positional vertigo
Dix-Hall pike Test (DHT) is considered the gold standard assessment for the diagnosis of the vestibular disorder benign paroxysmal positional vertigo (BPPV). The patient starts in a sitting position and their head is turned 45° towards the side to be tested. The assessor then assists them to lie down quickly and extends their neck 20° over the end of the plinth, maintaining 45° rotation. The assessor should be able to see the patient's eyes and should observe for nystagmus. A positive response is elicited if rotational nystagmus is noted. The nystagmus will have a delayed onset of approximately 1-2 seconds following movement and it should subside after 10-20 seconds
Time frame: 6 weeks
Dizziiness
The Dizziness Handicap Inventory (DHI) is a widely used tool to assess the impact of dizziness on an individual's daily life.The total score ranges from 0 to 100, with higher scores indicating a greater impact of dizziness.
Time frame: 6 weeks
Ran from Feb 2026 to primary completion in Apr 2026, 2 months.
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This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.
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