An interventional study of Vestibular Rehabilitation and exergaming in Benign Paroxysmal Positional Vertigo (BPPV), sponsored by Afyonkarahisar Health Sciences University. Completed at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2026-11-06.
Sponsored by Afyonkarahisar Health Sciences University · Not applicable, Interventional, and Treatment
The study was designed as a randomized controlled, single-blind study. Power analysis was used to calculate the sample size. A 3-group one-way ANOVA test was used for the power analysis. The power analysis result determined a total of n=51 participants, with n=17 in each group.
The study included 51 BPPV patients who presented to the Ear, Nose, and Throat Outpatient Clinics of Afyon Health Sciences University, Health Application and Research Center, were diagnosed with posterior canal BPPV by a specialist physician, met the inclusion criteria, and volunteered to participate. Participants were divided into 3 groups. To prevent potential bias in the study results, the distribution of participants into groups was performed using stratified randomization. Patients were distributed into all 3 groups in a way that ensured similar age, gender, and number of previous attacks. At the beginning of the study, all participants underwent sociodemographic evaluation, the Dizziness Disability Inventory, the Vertigo Symptom Scale, and balance assessment using Kinvent Plates. After the assessments, all participants underwent the Epley maneuver. The first study group received VR in addition to the Epley maneuver. The second study group received exergaming in addition to the Epley maneuver. Both study groups received VR or exergaming for 30 minutes, twice a week, for 6 weeks. At the end of 6 weeks, the same assessments were repeated, and patients were compared before and after treatment. The control group received the Epley maneuver after the initial assessments. They were called back for a follow-up after 6 weeks, and the same assessments were performed on them as well.
The content of vestibular rehabilitation includes:
These exercises last a total of 30 minutes.
The content of exergaming applied with Kinvent Plates was as follows:
Exergaming involved patients playing games where they shifted their weight in different directions while on a balance plate. Games included American football, escaping crabs while moving in a canoe, finding matching pictures, catching the ball while moving the canoe left and right, traveling through the forest with a phoenix, and flying with a drone. All games were played with body movements, and in some cases, the patient was asked to jump slightly.
75 studies on the registry are indexed under Benign Paroxysmal Positional Vertigo; 15 are open to participants now.
This study's enrollment of 51 is below the median of 78 across 62 interventional studies indexed under Benign Paroxysmal Positional Vertigo.
Browse Benign Paroxysmal Positional Vertigo studies →Afyonkarahisar Health Sciences University is the lead sponsor of 115 studies on the registry; 32 are open to participants now.
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Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Being between 18-65 years of age
Exclusion Criteria:
Having other vestibular disorders (Ménière's disease, vestibular neuritis, labyrinthitis),
Epley maneuver + vestibular rehabilitation
Other: Vestibular Rehabilitation
Epley maneuver + exergaming . Exergaming was used to have patients play games where they shifted their weight in different directions while standing on a balance board. The games included: American football, escaping crabs while moving in a canoe, finding matching pictures, catching a ball while moving the canoe left and right, traveling through the forest with a phoenix, and flying with a drone.
Other: exergaming
Epley maneuver
Other: control group
Epley maneuver followed by 6 weeks of Vestibular Rehabilitation was applied.
The Epley maneuver, followed by 6 weeks of exergaming, was applied.
Epley maneuver was performed. A follow-up examination was conducted after 6 weeks.
balance
With Kinvent Plates, patients' static balance was tested while standing on two feet with their eyes open, while standing on two feet with their eyes closed, and their dynamic balance was tested by jumping from a platform.
Time frame: before treatment and 6 weeks later
Dizziness Disability Inventory
The inventory consists of 25 items that determine the sensory and functional outcomes in vestibular system disorders, as well as factors that aggravate dizziness and balance disorders in patients. The sub-inventories aim to determine the physical, sensory, and functional effects of vestibular system disorders. Each question consists of yes (4 points), no (0 points), and sometimes (2) answers. In scoring the sub-units of the inventory, 28 points is suggested as a threshold for determining physical disability, and 36 points for determining functional and sensory disability. High scores are interpreted as indicating that the patient's dizziness significantly impairs their daily life.
Time frame: before treatment and 6 weeks later
Vertigo Symptom Scale
The Vertigo Symptom Scale (VSS) is used to assess the frequency of symptoms commonly encountered in patients with vertigo and imbalance, including imbalance, somatic symptoms, autonomic symptoms, anxiety, and panic. The scale consists of two sub-sections: the Vertigo Symptom Scale-Vertigo Section, related to vertigo and balance disorders, and the Vertigo Symptom Scale-Anxiety Section, related to autonomic disorders and anxiety symptoms. It comprises a total of 15 questions. • VSS-V consists of 8 questions (0-32 points), * VSS-A consists of 7 questions (0-28 points). • The frequency of symptoms is scored on a scale of 0 = never, 1 = very rarely, 2 = often, 3 = frequently (every week), and 4 = very frequently (more than 1 day a week on average). * Patients are asked to answer these questions regarding their dizziness based on their experiences over the past month. * High scores (maximum 60) indicate an increased frequency of experiencing vertigo-related symptoms in patients. • A scor
Time frame: before treatment and 6 weeks later
Plan to share: No
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From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗
This study is completed, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.
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