Effects of Oculomotor Exercises in Patients With Non Traumatic Cervical Dizziness
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-40
SponsorRiphah International University
About this trial
To investigate the effects of oculomotor exercises on pain disability, dizziness and gaze stability in patients with non-traumatic cervical dizziness.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Both Males and Females
Age between 20 and 40 years with nontraumatic cervical dizziness.
Patients experiencing symptoms of cervicogenic dizziness for at least 3 months (chronic cervicogenic dizziness)
Patients having a Numeric Pain Rating Scale (NPRS) score greater than or equal to 3
Disqualifiers
History of trauma or recent surgery to the head, face, neck, or chest.
Diagnosis of central vertigo (e.g., brainstem or cerebellar pathology).
Presence of vestibular-origin vertigo, such as benign paroxysmal positional vertigo (BPPV).
Triage (Patients with traumatic cervical spine injury, Cervical arterial dysfunction and central vestibular disorders
Trial design
Design model
Parallel
Treatments tested in this trial
Sustained Natural Apophyseal Glides and Oculomotor exercises
Other interventionSustained Natural Apophyseal Glides: The patient sat upright and actively moved the head in the direction that provoked dizziness. The therapist applied a sustained anterior glide to the targeted C1 or C2 vertebra during the movement. The technique was performed initially for 3 repetitions and progressed to 6 repetitions, with gentle overpressure added as tolerated. Oculomotor Exercises: The intervention included saccadic eye movements, smooth pursuit training, gaze stabilization, and head-eye coordination exercises. These exercises were performed with the head and/or eyes moving in controlled directions to improve gaze stability, eye-head coordination, and sensorimotor control.
Sustained Natural Apophyseal Glides
Other interventionhe patient sat upright and actively moved the head in the direction that provoked dizziness. The therapist applied a sustained anterior glide to the targeted C1 or C2 vertebra during the movement. The technique was performed initially for 3 repetitions and progressed to 6 repetitions, with gentle overpressure added as tolerated.
Treatment groups
48 Participants
are divided into 2 treatment groupsGroup A: Sustained Natural Apophyseal Glides and Oculomotor ExercisesExperimental treatment 1 intervention
Group B: Sustained Natural Apophyseal GlidesActive comparator 1 intervention
Trial outcomes
Primary outcomes
1
Rating Scale of Gaze Stability
Assesses gaze stability during head movements in sitting. It consists of three ratings: 0 indicates stable gaze, 1 indicates slightly irregular gaze stability, and 2 indicates repeatedly unstable gaze.
Time frame
4 weeks2
Neck Disability index
It comprises of 10 items; 7 related to daily living activities, 2 related to pain and 1 related to concentration. Each item is scored from 0 to 5. Total score is expressed as a percentage, with higher scores related to greater disability. It has high test-retest reliability (ICC = 0.978)
Time frame
4 weeks3
Dizziness Handicap Inventory questionnaire
A 25-item questionnaire assessing the functional, emotional, and physical effects of dizziness. Each item is scored as 0, 2, or 4, with a total score ranging from 0-100. Lower scores indicate less disability.
Time frame
4th week4
Universal Goniometer
A commonly used instrument for measuring cervical range of motion. It demonstrates high test-retest reliability and inter-rater reliability.
Time frame
4 weeksLocations
1Map coordinates are unavailable for these locations. Locations are shown below instead.
Independent HospitalRecruiting38000, Faisalābad, Punjab Province
Pakistan
PakistanSponsors and contacts
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Source ClinicalTrials.gov