Actively Recruiting
Effects of Cervical Mobilization and Vestibular Rehabilitation on Dizziness, Balance, and Joint Position Sense in Patients With Meniere's Disease
Led by Abant Izzet Baysal University · Updated on 2025-12-19
33
Participants Needed
1
Research Sites
5 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are studying the effects of cervical mobilization combined with vestibular rehabilitation on patients diagnosed with Meniere's disease, which can affect one or both ears. The study aims to compare the impact of adding cervical mobilization to routine Betahistine treatment and vestibular rehabilitation exercises. Participants will be divided into three groups to understand how these treatments influence dizziness, balance, and joint position sense over six weeks. One group will continue their usual Betahistine treatment without changes, serving as the control. The first study group will receive 20 minutes of vestibular rehabilitation plus 10 minutes of cervical mobilization twice a week for six weeks. The second study group will receive 30 minutes of vestibular rehabilitation alone on the same schedule. Vestibular rehabilitation includes adaptation, habituation, and compensation exercises that gradually increase in difficulty. Cervical mobilization involves relaxation, traction, and mobilization of specific neck vertebrae. Participants will be evaluated before and after the six-week treatment using various assessments. These include questionnaires about dizziness, vertigo, neck disability, and tinnitus, as well as balance testing with K-Force Plates and joint position sense analysis with the Kinvent Physio K-Move. Researchers will measure changes in balance, dizziness, vertigo symptoms, neck function, tinnitus, and proprioception to assess the treatments' effects.
CONDITIONS
Brief Title
Effects of Cervical Mobilization on Dizziness, Balance, and Joint Position Sense in Patients With Meniere's Disease
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Definitive clinical diagnosis of unilateral or bilateral Meniere's disease
- Age between 18 and 60 years
- Presence of fluctuating symptoms or chronic imbalance for at least 3 months
- Cognitive ability to participate in balance rehabilitation tasks (Mini Mental State Examination score 64 24)
- Willingness to participate in the study and provide informed consent
You will not qualify if you...
- Diagnosis of vertigo not associated with Meniere's disease
- Presence of another acute medical condition
- Neurological, psychological, or cognitive dysfunction
- History of orthopedic surgery within the last 3 months
- Planned surgical intervention during the rehabilitation program
- Cervical spine instability
- Acute cervical trauma
- Vertebral artery insufficiency
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - 6 weeks
Participants receive their assigned interventions, which may include routine Betahistine therapy alone, vestibular rehabilitation alone, or vestibular rehabilitation combined with cervical mobilization. Vestibular rehabilitation involves adaptation, habituation, and compensation exercises. Cervical mobilization includes relaxation, traction, and vertebrae mobilization techniques. Treatments occur twice a week for 6 weeks.
Twice weekly visits for 6 weeks
Trial Site Locations
Total: 1 location
1
Afyonkarahisar Health Sciences University Health Application and Research Center, Ear, Nose and Throat Polyclinic
Afyonkarahisar, Afyonkarahisar, Turkey (Türkiye), 03030
Actively Recruiting
Research Team
N
nurgul sarı, Master's Degree
O
omer pala, associate professor
How is the study designed?
Study Type
INTERVENTIONAL
Masking
SINGLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
3
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